Solomon G L, Dechter M
Northridge Hospital Foundation, CA, USA.
J Fam Pract. 1995 Sep;41(3):241-4.
As computer hardware becomes less expensive and computer software more sophisticated and easy to use, more physicians are using computers to take notes and keep records. Although computer use offers many benefits, there is concern about whether the use of computers in the examination room will interfere with the patient-physician relationship. This experiment surveyed patient satisfaction following examination by either of two physicians, one using pen-and-pencil note-taking, the other taking notes on a computer.
Sixty patients consented to participate in this prospective, randomized, crossover study. In the first phase, 15 randomly selected patients were examined by Physician A, who made a written record, and 15 by Physician B, who made a computer record. In the second phase, the physicians switched roles. After the examination, patients completed a questionnaire to assess their degree of satisfaction.
There were no significant differences in satisfaction between the group whose physician made a handwritten record as compared with those whose physician used a computer, nor was there an interaction between type of note-taking and physician. There was also no correlation between patient satisfaction and previous patient exposure to and use of computers.
This study demonstrated no decrease in patient satisfaction when a computerized patient record was introduced.
随着计算机硬件价格降低，软件更加复杂且易于使用，越来越多的医生使用计算机进行记录。尽管使用计算机有诸多益处，但人们担心在检查室使用计算机是否会干扰医患关系。本实验调查了由两位医生之一进行检查后的患者满意度，其中一位医生使用纸笔记录，另一位医生使用计算机记录。
60名患者同意参与这项前瞻性、随机、交叉研究。在第一阶段，随机选择15名患者由医生A检查，医生A进行书面记录，另外15名患者由医生B检查，医生B进行计算机记录。在第二阶段，两位医生交换角色。检查后，患者完成一份问卷以评估他们的满意度。
与医生使用计算机记录的组相比，医生进行手写记录的组在满意度上没有显著差异，记录方式与医生之间也没有交互作用。患者满意度与患者之前接触和使用计算机的情况之间也没有相关性。
本研究表明引入计算机化患者记录时患者满意度并未降低。
