The Cost of Technology
Integrity signals
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“Electronic health records have increased the clerical burden on physicians,(1-3) altered the patient-physician interaction, and can distract from the more meaningful aspects of medical practice.(1-3,7,8,21,22) In many medical centers, EHRs have been paid for by the elimination of transcription services and the impleme…”
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“80 However, our findings suggest that, in contrast to this view as well as common criticism of HIT, 13,14 the impact of HIT on the clinical encounter is complex and not all negative.”
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“Studies show that EHR use can prevent providers from focusing on patients and can negatively impact the doctor-patient relationship (Frankel et al. 2005; Ventres et al. 2006; Toll 2012).”
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“The current use of EHRs leads to disruption of “flow” and diminished patient engagement during the encounter (Csikszentmihalyi and LeFevre, 1989; Toll, 2012; Zheng, Haftel, Hirschl, O’Reilly and Hanauer, 2010) (Sinsky and Beasley, 2013).”
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“Unfortunately, there can also be negative consequences, such as deterred doctor-patient eye contact and reduced patient satisfaction (Alkureishi et al., 2016; Toll, 2012).”
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“Fourth, new and expanding technologies, such as electronic health records, online radiology and laboratory results, and up-to-the-minute communication strategies, may keep trainees in front of screens instead of at the bedside (Toll 2012).”
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- Authors
- Toll, E.
- Affiliations
- Brown University (US)
- Corresponding author
- Toll, Elizabeth
- ORCID
- Toll, Elizabeth
- Venue
- JAMA
- Publisher
- American Medical Association (AMA)
- Published
- 2012-06-20
- Volume
- 307
- Issue
- 23
- Pages
- 2497-8
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W3045969850
- Cited by
- 114
- References
- 0
- Citations by year
- 2025: 9 · 2023: 4 · 2022: 9 · 2021: 6 · 2020: 11 · 2019: 11 · 2018: 11 · 2017: 14 · 2016: 11 · 2015: 14 · 2014: 6 · 2013: 7 · 2012: 1
- FWCI
- 8.67
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- JAMA (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Technology and Human Factors in Education and Health
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Health Sciences › Health Professions › Medical Laboratory Technology › Quality and Safety in Healthcare
- Keywords
- health technology, technology costs, health care costs, medical technology
- MeSH terms
- Humans, Medical History Taking, Pediatrics, Physician-Patient Relations, User-Computer Interface, Electronic Health Records
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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