@article {Pelland216, author = {Kimberly D. Pelland and Rosa R. Baier and Rebekah L. Gardner}, title = {{\textquoteleft}It is like texting at the dinner table{\textquoteright}: a qualitative analysis of the impact of electronic health records on patient{\textendash}physician interaction in hospitals}, volume = {24}, number = {2}, pages = {216--223}, year = {2017}, doi = {10.14236/jhi.v24i2.894}, publisher = {BMJ Specialist Journals}, abstract = {Background Electronic health records (EHRs) may reduce medical errors and improve care, but can complicate clinical encounters.Objective To describe hospital-based physicians{\textquoteright} perceptions of the impact of EHRs on patient{\textendash}physician interactions and contrast these findings against office-based physicians{\textquoteright} perceptions.Methods We performed a qualitative analysis of comments submitted in response to the 2014 Rhode Island Health Information Technology Survey to gain a more in-depth understanding of individual physicians{\textquoteright} experiences using their EHRs. Office- and hospital-based physicians licensed in Rhode Island, in active practice, and located in Rhode Island or neighboring states completed the survey about their Electronic Health Record use.Results The survey{\textquoteright}s response rate was 68.3\% and 2,236 (87.1\%) respondents had EHRs. Among survey respondents, 27.3\% of hospital-based and 37.8\% of office-based physicians with EHRs responded to the question about patient interaction. Five main themes emerged for hospital-based physicians, with respondents generally perceiving EHRs as negatively altering patient interactions. We noted the same five themes among office-based physicians, but the rank order of the top two responses differed by setting: hospital-based physicians commented most frequently that they spend less time with patients because they have to spend more time on computers; office-based physicians commented most frequently on EHRs worsening the quality of their interactions and relationships with patients.Conclusion In our analysis of a large sample of physicians, hospital-based physicians generally perceived EHRs as negatively altering patient interactions, although they emphasized different reasons than their office-based counterparts. These findings add to the prior literature that focuses on outpatient physicians, and can shape interventions to improve how EHRs are used in inpatient settings.}, URL = {https://informatics.bmj.com/content/24/2/216}, eprint = {https://informatics.bmj.com/content/24/2/216.full.pdf}, journal = {BMJ Health \& Care Informatics} }