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Table 5 PDCC final behaviors

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

  Set the stage
1 Arrange the room to allow both patient and physician to see the screen
2 Introduce yourself before turning to computer
3 Introduce the computer and its role to the patient, while identifying the patient in the EMR with magnetic card
4 Begin the encounter with your patient’s concerns
5 Type in and verbally summarize the visit’s agenda* agenda = all patient’s medical issues and prioritizing and deciding what will be addressed during the visit
6 Do not interrupt the patient while he is talking due to computer guided questions/prompts
7 Describe the security and confidentiality of the patient’s electronic record information if needed
  Elicits Information
8 Discuss antecedent treatments while browsing the computerized record
9 Tell the patient what you are doing as you turn to the computer
10 Reposition the screen so that it is closer to the patient / in view
11 Point to relevant areas on the screen
12 Read back what you have written
13 Involve patient in verifying his EMR data accuracy and completeness
14 Type-in and document information provided by the patient
15 Demonstrate sufficient typing skills
  Give Information
16 Verify patient’s literacy, primary language, and visual acuity to optimize computer use
17 Print out or share patient education material from the EMR: care plans, medication lists, office notes, test results
18 Discuss medical issues and prevention strategies while using computer resources
19 Provide computer-based information other than the EMR (including: data, screen sharing) or positively acknowledge on-line information provided by the patient
20 Teach the patient about his own body and situation by providing feedback from tests, diagnosis, showing test results on the screen or print out
  Understand the patient’s perspective
21 Apply verbal communication skills while using 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
22 Apply non-verbal communication skills while using the computer: 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
  End the encounter
23 Provide patient handouts (or Web site references) and information about community support services, medication side effects, and follow-up appointments