This study explores the relationship between primary care physicians' interactions with health information technology and primary care workflow. Clinical encounters were recorded with high-resolution video cameras to capture physicians' workflow and interaction with two objects of interest, the electronic health record (EHR) system, and their patient. To analyze the data, a coding scheme was developed based on a validated list of primary care tasks to define the presence or absence of a task, the time spent on each task, and the sequence of tasks. Results revealed divergent workflows and significant differences between physicians' EHR use surrounding common workflow tasks: gathering information, documenting information, and recommend/discuss treatment options. These differences suggest impacts of EHR use on primary care workflow, and capture types of workflows that can be used to inform future studies with larger sample sizes for more effective designs of EHR systems in primary care clinics. Future research on this topic and design strategies for effective health information technology in primary care are discussed.

中文翻译：

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医生工作流程和与电子健康记录系统交互的定量民族志研究

本研究探讨了初级保健医生与健康信息技术的互动与初级保健工作流程之间的关系。使用高分辨率摄像机记录临床遭遇，以捕捉医生的工作流程以及与两个感兴趣的对象、电子健康记录 (EHR) 系统及其患者的交互。为了分析数据，基于经过验证的初级保健任务列表开发了一个编码方案，以定义任务的存在与否、在每项任务上花费的时间以及任务的顺序。结果揭示了围绕常见工作流程任务的不同工作流程和医生 EHR 使用之间的显着差异：收集信息、记录信息和推荐/讨论治疗方案。这些差异表明 EHR 使用对初级保健工作流程的影响，并捕获可用于为更大样本量的未来研究提供信息的工作流程类型，以便在初级保健诊所更有效地设计 EHR 系统。讨论了有关该主题的未来研究以及初级保健中有效健康信息技术的设计策略。