Appl Clin Inform 2019; 10(04): 729-734
DOI: 10.1055/s-0039-1696667
Research Article
Georg Thieme Verlag KG Stuttgart · New York

Patient and Physician Perceptions of the Impact of Electronic Health Records on the Patient–Physician Relationship

Margaret Eberts
1  Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, United States
2  Department of Computer Science, Swarthmore College, Swarthmore, Pennsylvania, United States
Daniel Capurro
3  Pontificia Universidad Catolica de Chile Facultad de Medicina, Santiago, Chile
4  School of Computing and Information Systems, Melbourne School of Engineering, University of Melbourne Melbourne, Victoria, Australia
› Author Affiliations
Funding None.
Further Information

Publication History

25 May 2019

26 July 2019

Publication Date:
25 September 2019 (online)


Objectives Limited studies have been performed in South America to assess patient and physician perceptions of electronic health record (EHR) usage. We aim to study the perceptions of patients and physicians regarding the impact of EHRs on the patient–physician relationship.

Methods We use a survey instrument to assess the physician computer experience and opinions regarding EHR impact on various aspects of patient care. An additional survey is used to assess patient opinions related to their medical visit. Surveys are administered in two outpatient clinics in a private, academic health care network.

Results While a majority of physicians believed that EHRs have an overall positive impact on the quality of health care, many physicians had negative perceptions of the impact of EHRs on the patient–physician relationship. A majority of patients felt comfortable with their physician's use of the EHR and felt that their physician was able to maintain good personal contact while using the computer.

Conclusion Although physicians believe EHRs have a generally positive impact on the overall quality of care, the EHR's impact on the patient–physician relationship is still of concern. Patients do not perceive a negative interference from the EHR on the patient–physician relationship.

Protection of Human and Animal Subjects

This study was approved by the medical ethics board of the medical faculty of the Pontificia Universidad Catolica. There was no risk for participants in the study, participant confidential information was stored in an encrypted database, and all participant identifiers were removed during data analysis.