Three unrelated research teams. Three different methodologies. One structural conclusion.
In the second episode of Defending Care, Anand Chaturvedi names and defines the Theft of Presence. Beginning with the clinical term "iPatient" — coined by the American Medical Association to describe a patient rendered secondary to their own electronic record — the episode builds its case through three independent research streams.
A University of Southern California eye-gaze study found that physicians looked at patients only 42.6% of visit time when using a passive screen, and patient gaze became "unknown" in 35.6% of visits. Peterson Health Technology Institute data shows that for every one hour of direct patient care, clinicians spend nearly two hours in the EHR; one in five physicians spends 8+ hours per week in the EHR outside working hours.
The BMC Geriatrics exit data is brought back in its specific context: workers with high administrative burden are 24% more likely to leave, and those who leave are disproportionately those who chose care when they had other options. The episode closes by formally naming the Theft of Presence — the systematic extraction of caregiver attention from the people in their care. Not a management failure. A structural outcome.
The moment the Theft of Presence is formally named and defined.