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Research ArticleOriginal Research

Primary Care Physicians' Perspectives on the Ethical Impact of the Electronic Medical Record

Tania Moerenhout, Gary S. Fischer, Marlies Saelaert, An De Sutter, Veerle Provoost and Ignaas Devisch
The Journal of the American Board of Family Medicine January 2020, 33 (1) 106-117; DOI: https://doi.org/10.3122/jabfm.2020.01.190154
Tania Moerenhout
From the Research Group Philosophy of Medicine and Ethics, Ghent University, Ghent, Belgium (TM, MS, ID); Department of Philosophy and Moral Sciences, Ghent University, Ghent, Belgium (TM, VP); Division of General Internal Medicine, University of Pittsburgh, Pittsburgh, PA (GF); Department of Public Health and Primary Care, Ghent University, Ghent, Belgium (TM, MS, AD, ID); Bioethics Institute Ghent, Ghent University, Ghent, Belgium (VP).
MD, MPhil
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Gary S. Fischer
From the Research Group Philosophy of Medicine and Ethics, Ghent University, Ghent, Belgium (TM, MS, ID); Department of Philosophy and Moral Sciences, Ghent University, Ghent, Belgium (TM, VP); Division of General Internal Medicine, University of Pittsburgh, Pittsburgh, PA (GF); Department of Public Health and Primary Care, Ghent University, Ghent, Belgium (TM, MS, AD, ID); Bioethics Institute Ghent, Ghent University, Ghent, Belgium (VP).
MD
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Marlies Saelaert
From the Research Group Philosophy of Medicine and Ethics, Ghent University, Ghent, Belgium (TM, MS, ID); Department of Philosophy and Moral Sciences, Ghent University, Ghent, Belgium (TM, VP); Division of General Internal Medicine, University of Pittsburgh, Pittsburgh, PA (GF); Department of Public Health and Primary Care, Ghent University, Ghent, Belgium (TM, MS, AD, ID); Bioethics Institute Ghent, Ghent University, Ghent, Belgium (VP).
MPhil
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An De Sutter
From the Research Group Philosophy of Medicine and Ethics, Ghent University, Ghent, Belgium (TM, MS, ID); Department of Philosophy and Moral Sciences, Ghent University, Ghent, Belgium (TM, VP); Division of General Internal Medicine, University of Pittsburgh, Pittsburgh, PA (GF); Department of Public Health and Primary Care, Ghent University, Ghent, Belgium (TM, MS, AD, ID); Bioethics Institute Ghent, Ghent University, Ghent, Belgium (VP).
MD, PhD
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Veerle Provoost
From the Research Group Philosophy of Medicine and Ethics, Ghent University, Ghent, Belgium (TM, MS, ID); Department of Philosophy and Moral Sciences, Ghent University, Ghent, Belgium (TM, VP); Division of General Internal Medicine, University of Pittsburgh, Pittsburgh, PA (GF); Department of Public Health and Primary Care, Ghent University, Ghent, Belgium (TM, MS, AD, ID); Bioethics Institute Ghent, Ghent University, Ghent, Belgium (VP).
PhD
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Ignaas Devisch
From the Research Group Philosophy of Medicine and Ethics, Ghent University, Ghent, Belgium (TM, MS, ID); Department of Philosophy and Moral Sciences, Ghent University, Ghent, Belgium (TM, VP); Division of General Internal Medicine, University of Pittsburgh, Pittsburgh, PA (GF); Department of Public Health and Primary Care, Ghent University, Ghent, Belgium (TM, MS, AD, ID); Bioethics Institute Ghent, Ghent University, Ghent, Belgium (VP).
PhD
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References

  1. 1.↵
    1. Siegler M
    . Confidentiality in medicine—A decrepit concept. N Engl J Med 1982;307:1518–21.
    OpenUrlCrossRefPubMedWeb of Science
  2. 2.↵
    1. Anesi GL
    . The “decrepit concept” of confidentiality, 30 years later. Virtual Mentor 2012;14:708–11.
    OpenUrl
  3. 3.↵
    1. de Ruiter HP,
    2. Liaschenko J,
    3. Angus J
    . Problems with the electronic health record. Nurs Philos 2016;17:49–58.
    OpenUrl
  4. 4.↵
    1. Campanella P,
    2. Lovato E,
    3. Marone C,
    4. et al
    . The impact of electronic health records on healthcare quality: a systematic review and meta-analysis. Eur J Public Health 2016;26:60–4.
    OpenUrlCrossRefPubMed
  5. 5.↵
    1. Moja L,
    2. Kwag KH,
    3. Lytras T,
    4. et al
    . Effectiveness of computerized decision support systems linked to electronic health records: a systematic review and meta-analysis. Am J Public Health 2014;104:e12–e22.
    OpenUrl
  6. 6.↵
    1. Hersh WR,
    2. Totten AM,
    3. Eden KB,
    4. et al
    . Outcomes from health information exchange: systematic review and future research needs. JMIR Med Inform 2015;3:e39.
    OpenUrlCrossRef
  7. 7.↵
    1. Nguyen L,
    2. Bellucci E,
    3. Nguyen LT
    . Electronic health records implementation: an evaluation of information system impact and contingency factors. Int J Med Inform 2014;83:779–96.
    OpenUrlCrossRefPubMed
  8. 8.↵
    1. Rahurkar S,
    2. Vest JR,
    3. Menachemi N
    . Despite the spread of health information exchange, there is little evidence of its impact on cost, use, and quality of care. Health Aff 2015;34:477–83.
    OpenUrlAbstract/FREE Full Text
  9. 9.↵
    1. Lau F,
    2. Price M,
    3. Boyd J,
    4. et al
    . Impact of electronic medical record on physician practice in office settings: a systematic review. BMC Med Inform Decis Mak 2012;12:10.
    OpenUrlCrossRefPubMed
  10. 10.↵
    1. Crampton NH,
    2. Reis S,
    3. Shachak A
    . Computers in the clinical encounter: a scoping review and thematic analysis. J Am Med Inform Assoc 2016;23:654–65.
    OpenUrlCrossRefPubMed
  11. 11.↵
    1. Street RL Jr.,
    2. Liu L,
    3. Farber NJ,
    4. et al
    . Provider interaction with the electronic health record: the effects on patient-centered communication in medical encounters. Patient Educ Couns 2014;96:315–9.
    OpenUrlCrossRefPubMed
  12. 12.↵
    1. Pelland KD,
    2. Baier RR,
    3. Gardner RL
    . ‘It is like texting at the dinner table’: a qualitative analysis of the impact of electronic health records on patient–physician interaction in hospitals. J Innov Health Inform 2017;24:216–23.
    OpenUrl
  13. 13.↵
    1. Hill RG Jr.,
    2. Sears LM,
    3. Melanson SW
    . 4000 clicks: a productivity analysis of electronic medical records in a community hospital ED. Am J Emerg Med 2013;31:1591–4.
    OpenUrlCrossRefPubMed
  14. 14.↵
    1. Alkureishi MA,
    2. Lee WW,
    3. Lyons M,
    4. et al
    . Impact of electronic medical record use on the patient-doctor relationship and communication: a systematic review. J Gen Intern Med 2016;31:548–60.
    OpenUrlCrossRefPubMed
  15. 15.↵
    1. Rosenberger R,
    2. Verbeek PP
    , eds. Postphenomenological investigations. Essays on human-technology relations. Washington, DC: Rowman & Littlefield: Lexington Books; 2015; 9–19.
  16. 16.↵
    1. Ihde D
    . Postphenomenology and technoscience: the Peking University lectures. New York, NY: SUNY Press; 2009, 34.
  17. 17.↵
    1. Verbeek PP
    . Moralizing technology. Understanding and designing the morality of things. Chicago, IL: University of Chicago Press; 2011; 41–65.
  18. 18.↵
    1. Kiran AH,
    2. Oudshoorn N,
    3. Verbeek PP
    . Beyond checklists: toward an ethical-constructive technology assessment, J Responsible Innov 2015;2:5–19.
    OpenUrl
  19. 19.↵
    1. Silverman D
    . Doing qualitative research. London, UK: SAGE Publications; 2013; 141–58.
  20. 20.↵
    1. Fusch PI,
    2. Ness LR
    . Are we there yet? Data saturation in qualitative research. Qual Report 2015;20:1408–16.
    OpenUrl
  21. 21.↵
    1. Mason M
    . Sample size and saturation in PhD studies using qualitative interviews. Available from: http://www.qualitative-research.net/index.php/fqs/article/view/1428/3027. Accessed December 29, 2018.
  22. 22.↵
    1. Creswell JW,
    2. Miller DL
    . Determining validity in qualitative inquiry. Theory into practice 2000;39:124–30.
    OpenUrlCrossRefWeb of Science
  23. 23.↵
    1. Braun V,
    2. Clarke V
    . Using thematic analysis in psychology. Qual Res Psychol 2006;3:77–101.
    OpenUrlCrossRef
  24. 24.↵
    1. O'Brien BC,
    2. Harris IB,
    3. Beckman TJ,
    4. Reed DA,
    5. Cook DA
    . Standards for reporting qualitative research: a synthesis of recommendations. Acad Med 2014;89:1245–51.
    OpenUrlCrossRefPubMed
  25. 25.↵
    1. Tong A,
    2. Sainsbury P,
    3. Craig J
    . Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care 2007;19:349–57.
    OpenUrlCrossRefPubMedWeb of Science
  26. 26.↵
    1. Miller DP Jr.,
    2. Latulipe C,
    3. Melius KA,
    4. Quandt SA,
    5. Arcury TA
    . Primary care providers' views of patient portals: interview study of perceived benefits and consequences. J Med Internet Res 2016;18:e8.
    OpenUrlPubMed
  27. 27.↵
    1. King J,
    2. Patel V,
    3. Jamoom EW,
    4. Furukawa MF
    . Clinical benefits of electronic health record use: national findings. Health Serv Res 2013;49(1 Pt 2):392–404.
    OpenUrl
  28. 28.↵
    1. Entzeridou E,
    2. Markopoulou E,
    3. Mollaki V
    . Public and physician's expectations and ethical concerns about electronic health record: Benefits outweigh risks except for information security. Int J Med Inform 2018;110:98–107.
    OpenUrl
  29. 29.↵
    1. Meigs SL,
    2. Solomon M
    . Electronic health record use a bitter pill for many physicians. Perspect Health Inf Manag 2016;13:1d.
    OpenUrl
  30. 30.↵
    1. Beauchamp T,
    2. Childress J
    . Principles of biomedical ethics. 7th ed. Oxford, UK: Oxford University Press; 2012; 214–26.
  31. 31.↵
    1. Tierney WM,
    2. Alpert SA,
    3. Byrket A,
    4. et al
    . Provider responses to patients controlling access to their electronic health records: a prospective cohort study in primary care. J Gen Intern Med 2015;30:31–37.
    OpenUrlCrossRefPubMed
  32. 32.↵
    1. Kim KK,
    2. Joseph JG,
    3. Ohno-Machado L
    . Comparison of consumers' views on electronic data sharing for healthcare and research. J Am Med Inform Assoc 2015;22:821–30.
    OpenUrlCrossRefPubMed
  33. 33.↵
    1. Beauchamp T,
    2. Childress J
    . Principles of biomedical ethics. 7th ed. Oxford, UK: Oxford University Press;2012;131–5.
  34. 34.↵
    1. Grünloh C,
    2. Cajander Å,
    3. Myreteg G
    . “The record is our work tool!”—Physicians' framing of a patient portal in Sweden. J Med Internet Res 2016;18:e167.
    OpenUrl
  35. 35.↵
    1. Menachemi N,
    2. Collum TH
    . Benefits and drawbacks of electronic health record systems. Risk Manag Healthc Policy 2011;4:47–55.
    OpenUrlCrossRefPubMed
  36. 36.↵
    1. Monteiro S,
    2. Norman G,
    3. Sherbino J
    . The 3 faces of clinical reasoning: Epistemological explorations of disparate error reduction strategies. J Eval Clin Pract 2018;24:666–73.
    OpenUrl
  37. 37.↵
    1. Asan O,
    2. Young HN,
    3. Chewning B,
    4. Montague E
    . How physician electronic health record screen sharing affects patient and doctor non-verbal communication in primary care. Patient Educ Couns 2014;98:310–6.
    OpenUrl
  38. 38.↵
    1. Patel MR,
    2. Vichich J,
    3. Lang I
    . Developing an evidence base of best practices for integrating computerized systems into the exam room: a systematic review. J Am Med Inform Assoc 2017;24:e207–e215.
    OpenUrl
  39. 39.↵
    1. Bell SK,
    2. Mejilla R,
    3. Anselmo M,
    4. et al
    . When doctors share visit notes with patients: a study of patient and doctor perceptions of documentation errors, safety opportunities and the patient-doctor relationship. BMJ Qual Saf 2017;26:262–70.
    OpenUrlAbstract/FREE Full Text
  40. 40.↵
    1. Davidson SK,
    2. Schattner PL
    . Doctors' health-seeking behaviour: a questionnaire survey. Med J Aust 2003;179:302–5.
    OpenUrlPubMedWeb of Science
  41. 41.↵
    1. Kay M,
    2. Mitchell G,
    3. Clavarino A,
    4. et al
    . Doctors as patients: a systematic review of doctors' health access and the barriers they experience. Br J Gen Pract 2008;58:501–8.
    OpenUrlAbstract/FREE Full Text
  42. 42.↵
    1. Kuhn CM,
    2. Flanagan EM
    . Self-care as a professional imperative: physician burnout, depression, and suicide. J Can Anesth 2017;64:158.
    OpenUrl
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Primary Care Physicians' Perspectives on the Ethical Impact of the Electronic Medical Record
Tania Moerenhout, Gary S. Fischer, Marlies Saelaert, An De Sutter, Veerle Provoost, Ignaas Devisch
The Journal of the American Board of Family Medicine Jan 2020, 33 (1) 106-117; DOI: 10.3122/jabfm.2020.01.190154

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Primary Care Physicians' Perspectives on the Ethical Impact of the Electronic Medical Record
Tania Moerenhout, Gary S. Fischer, Marlies Saelaert, An De Sutter, Veerle Provoost, Ignaas Devisch
The Journal of the American Board of Family Medicine Jan 2020, 33 (1) 106-117; DOI: 10.3122/jabfm.2020.01.190154
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