Ajami Sima
Health Information Technology Department, Faculty of Medical Management and Information Sciences, Isfahan University of Medical Sciences, Hezarjerib Avenue, Isfahan, P.O. Box 81745-346, Iran.
Natl Med J India. 2016 May-Jun;29(3):148-152.
Medical records are a critical component of a patient's treatment. However, documentation of patient-related information is considered a secondary activity in the provision of healthcare services, often leading to incomplete medical records and patient data of low quality. Advances in information technology (IT) in the health system and registration of information in electronic health records (EHR) using speechto- text conversion software have facilitated service delivery. This narrative review is a literature search with the help of libraries, books, conference proceedings, databases of Science Direct, PubMed, Proquest, Springer, SID (Scientific Information Database), and search engines such as Yahoo, and Google. I used the following keywords and their combinations: speech recognition, automatic report documentation, voice to text software, healthcare, information, and voice recognition. Due to lack of knowledge of other languages, I searched all texts in English or Persian with no time limits. Of a total of 70, only 42 articles were selected. Speech-to-text conversion technology offers opportunities to improve the documentation process of medical records, reduce cost and time of recording information, enhance the quality of documentation, improve the quality of services provided to patients, and support healthcare providers in legal matters. Healthcare providers should recognize the impact of this technology on service delivery.
医疗记录是患者治疗的关键组成部分。然而，在提供医疗服务过程中，记录与患者相关的信息被视为次要活动，这常常导致医疗记录不完整且患者数据质量低下。卫生系统中信息技术（IT）的进步以及使用语音转文本转换软件在电子健康记录（EHR）中记录信息，促进了服务的提供。本叙述性综述是在图书馆、书籍、会议论文集、科学Direct、PubMed、ProQuest、Springer、SID（科学信息数据库）等数据库以及雅虎和谷歌等搜索引擎的帮助下进行的文献检索。我使用了以下关键词及其组合：语音识别、自动报告记录、语音转文本软件、医疗保健、信息和语音识别。由于不懂其他语言，我不限时间地搜索了所有英文或波斯文文本。总共70篇文章中，仅筛选出42篇。语音转文本转换技术为改善医疗记录的记录过程、降低记录信息的成本和时间、提高记录质量、提升为患者提供的服务质量以及在法律事务中支持医疗服务提供者提供了机会。医疗服务提供者应认识到这项技术对服务提供的影响。
