Date of Award


Degree Name

Master of Arts (MA)


Communication and Rhetorical Studies


Jeffrey Good


Discourse, Doctor-patient Interaction, Electronic Health Records, Industrial Design, Interaction Design, Language and Social Interaction

Subject Categories

Communication | Medicine and Health Sciences | Social and Behavioral Sciences


Utilizing video-recordings and transcriptions of actual clinical interactions, as well as interviews with patients and physicians, this thesis analyzes how the use of electronic health records, and the information found within them, impact doctor-patient interaction and, in effect, notions of patient-centered care. ‘Patient centered care,’ a major area of focus in doctor-patient communication literature, is a style of interaction where the patient is put first and their concerns and feelings are given priority over the ‘biomedical agenda’ by the doctor. Using a multidisciplinary approach between language and social interaction and industrial and interaction design, this thesis proposes possible changes to electronic health records and exam rooms and, more importantly, how they are used to improve interactions between physicians and their patients in the contexts of patient-centered care.


Open Access