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Type: Journal article
Title: The impact of the desktop computer on rheumatologist-patient consultations
Author: Booth, A.
Le Couteur, A.
Chur-Hansen, A.
Citation: Clinical Rheumatology, 2013; 32(3):391-393
Publisher: Springer-Verlag
Issue Date: 2013
ISSN: 0770-3198
Statement of
Anna Booth, Amanda LeCouteur and Anna Chur-Hansen
Abstract: This study examined the impact of computers on rheumatologist–patient communication. Fifteen rheumatologist–patient consultations were videotaped and analysed qualitatively. Patients routinely ceased their reporting on a particular topic when the rheumatologist's body and gaze were reoriented toward the computer. Rheumatologists employed the computer to direct the consultation, whilst patients took advantage of spaces in the consultation created by the physician's use of the computer to continue talking, often involving extended pain reporting. These findings are discussed in relation to the potential impact of the computer in the consultation. Previous research analysing videotaped data has demonstrated that computer use appears to be associated with a decrease in interaction between physicians and patients [2], including a lack of eye contact with patients when a doctor's gaze is directed toward the computer screen [2, 3]. Talk between doctors and patients is routinely suspended when doctors interact with computerised records [4, 5]. In this study, videotaped recordings of consultations between rheumatologists and patients were employed to examine communication where computers were used as an integral part of the interaction.
Keywords: Behavioural medicine; computers
Rights: © Clinical Rheumatology 2012
RMID: 0020126520
DOI: 10.1007/s10067-012-2140-z
Appears in Collections:Psychology publications

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