Association Between Clinician Computer Use and Communication With Patients in Safety-Net Clinics

Title: Association Between Clinician Computer Use and Communication with Patients in Safety- Net Clinics Neda Ratanawongsa, MD, MPH 1,2 neda.ratanawongsa@ucsf.edu Jennifer L. Barton, MD 3 bartoje@ohsu.edu Courtney R. Lyles, PhD 1,2 courtney.lyles@ucsf.edu Michael Wu, BS 4 MichaelWu0322@gmail.com Edward H. Yelin, PhD, MCP 5,6 ed.yelin@ucsf.edu Diana Martinez, MD 1,2 diana.martinez@ucsf.edu Dean Schillinger, MD 1,2 dean.schillinger@ucsf.edu Division of General Internal Medicine, the University of California, San Francisco (UCSF) UCSF Center for Vulnerable Populations at San Francisco General Hospital Department of Medicine at Oregon Health & Science University and VA Portland Health Care System John Burns School of Medicine, University of Hawaii Division of Rheumatology, University of California, San Francisco Institute for Health Policy Studies, University of California, San Francisco Word count: 600 References: 7 Tables: 2 Corresponding Author: Neda Ratanawongsa, MD, MPH Associate Professor of Medicine, Division of General Internal Medicine UCSF Center for Vulnerable Populations at San Francisco General Hospital and Trauma Center 1001 Potrero Avenue, Box 1364 San Francisco CA 94110 Phone: 415-206-3188 Fax: 415-206-5586 neda.ratanawongsa@ucsf.edu Presentations: Preliminary data from this manuscript was presented at the International Conference on Communication in Healthcare, Montreal, Quebec, Canada, September 30, 2013 Acknowledgements: Author Contributions: Dr. Ratanawongsa had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. Study concept and design: Ratanawongsa, Yelin, Schillinger. Acquisition, analysis, or interpretation of data: Ratanawongsa, Barton, Lyles, Wu, Martinez. Drafting of the manuscript: Ratanawongsa, Yelin. Critical revision of the manuscript for important intellectual content: Barton, Lyles,Wu, Yelin, Martinez, Schillinger. Statistical analysis: Ratanawongsa, Yelin. Obtained funding: Ratanawongsa, Schillinger. Administrative, technical, or material support: Barton, Lyles,Wu, Martinez