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Table 3 Five domains of change in the current practice of medicine, and their potential adverse consequences**. Third domain: computers

From: The Spectrum of Harm Associated with Modern Medicine

↑ Screen time (including cellphone screens) diverting attention from the patient; ↓ Face time and ↓ eye contact; ↓ Communication, verbal and nonverbal—↓ skills; ↓ Response to patients’ emotions, ↓ empathy; ↓ Patient-physician relationship ; ↑ Flooding of endless patient data, current and old; ↑ Administrative burdens; ↑ Computer prompts requiring attention; ↑ Multitasking; ↑ Distancing; ↓ Patient centeredness; ↑ Performance metrics: ↑ supervision, comparisons, and managerial intervention (to ↑ efficiency, ↓ costs); ↑ Accountability; ↓ Control; ↓ Satisfaction; ↑ Burnout and intent to leave
  1. **Reported for every discipline (primarily, family medicine and general internal medicine) and setting, including hospital admissions. Domains’ effects are interwoven with each other. All contribute together to the “crisis,” “collapse,” or “chaos” (quotes) in current health-care systems