Thats a unique idea.You should consider the following idea to enhance your idea so that it would impact uniquely: Objective: Patients with limited health literacy (LHL) and limited English proficiency (LEP) experience suboptimal communication and health outcomes. Electronic health record implementation in safety net clinics may affect communication with LHL and LEP patients.#N##N# investigated the associations beten safety net clinician computer use and patient-provider communication for patients with LEP and LHL.#N##N#Materials and Methods:  video-recorded encounters at 5 academically affiliated US public hospital clinics beten English- and Spanish-speaking patients with chronic conditions and their primary and specialty care clinicians.  analyzed changes in communication behaviors (coded with the Roter Interaction Analysis System) with each additional point on a clinician computer use score, controlling for clinician type and visit length and stratified by English proficiency and health literacy status.#N##N#Results: Greater clinician computer use was associated with more biomedical statements (+12.4, P  = .03) and less positive affect (−0.6, P  < .01) from LEP/LHL patients. In visits with patients with adequate English proficiency/health literacy, greater clinician computer use was associated with less positive patient affect (−0.9, P  < .01), fer clinician psychosocial statements (−3.5, P  < .05), greater clinician verbal dominance (+0.09, P  < .01), and lor ratings on quality of care and communication.#N##N#Conclusion: Higher clinician computer use was associated with more biomedical focus with LEP/LHL patients, and clinician verbal dominance and lor ratings with patients with adequate English proficiency and health literacy.#N##N#Discussion: Implementation research should explore interventions to enhance relationship-centered communication for diverse patient populations in the computer era.
['Neda Ratanawongsa', 'Jennifer Barton', 'Courtney R. Lyles', 'Michael Wu', 'Edward H. Yelin', 'Diana Martinez', 'Dean Schillinger']
I am writing a research paper on a idea Computer use, language, and literacy in safety net clinic communication
[{"from": "human", "value": "I am writing a research paper on a idea Computer use, language, and literacy in safety net clinic communication"}, {"from": "gpt", "value": "Thats a unique idea.You should consider the following idea to enhance your idea so that it would impact uniquely: Objective: Patients with limited health literacy (LHL) and limited English proficiency (LEP) experience suboptimal communication and health outcomes. Electronic health record implementation in safety net clinics may affect communication with LHL and LEP patients.#N##N# investigated the associations beten safety net clinician computer use and patient-provider communication for patients with LEP and LHL.#N##N#Materials and Methods:  video-recorded encounters at 5 academically affiliated US public hospital clinics beten English- and Spanish-speaking patients with chronic conditions and their primary and specialty care clinicians.  analyzed changes in communication behaviors (coded with the Roter Interaction Analysis System) with each additional point on a clinician computer use score, controlling for clinician type and visit length and stratified by English proficiency and health literacy status.#N##N#Results: Greater clinician computer use was associated with more biomedical statements (+12.4, P \u2009=\u2009.03) and less positive affect (\u22120.6, P \u2009<\u2009.01) from LEP/LHL patients. In visits with patients with adequate English proficiency/health literacy, greater clinician computer use was associated with less positive patient affect (\u22120.9, P \u2009<\u2009.01), fer clinician psychosocial statements (\u22123.5, P \u2009<\u2009.05), greater clinician verbal dominance (+0.09, P \u2009<\u2009.01), and lor ratings on quality of care and communication.#N##N#Conclusion: Higher clinician computer use was associated with more biomedical focus with LEP/LHL patients, and clinician verbal dominance and lor ratings with patients with adequate English proficiency and health literacy.#N##N#Discussion: Implementation research should explore interventions to enhance relationship-centered communication for diverse patient populations in the computer era."}]