New-Patient Self-History Questionnaires in Primary Care

Guthmann, Richard

doi:10.3122/15572625-11-1-23

Cited by 7 publications

(6 citation statements)

References 17 publications

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“…In the primary care setting, a recent survey of 116 offices and 400 physicians in Chicago found that only 53% of practices used paper questionnaires despite their proven advantages. 47 Guthmann 47 wrote:…”

Section: Patient Questionnaires: Adding Structure To the Interviewmentioning

confidence: 99%

The Patient-Computer Interview: A Neglected Tool That Can Aid the Clinician

Bachman

2003

Mayo Clinic Proceedings

127

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In this article, I (1) review the process of interviewing patients by computer, (2) summarize computer-interviewing work done in 1968, (3) address the weaknesses of collecting information with the traditional history-taking methods or paper questionnaires, (4) discuss commercial software designed for computer interviewing, and (5) focus on the strengths and weaknesses of interviewing patients with a computer. The strengths of this process compared with traditional interviewing are that computer interviewing allows the physician to gather more data; gives the patient more time to complete an interview; uncovers more sensitive information; provides more adaptability to non-English-speaking patients, patients with hearing impairment, or patients who are illiterate; and provides structured information for research. The weaknesses of computer interviewing are that it generates false-positive responses, is not accepted by a minority of patients, is unable to detect nonverbal behavior, and requires changes in work flow. With the advent of an electronic medical record and the financial rewards for comprehensive history recording, the gathering of history and documentation from patients is increasingly important and favors adaptation to computer interviewing.

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Section: Patient Questionnaires: Adding Structure To the Interviewmentioning

confidence: 99%

The Patient-Computer Interview: A Neglected Tool That Can Aid the Clinician

Bachman

2003

Mayo Clinic Proceedings

127

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“…On the other hand, Pecoraro shown that self HT and clinical HT requires similar time, while Maultsby and Rockart reported conflicting results, with some advantage to reduction of time spent [23,30,58]. Other authors only supposes that the previous use of a HTI will reduce consultation time, or provide information at no clinician time expense, but did not provide any empirical evidence [4,9,52,55,[61][62][63]65,66,10,11,16,42,[45][46][47]49]. Beyond that, the benefits for clinician and patients of a time saving routine were not clear.…”

Section: Discussionmentioning

confidence: 99%

“…Besides the benefits for practice, efficiency, and diagnosis shown by these HTI, their use still not widespread. By the end of the nineties, HTIs were not clinically used in US [45]. A review about computer HT, [46] tried to answer its limits: the contributions were not considered decisive for clinicians, have low specificity, and raise issues to clinician workflow [46].…”

Section: The 1990s and 2000smentioning

confidence: 99%

Untitled

2022

IJP

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Introduction: History taking (HT) is the basis for medical practice. Although its format lacks a standard, many HT Instruments (HTI) were developed, applied, and automated throughout history. Objective: To build a history line about HTI development, its pros and cons. Method:We accessed medline and lilacs database through the bvs search engine, using HT equivalents in english, portuguese, french, spanish, and german. Original papers and reviews about HTI aiming general practice were selected, and their content comprehensively analyzed and discussed, following PRISMA guidelines.Results: From 24904 initial entries about HT since 1900, 105 were selected for analysis. First HTI was identified before the 1st World War, mainly as mental screening tools. Later, other general practices HTI were developed, integrating statistical and branching reasoning. Two advantages were consistently reported about clinician time saving and improvement on information gathering. However, their use did not become widespread, restricted to research scenarios and specific guidelines for clinical intervention. Conclusions: HTI benefits may result from ht systematization, and it is not clear if clinical time-saving resultsin economic and quality of care improvement. However, the systematization of HT and the use of computational processing power may help medical practice and should not be overlooked. Better comprehension of the diagnostic HT clinical act will help comprehend how HTI may be useful for clinical practice, reasoning and doctor patient relationship.

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“…However, resources are scarce. Pre‐interview patient questionnaires (often not validated) are a common method of collecting data before the consultation (3). However, findings of whether taboo subjects are underreported in questionnaires have been contradictory (4, 10).…”

Section: Discussionmentioning

confidence: 99%

“…Questionnaires are internationally used in manypractices and hospitals (3). In Sweden, with a present population of 8.86 million people, a register was started in 1996 to quality assess uterine surgery for benign disorders.…”

Section: Introductionmentioning

confidence: 99%