Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Computers: Poor placement does not compute in medical exam rooms

11.07.2005


Doctors "talking" to computer screens instead of patients during a physical exam is a problem easily cured, say researchers at the Indiana University School of Medicine and the Regenstrief Institute, Inc.



Their comprehensive study of the effect of exam room computer placement and the doctor-patient relationship appears in the August issue of the Journal of General Internal Medicine.

The researchers found that doctors with poor communications skills tended to get lost in the computer, interacting with it rather than the patient. Doctors with good communications skills used eye contact and posture to show interest even while working on the exam room computer.


"You may have a great diagnosis but if you can’t communicate it to the patient, he or she may not follow-up appropriately," said Richard Frankel, Ph.D., author of the study. Dr. Frankel, Professor of Medicine and a medical sociologist.

Dr. Frankel notes that other studies, including many pioneering ones from Regenstrief researchers, have examined the effect of computers on patient outcomes and quality of care, but have not evaluated the impact of technology on doctor-patient communications. His study investigates the impact of technology on the professional interaction between patient and physician.

The placement of the computer in the exam room is critical to the communication process, the new study determined.

"If the computer is poorly positioned, it either gives you a really sore neck from turning around if you want to engage your patient or you wind up with the back of your head to the patient," said Dr. Frankel. "This really created difficulties for a lot of the doctors we studied. They would do one of two things – they would either not use the computer or they would not pay attention to the patient.

"Other technology in the exam room has a known relationship to the ecology of the room. The blood pressure cuff is typically sitting next to exam table and its placement varies very little from room to room. But with computers, we found they could be anywhere in the exam room where it was convenient to drop the wires," said Dr Frankel.

Ideally, the computer should be placed on a moveable arm that can be swiveled to a position that allows for eye contact between the doctor and patient, he said. Eventually, he hopes that medical school students routinely will be taught how best to use computers when interacting with patients.

Cindy Fox Aisen | EurekAlert!
Further information:
http://www.iupui.edu

More articles from Studies and Analyses:

nachricht Innovative genetic tests for children with developmental disorders and epilepsy
11.07.2018 | Christian-Albrechts-Universität zu Kiel

nachricht Oxygen loss in the coastal Baltic Sea is “unprecedentedly severe”
05.07.2018 | European Geosciences Union

All articles from Studies and Analyses >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: First evidence on the source of extragalactic particles

For the first time ever, scientists have determined the cosmic origin of highest-energy neutrinos. A research group led by IceCube scientist Elisa Resconi, spokesperson of the Collaborative Research Center SFB1258 at the Technical University of Munich (TUM), provides an important piece of evidence that the particles detected by the IceCube neutrino telescope at the South Pole originate from a galaxy four billion light-years away from Earth.

To rule out other origins with certainty, the team led by neutrino physicist Elisa Resconi from the Technical University of Munich and multi-wavelength...

Im Focus: Magnetic vortices: Two independent magnetic skyrmion phases discovered in a single material

For the first time a team of researchers have discovered two different phases of magnetic skyrmions in a single material. Physicists of the Technical Universities of Munich and Dresden and the University of Cologne can now better study and understand the properties of these magnetic structures, which are important for both basic research and applications.

Whirlpools are an everyday experience in a bath tub: When the water is drained a circular vortex is formed. Typically, such whirls are rather stable. Similar...

Im Focus: Breaking the bond: To take part or not?

Physicists working with Roland Wester at the University of Innsbruck have investigated if and how chemical reactions can be influenced by targeted vibrational excitation of the reactants. They were able to demonstrate that excitation with a laser beam does not affect the efficiency of a chemical exchange reaction and that the excited molecular group acts only as a spectator in the reaction.

A frequently used reaction in organic chemistry is nucleophilic substitution. It plays, for example, an important role in in the synthesis of new chemical...

Im Focus: New 2D Spectroscopy Methods

Optical spectroscopy allows investigating the energy structure and dynamic properties of complex quantum systems. Researchers from the University of Würzburg present two new approaches of coherent two-dimensional spectroscopy.

"Put an excitation into the system and observe how it evolves." According to physicist Professor Tobias Brixner, this is the credo of optical spectroscopy....

Im Focus: Chemical reactions in the light of ultrashort X-ray pulses from free-electron lasers

Ultra-short, high-intensity X-ray flashes open the door to the foundations of chemical reactions. Free-electron lasers generate these kinds of pulses, but there is a catch: the pulses vary in duration and energy. An international research team has now presented a solution: Using a ring of 16 detectors and a circularly polarized laser beam, they can determine both factors with attosecond accuracy.

Free-electron lasers (FELs) generate extremely short and intense X-ray flashes. Researchers can use these flashes to resolve structures with diameters on the...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

VideoLinks
Industry & Economy
Event News

Leading experts in Diabetes, Metabolism and Biomedical Engineering discuss Precision Medicine

13.07.2018 | Event News

Conference on Laser Polishing – LaP: Fine Tuning for Surfaces

12.07.2018 | Event News

11th European Wood-based Panel Symposium 2018: Meeting point for the wood-based materials industry

03.07.2018 | Event News

 
Latest News

Subaru Telescope helps pinpoint origin of ultra-high energy neutrino

16.07.2018 | Physics and Astronomy

Barium ruthenate: A high-yield, easy-to-handle perovskite catalyst for the oxidation of sulfides

16.07.2018 | Life Sciences

New research calculates capacity of North American forests to sequester carbon

16.07.2018 | Earth Sciences

VideoLinks
Science & Research
Overview of more VideoLinks >>>