Comment & Response |

Patient-Physician Interactions and Electronic Health Records

Aviv Shachak, PhD1; Shmuel Reis, MD, MHPE2; Christopher Pearce, PhD, MFM, MBBS3
[+] Author Affiliations
1Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada
2Bar-Ilan University Faculty of Medicine in the Galilee, Safed, Israel
3Inner East Melbourne Medicare Local, Melbourne, Australia
JAMA. 2013;310(17):1857-1858. doi:10.1001/jama.2013.277969.
Text Size: A A A
Published online


To the Editor The Viewpoint by Drs White and Danis1 illustrated some of the ways in which using the EHR can enhance patient-physician collaboration and patient activation.

We would like to point out some additional issues. First, patient-centeredness requires consideration of the patient’s perspective. Not only do the styles of physicians using the EHR vary, but so do the reactions of patients to the computer. For some patients and physicians, sharing the screen may be distracting.2 Physicians need to pay attention to patient cues and how this practice affects the encounter. It can be very easy for the interaction to become driven by the computer rather than supported by it.3


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview




November 6, 2013
Amina A. White, MD; Marion Danis, MD
1Department of Bioethics, National Institutes of Health, Bethesda, Maryland
JAMA. 2013;310(17):1858. doi:10.1001/jama.2013.277990.
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...