University of Twente Student Theses
Examining Physician-EHR Interaction: Implications for Patient-Centred Communication in Rheumatology Care in Side-by-Side and Face-to-Face Consultations
Wender, F.P. (2024) Examining Physician-EHR Interaction: Implications for Patient-Centred Communication in Rheumatology Care in Side-by-Side and Face-to-Face Consultations.
Full text not available from this repository.
| Full Text Status: | Access to this publication is restricted |
| Abstract: | Physician-patient communication is crucial to effective healthcare delivery, yet the impact of physician gaze behaviour on communication quality remains poorly understood. This study aimed to investigate the relationship between physician gaze behaviour, consultation room setup, and patient-perceived communication quality during rheumatology consultations. Methods: A prospective observational study was conducted involving 88 patients and 6 physicians. Demographic data were collected, and consultations were observed using eye-tracking technology to analyse physician gaze behaviour towards the patient or the electronic health record (EHR). Consultations were conducted in two physician-patient setups: side-to-side or face-to-face. Physician-patient communication quality was assessed with the Communication Assessment Tool (CAT). Results: Patients were predominantly female patient and of Dutch nationality. Increased EHR gaze did not significantly impact patient-perceived communication quality. Furthermore, physicians exhibited varied gaze behaviour depending on the consultation room setup, with face-to-face setups leading to increased focus on the EHR. However, patients in the face-to-face setup did not experience worse communication quality. Conclusion: The study reveals that the duration of physician gaze on the EHR does not significantly affect patient-perceived communication quality in rheumatology consultations. However, different consultation room setups do influence physician gaze behaviour, with the side-by-side setup reducing EHR gaze time. This suggests that optimizing room layouts could enhance communication dynamics. |
| Item Type: | Essay (Master) |
| Clients: | Medisch Spectrum Twente, Enschede, Nederland |
| Faculty: | TNW: Science and Technology |
| Subject: | 05 communication studies, 70 social sciences in general |
| Programme: | Health Sciences MSc (66851) |
| Link to this item: | https://purl.utwente.nl/essays/102780 |
| Export this item as: | BibTeX EndNote HTML Citation Reference Manager |
Show download statistics for this publication
Show download statistics for this publicationRepository Staff Only: item control page