Medical Data Security Research Paper Example | Topics and Well Written Essays - 2000 words

Medical Data Security - Research Paper Example INSTRUMENTS Video Analysis Videotaping was done with a closed-circuit cameras of all the visits of the patients of the study physicians which enabled to analyze the actual form and content of interaction through the use of the SEGUE Framework(Set the stage, Elicit information, Give information, Understand patients perspective, End encounter). The focus was maintained on the six of the SEGUE tasks to evaluate the completeness of information elicited by the study physicians which are: attempts to outline patients agenda, exploration of psychological and emotional issues, discussion of how health affects a patients life, checks and clarifying of information, encouragement of patients in asking questions, and ensuring the completeness of the order at the end. The visit lengths were also noted, laboratory tests done the two major variables that could have an effect depending on type of record used. Sample Between June 1997 and February 198 data was collected from 238 clinical encounters h aving six physicians. In 18 cases, there was lack of demographic information about patients and in other cases 16 cases, videotapes were inadequate, yielding complete data for a total of 204 patient visits. Patients The study was conducted within a primary care environment characterized with a wide range of patient and health problems. Almost half (49.5%) out of the 204 patients were females. Patients’ ages ranged from 23 to 91 years with a mean of 46.6 years and a median of 42 years [7]. Even though 15.7% of the patients in the control group had at least a single previous encounter with an EMR physicians, a printout of their electronic record was also attached in the paper chart(hence the control physicians never required the computer) Physicians The ages of the EMR... Comparing with the controlled group, it was observed that the EMR physicians videotaped adopted a more active role in information clarification. This was mainly due to the semi-structured format for data recording, increased information accessibility as well as tool availability that enhance sharing of information with the patients. They were also able to engage the patients to a large extent by encouraging them ask questions and maintaining the encounter to the end. The noted trend indicating that EMR physicians completed more patient-related tasks to a lesser extent as did the control physicians added with the reports that the initial EMR physicians’ visits appeared as having extra time underscores the need for controlled pre/post intervention study on the effects of the EMR on the physician-patient encounter. Despite earlier thoughts that the computer seemed vital, it became clear that EMR physicians could not manage to orient themselves properly as did the other physicians using the paper records. The ability to maintain an eye contact is very important since it helps in gathering of information as well as conveying attention. Recent research has indicated that indirect and less eye contact resulted to less patient disclosure. Positioning of the computers to ensure that the patients too have visibility is important and also designing the offices accommodating the EMR systems to enhance comfortable positioning of the physician, patient as well as the computer in such a way to enhance patient-centered communication behaviors.