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24
July, 2014
Thursday

The use of electronic health records in the exam room and patient satisfaction: a systematic review

Abstract

Background:
Physicians may hesitate to implement electronic health record (EHR) systems because they fear a decrease in patient satisfaction. We conducted a systematic review to determine whether physician EHR use in the patient room affects patient satisfaction.

Methods:
We searched the literature using MEDLINE (Ovid), EMBASE, CINAHL, Cochrane Library, PsycINFO, Proceedings First, and ProQuest Digital Dissertations. Our inclusion criteria were a description of physician EHR use in the examination room, EHR use in an outpatient setting, setting in the United States, publication year no earlier than 2000, and measurement of patient satisfaction. We included both qualitative and quantitative research. We included 7 articles in the final analysis: 3 cross-sectional, and 4 pre-design and post-design.

Results:
Several studies had methodological concerns. Six studies found that physician EHR use had either a positive or neutral effect on patient satisfaction. One study found a negative effect on the physicians’ perception of patient satisfaction. The reported statistical results from these studies were not homogenous enough for meta-analysis.

Conclusion:
Studies examining physician EHR use have found mostly neutral or positive effects on patient satisfaction, but primary care researchers need to conduct further research for a more definitive answer.

Irani, Jihad S., Jennifer L. Middleton, Ruta Marfatia, Evelyn T. Omana, and Frank D'Amico. "The use of electronic health records in the exam room and patient satisfaction: a systematic review." Journal of the American Board of Family Medicine 22, no. 5 (October 2009): 553-562.  

12 September 2009

Bibliographic Data

Title:

The use of electronic health records in the exam room and patient satisfaction: a systematic review

Author(s):

Irani, Jihad S.; Middleton, Jennifer L.; Marfatia, Ruta; Omana, Evelyn T.; D'Amico, Frank

Journal

Journal of the American Board of Family Medicine, 22(5), pp. 553-562
(2009-09)

URL:

Full article

DOI:

10.3122/jabfm.2009.05.080259

PMID:

19734402

Keyword(s):

Electronic Health Records, Exam Room, Patient Satisfaction, Systematic Review, United States

Citation:

Irani, Jihad S., Jennifer L. Middleton, Ruta Marfatia, Evelyn T. Omana, and Frank D'Amico. "The use of electronic health records in the exam room and patient satisfaction: a systematic review." Journal of the American Board of Family Medicine 22, no. 5 (October 2009): 553-562.  

Other Publications

In ICMCC Database

All Journal of the American Board of Family Medicine articles (3).

Discussion