Skip to main content
eScholarship
Open Access Publications from the University of California

Perspectives of English, Chinese, and Spanish-Speaking Safety-Net Patients on Clinician Computer Use: Qualitative Analysis.

  • Author(s): Khoong, Elaine C
  • Cherian, Roy
  • Matta, George Y
  • Lyles, Courtney R
  • Schillinger, Dean
  • Ratanawongsa, Neda
  • et al.

Published Web Location

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6549473/
No data is associated with this publication.
Abstract

BACKGROUND:Safety-net systems serve patients with limited health literacy and limited English proficiency (LEP) who face communication barriers. However, little is known about how diverse safety-net patients feel about increasing clinician electronic health record (EHR) use. OBJECTIVE:The aim of this study was to better understand how safety-net patients, including those with LEP, view clinician EHR use. METHODS:We conducted focus groups in English, Spanish, and Cantonese (N=37) to elicit patient perspectives on how clinicians use EHRs during clinic visits. Using a grounded theory approach, we coded transcripts to identify key themes. RESULTS:Across multiple language groups, participants accepted multitasking and silent clinician EHR use if focused on their care. However, participants desired more screen share and eye contact, especially when demonstrating physical concerns. All participants, including LEP participants, wanted clinicians to include them in EHR use. CONCLUSIONS:Linguistically diverse patients accept the value of EHR use during outpatient visits but desire more eye contact, verbal warnings before EHR use, and screen-sharing. Safety-net health systems should support clinicians in completing EHR-related tasks during the visit using patient-centered strategies for all patients.

Many UC-authored scholarly publications are freely available on this site because of the UC Academic Senate's Open Access Policy. Let us know how this access is important for you.

Item not freely available? Link broken?
Report a problem accessing this item