The Use of Electronic Health Records in the Exam Room and Patient Satisfaction: A Systematic Review

Authors, Primary Irani,Jihad S.;Middleton,Jennifer L.;Marfatia,Ruta;Omana,Evelyn T.;D'Amico,Frank
Title Primary The Use of Electronic Health Records in the Exam Room and Patient Satisfaction: A Systematic Review
Periodical Full Journal of the American Board of Family Medicine
Pub Year 2009
Volume 22
issue 5
Start Page 553-562
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.
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Author/Address From the Faculty of Health Sciences and the Faculty of Medicine and Medical Sciences, University of Balamand, Beirut, Lebanon (JSI); the University of Pittsburgh Medical Center, St. Margaret, Family Medicine Residency Program and Bloomfield-Garf)
PubMed Link
Reference Type(s) Journal Article
Topic Tag(s) Patient-Centered Care;Health Information Technology;Outcomes
Special Population(s) Not Available
Case Study No
Commentary/Opinion Piece No
Historical Publication No
Key/Foundational Article Yes
Literature Review Yes
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