Table 5 PDCC final behaviors
From: Enhancing patient-doctor-computer communication in primary care: towards measurement construction
| Â | 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 |
| Â | 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 |
| Â | 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 |
| Â | End the encounter |
23 | Provide patient handouts (or Web site references) and information about community support services, medication side effects, and follow-up appointments |