Physician use of a computerized medical record system during the patient encounter: A descriptive study

https://doi.org/10.1016/0169-2607(94)90079-5Get rights and content

Abstract

The computerized medical record program, CLINIC, specifically designed at Ben-Gurion University of the Negev to be used on-line in a primary care clinic during a patient encounter by healthcare professionals, has been in use for over 6 years in two community clinics. In order to analyse the effectiveness and use of CLINIC, four physicians were video recorded during working sessions before and after the introduction of CLINIC. While using CLINIC did not change the total mean encounter time, the lengths of the encounter components and record use did change. The physicians' work style changed from a ‘conversational pattern’ (continuous data recording) to a ‘blocked pattern’ (data entry at intervals).

References (9)

  • G. Brownbridge et al.

    The doctor's use of a computer in the consulting room: an analysis

    Int. J. Man-Mach. Stud.

    (1984)
  • Institute of Medicine (USA) Committee on Improving the Patient Record
  • S.C. Schoenbaum et al.

    Automated ambulatory medical record systems

    Int. J. Technol. Assessment Health Care

    (1992)
  • C.J. McDonald et al.

    The Regenstrief medical record system: 20 years of experience in hospitals, clinics, and neighborhood health Centers

    M.D. Comput.

    (1992)
There are more references available in the full text version of this article.

Cited by (53)

  • Accuracy and speed of electronic health record versus paper-based ophthalmic documentation strategies

    2013, American Journal of Ophthalmology
    Citation Excerpt :

    Overall, both EHR strategies in this study were slower than paper documentation. Several studies evaluating documentation time of EHR use in the ambulatory setting also have reported slower documentation speed after transition from paper.22,23 In ophthalmology, documentation efficiency is critical, given the complex workflow and high patient volume.12

  • Scribes in an Ambulatory Urology Practice: Patient and Physician Satisfaction

    2010, Journal of Urology
    Citation Excerpt :

    Most patients were comfortable with the scribe and believed that it did not affect their ability to disclose medical information. Several studies have documented that without a scribe the use of an EMR brought into the room during the encounter resulted in less patient centered interaction.9–11 The use of a scribe seems to have prevented this effect in our practice.

View all citing articles on Scopus
View full text