{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T13:10:07Z","timestamp":1777381807816,"version":"3.51.4"},"reference-count":17,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2018,9,20]],"date-time":"2018-09-20T00:00:00Z","timestamp":1537401600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2018,9,20]],"date-time":"2018-09-20T00:00:00Z","timestamp":1537401600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["npj Digital Med"],"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Health professionals within the medical community feel that the principles of humanism in medicine have not been a point of emphasis for information and computer technology in healthcare. There is concern that the electronic health record is eroding the patient-clinician relationship and distancing clinicians from their patients. New analytic technologies, on the contrary, by taking over repetitive and mundane tasks, can provide an avenue to make medical care more patient-centered by freeing clinicians\u2019 time, and the time of the whole clinical care team, to engage with patients. Technology such as advanced speech recognition that optimizes clinicians\u2019 workflow could revitalize the patient-clinician relationship and perhaps also improve clinician well-being. Digital phenotyping can gain invaluable additional data from patients using technology that is already used for personal reasons by the majority of patients. The digital transformation of healthcare has the potential to make healthcare more humane and personalized, however, several important steps are needed to avoid the pitfalls that have come with prior iterations of information technology in medicine such as a heightened emphasis on data security and transparency. Both patients and clinicians should be involved from the early stages of development of medical technologies to ensure that they are person-centric. Technologists and engineers developing healthcare technologies should have experiences with the delivery of healthcare and the lives of patients and clinicians. These steps are necessary to develop a common commitment to the design concept that technology and humane care are not mutually exclusive, and in fact, can be symbiotic.<\/jats:p>","DOI":"10.1038\/s41746-018-0060-2","type":"journal-article","created":{"date-parts":[[2018,9,14]],"date-time":"2018-09-14T15:40:07Z","timestamp":1536939607000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":49,"title":["The digital transformation of medicine can revitalize the patient-clinician relationship"],"prefix":"10.1038","volume":"1","author":[{"given":"Haider J.","family":"Warraich","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert M.","family":"Califf","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2046-127X","authenticated-orcid":false,"given":"Harlan M.","family":"Krumholz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2018,9,20]]},"reference":[{"key":"60_CR1","unstructured":"Arnold P. Gold foundation frequently asked questions, http:\/\/www.gold-foundation.org\/about-us\/faqs\/ (2018)."},{"key":"60_CR2","unstructured":"Pearl, R. M. in Harvard Business Review. Harvard Business Publishing, Cambridge, MA (2017)."},{"key":"60_CR3","doi-asserted-by":"publisher","first-page":"430","DOI":"10.1080\/0142159X.2017.1270434","volume":"39","author":"AL Simpkin","year":"2017","unstructured":"Simpkin, A. L., Dinardo, P. B., Pine, E. & Gaufberg, E. Reconciling technology and humanistic care: lessons from the next generation of physicians. Med. Teach. 39, 430\u2013435 (2017).","journal-title":"Med. Teach."},{"key":"60_CR4","unstructured":"Peckman C, Kane L, Rosensteel S. Medscape EHR Report 2016: physicians rate top EHRs, https:\/\/www.medscape.com\/features\/slideshow\/public\/ehr2016 - page=19 (August 25, 2016)."},{"key":"60_CR5","doi-asserted-by":"publisher","first-page":"2058","DOI":"10.1007\/s11606-008-0805-8","volume":"23","author":"ED Abbo","year":"2008","unstructured":"Abbo, E. D., Zhang, Q., Zelder, M. & Huang, E. S. The increasing number of clinical items addressed during the time of adult primary care visits. J. Gen. Intern. Med. 23, 2058\u20132065 (2008).","journal-title":"J. Gen. Intern. Med"},{"key":"60_CR6","doi-asserted-by":"publisher","first-page":"655","DOI":"10.1377\/hlthaff.2016.0811","volume":"36","author":"M Tai-Seale","year":"2017","unstructured":"Tai-Seale, M. et al. Electronic health record logs indicate that physicians split time evenly between seeing patients and desktop medicine. Health Aff. (Millwood) 36, 655\u2013662 (2017).","journal-title":"Health Aff. (Millwood)"},{"key":"60_CR7","doi-asserted-by":"publisher","first-page":"377","DOI":"10.1001\/archinternmed.2009.534","volume":"170","author":"AS Oxentenko","year":"2010","unstructured":"Oxentenko, A. S., West, C. P., Popkave, C., Weinberger, S. E. & Kolars, J. C. Time spent on clinical documentation: a survey of internal medicine residents and program directors. Arch. Intern. Med. 170, 377\u2013380 (2010).","journal-title":"Arch. Intern. Med."},{"key":"60_CR8","doi-asserted-by":"publisher","first-page":"836","DOI":"10.1016\/j.mayocp.2016.05.007","volume":"91","author":"TD Shanafelt","year":"2016","unstructured":"Shanafelt, T. D. et al. Relationship between clerical burden and characteristics of the electronic environment with physician burnout and professional satisfaction. Mayo Clin. Proc. 91, 836\u2013848 (2016).","journal-title":"Mayo Clin. Proc."},{"key":"60_CR9","volume":"1","author":"L Zhou","year":"2018","unstructured":"Zhou, L. et al. Analysis of errors in dictated clinical documents assisted by speech recognition software and professional transcriptionists. JAMA Open 1, e180530 (2018).","journal-title":"JAMA Open"},{"key":"60_CR10","first-page":"07274v1","volume":"1711","author":"C Chiu","year":"2017","unstructured":"Chiu, C. et al. Speech recognition for medical conversations. arXiv 1711, 07274v1 (2017).","journal-title":"arXiv"},{"key":"60_CR11","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0161752","volume":"11","author":"E Martinelli","year":"2016","unstructured":"Martinelli, E., Mencattini, A., Daprati, E. & Di Natale, C. Strength is in numbers: can concordant artificial listeners improve prediction of emotion from speech? PLoS One 11, e0161752 (2016).","journal-title":"PLoS One"},{"key":"60_CR12","doi-asserted-by":"publisher","first-page":"1215","DOI":"10.1001\/jama.2017.11295","volume":"318","author":"TR Insel","year":"2017","unstructured":"Insel, T. R. Digital phenotyping: technology for a new science of behavior. JAMA 318, 1215\u20131216 (2017).","journal-title":"JAMA"},{"key":"60_CR13","unstructured":"Ahn, S. J., Bailenson, J. N., Fox, J. & Jabon, M. E. in Handbook of Emotions and Mass Media (eds Doeveling, K., von Scheve, C., & Konjin, E. A.) 349\u2013369 (Routledge: London, UK, 2010)."},{"key":"60_CR14","unstructured":"Lien, T. in LA Times (March 20th, 2018. http:\/\/www.latimes.com\/business\/technology\/la-fi-tn-facebook-information-dominance-20180320-story.html)."},{"key":"60_CR15","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.7640","volume":"20","author":"MA Sillice","year":"2018","unstructured":"Sillice, M. A. et al. Using relational agents to promote exercise and sun protection: assessment of participants\u2019 experiences with two interventions. J. Med Internet Res 20, e48 (2018).","journal-title":"J. Med Internet Res"},{"key":"60_CR16","doi-asserted-by":"publisher","first-page":"1449","DOI":"10.1080\/10810730.2013.798374","volume":"18","author":"AC King","year":"2013","unstructured":"King, A. C., Bickmore, T. W., Campero, M. I., Pruitt, L. A. & Yin, J. L. Employing virtual advisors in preventive care for underserved communities: results from the COMPASS study. J. Health Commun. 18, 1449\u20131464 (2013).","journal-title":"J. Health Commun."},{"key":"60_CR17","unstructured":"Angwin, J., Larson, J., Mattu, S., Kirchner, L. in ProPublica. https:\/\/www.propublica.org\/article\/machine-bias-risk-assessments-in-criminal-sentencing (2016)."}],"container-title":["npj Digital Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.nature.com\/articles\/s41746-018-0060-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41746-018-0060-2","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41746-018-0060-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,12,21]],"date-time":"2022-12-21T12:42:34Z","timestamp":1671626554000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.nature.com\/articles\/s41746-018-0060-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,9,20]]},"references-count":17,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2018,12]]}},"alternative-id":["60"],"URL":"https:\/\/doi.org\/10.1038\/s41746-018-0060-2","relation":{},"ISSN":["2398-6352"],"issn-type":[{"value":"2398-6352","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,9,20]]},"assertion":[{"value":"3 July 2018","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 August 2018","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 August 2018","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 September 2018","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Dr. Warraich declares no competing interests. Dr. Califf is employed as a scientific advisor by Verily Life Sciences (Alphabet), and reports receiving personal fees from Merck. Dr. Krumholz is the founder of Hugo, a personal health information platform, and is a recipient of research agreements from Medtronic and from Johnson & Johnson (Janssen) through Yale University to develop methods of clinical trial data-sharing; is the recipient of a grant from the US Food and Drug Administration and Medtronic through Yale University to develop methods for post-market surveillance of medical devices; works under contract with the US Centers for Medicare & Medicaid Services to develop and maintain performance measures; chairs a cardiac scientific advisory board for UnitedHealth; is a participant\/participant representative of the IBM Watson Health Life Sciences Board; and is a member of the advisory board for Element Science and the physician advisory board for Aetna. Dr. Califf is employed as a scientific advisor by Verily Life Sciences (Alphabet). Dr. Krumholz is the founder of Hugo, a personal health information platform.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"49"}}