当前位置： SCI文献检索 > JOURNAL OF GENERAL INTERNAL MEDICINE期刊下所有文献 > Impact of Medical Scribes on Physician and Patient Satisfaction in Primary Care.

Impact of Medical Scribes on Physician and Patient Satisfaction in Primary Care.

Abstract：

BACKGROUND:Use of electronic health records (EHRs) is associated with physician stress and burnout. While emergency departments and subspecialists have used scribes to address this issue, little is known about the impact of scribes in academic primary care. OBJECTIVE:Assess the impact of a scribe on physician and patient satisfaction at an academic general internal medicine (GIM) clinic. DESIGN:Prospective, pre-post-pilot study. During the 3-month pilot, physicians had clinic sessions with and without a scribe. We assessed changes in (1) physician workplace satisfaction and burnout, (2) time spent on EHR documentation, and (3) patient satisfaction. PARTICIPANTS:Six GIM faculty and a convenience sample of their patients (N = 325) at an academic GIM clinic. MAIN MEASURES:A 21-item pre- and 44-item post-pilot survey assessed physician workplace satisfaction and burnout. Physicians used logs to record time spent on EHR documentation outside of clinic hours. A 27-item post-visit survey assessed patient satisfaction during visits with and without the scribe. KEY RESULTS:Of six physicians, 100% were satisfied with clinic workflow post-pilot (vs. 33% pre-pilot), and 83% were satisfied with EHR use post-pilot (vs. 17% pre-pilot). Physician burnout was low at baseline and did not change post-pilot. Mean time spent on post-clinic EHR documentation decreased from 1.65 to 0.76 h per clinic session (p = 0.02). Patient satisfaction was not different between patients who had clinic visits with vs. without scribe overall or by age, gender, and race. Compared to patients 65 years or older, younger patients were more likely to report that the physician was more attentive and provided more education during visits with the scribe present (p = 0.03 and 0.02, respectively). Male patients were more likely to report that they disliked having a scribe (p = 0.03). CONCLUSION:In an academic GIM setting, employment of a scribe was associated with improved physician satisfaction without compromising patient satisfaction.

journal_name

J Gen Intern Med

journal_title

Journal of general internal medicine

authors

Pozdnyakova A,Laiteerapong N,Volerman A,Feld LD,Wan W,Burnet DL,Lee WW

doi

10.1007/s11606-018-4434-6

subject

Has Abstract

pub_date

2018-07-01 00:00:00

pages

1109-1115

issue

eissn

0884-8734

issn

1525-1497

pii

10.1007/s11606-018-4434-6

journal_volume

pub_type

杂志文章

在线工具

Impact of Medical Scribes on Physician and Patient Satisfaction in Primary Care.