Abstract
Background: Digitization of health records and health delivery processes in health care settings may have an impact on the Patient-Physician communication, wait times, that affect the overall patient satisfaction with the health care services. Aim & Objective: We ascertained the effect of digitization of medical case files on the doctor patient relationship (DPR) domain of patient satisfaction at an urban primary health center in India. Settings and Design: Comparative, cross-sectional study in primary health centres. Methods and Material: The patient satisfaction was compared between the patients attending the Public Health Dispensary (PHD) that uses digitized medical case file system and a Civil Dispensary (CD) which follows the conventional paper based medical records, using a Patient Satisfaction Questionnaire (PSQ). Statistical analysis used: Univariate analysis was done by chi-square test and adjusted analysis was done by multiple linear regression. Results: Patient satisfaction in DPR was found to be same between the digitized medical case files based and conventional OPD (p=0.453). Significantly higher overall patient satisfaction was reported in the conventional paper based OPD than the digitized OPD (p<0.001). Conclusions: Patient satisfaction towards the doctor-patient relationship (DPR) was same between paper based OPD and the digitized medical case files based OPD.
Publisher
Indian Association of Preventive and Social Medicine
Subject
Public Health, Environmental and Occupational Health
Reference24 articles.
1. Rizer MK, Sieck C, Lehman JS, et al. Working with an Electronic Medical Record in Ambulatory Care: A Study of Patient Perceptions of Intrusiveness. Perspect Heal Inf Manag 2017; 14(Winter): 1g.
2. Cline L. The electronic health record and patient-centered care. Nurs Manage 2020; 51: 6–8.
3. Legler A, Price M, Parikh M, Nebeker JR, Ward MC, Wedemeyer L, Pizer SD. Effect on VA Patient Satisfaction of Provider’s Use of an Integrated Viewer of Multiple Electronic Health Records. J Gen Intern Med 2019; 34(1): 132.
4. Marmor RA, Clay B, Millen M, Savides TJ, Longhurst CA. The Impact of Physician EHR Usage on Patient Satisfaction. Applied clinical informatics 2018; 9(1): 11–14.
5. Shaarani I, Taleb R, Antoun J. Effect of computer use on physician-patient communication using a validated instrument: Patient perspective. Int J Med Inform 2017; 108: 152–157.