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Table 2 Frequencies of item ratings (N=48)

From: Enhancing patient-doctor-computer communication in primary care: towards measurement construction

Item number Item Percentage of agreement (%) Mean Std. dev.
1. Arrange the room to allow both patient and physician to see the screen 50 3.63 .841
2. Preview the EMR before entering or having the patient enter the room 60.4 3.69 1.055
3. Introduce yourself before turning to the computer 93.7 4.71 .874
4. Introduce the computer and its role to the patient, while identifying the patient in the EMR 33.3* 3.15 1.010
5. Begin the encounter with your patient’s concerns 95.9 4.60 .574
6. Summarize and briefly touch-type the visit’s agenda 77.1 4.13 .866
7. Do not interrupt the patient while he is talking due to computer guided questions/prompts 83.3 4.33 .753
8. Establish reason for visit primarily based on the patient’s needs rather than computer prompts 85.5 4.29 .713
9. Describe the security and confidentiality of the patient’s electronic record information 37.5* 3.06 1.262
10. Discuss antecedent treatments while browsing the computerized record 48* 3.54 .898
11. Tell the patient what you are doing as you turn to the computer 81.2 3.98 .729
12. Reposition the screen so that it is closer to the patient 29.2* 3.15 .945
13. Point to relevant areas on the screen 54.2 3.56 .920
14. Signal shifts toward the computer, let the patient know that you are still attending to his or her needs 83.4 4.10 .660
15. Read back what you have written followed by looking at your patient 60.4 3.71 .922
16. Use transition statements to the computer, signpost, use real-time typing, read-back 47.9* 3.52 .772
17. Encourage patient participation in building their charts 31.3* 2.92 1.007
18. Demonstrate sufficient typing skills 64.6 3.67 .996
19. Verify patient literacy, primary language, and visual acuity to optimize computer use 41.7* 3.19 1.142
20. Print out or share: care plans, medication lists, office notes, information, follow up appointments 62.5 3.69 1.133
21. Discuss medical issues and prevention strategies while using computer resources 54.2 3.54 1.031
22. Initiate/acknowledge patient requests for on-line information (data, screen sharing) 62.5 3.73 .939
23. Teach the patient about his own body and situation by providing feedback from tests, diagnosis, showing test results on the screen or print out 70.9 3.94 .954
24. Use verbal and non-verbal cues: eye gaze, affirmative head nodding while patient is talking 89.6 4.46 .743
25. While typing on the computer, use verbal skills that demonstrate active listening: continuers (uh-huh, go on, I see), echoing statements (back channeling), short requests (tell me more), and short summarizing statements 85.4 4.21 .683
26. When the patient is talking or when information is provided to him, face the patient: head, eyes, and torso toward the patient, remove hands from the keyboard or mouse, push the monitor away, and give the patient her undivided attention 77.1 4.21 .798
27. Provide patient handouts (or Web site references) and information about community support services, medication side effects, and follow-up appointments 60.4 3.75 .978
  1. * = items that received a relatively low percentage of agreement (<50%).