Scribes in an Ambulatory Urology Practice: Patient and Physician Satisfaction

Koshy, Simi; Feustel, Paul J.; Hong, Michael; Kogan, Barry A.

doi:10.1016/j.juro.2010.03.040

Cited by 75 publications

(94 citation statements)

References 6 publications

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“…As shown in Figure 1, application of exclusion criteria resulted in 5 studies for this review. Four studies were identified using the database search [25][26][27][28] and 1 through Google Scholar. 29 No additional studies were identified by searching the included studies' reference lists or the forward publication search.…”

Section: Resultsmentioning

confidence: 99%

“…27 and 1 in a urology clinic. 26 Each study setting was affiliated with a larger academic health center, 25,26,29 health care organization, 27 or community hospital.…”

Section: Resultsmentioning

confidence: 99%

“…[25][26][27][28] Scribe types varied in terms of both training and employment relationship with the clinical setting. In 2 studies the scribes were students (premedical, prenursing, pre-physician assistant, or first-year medical students).…”

Section: Medical Scribesmentioning

confidence: 99%

“…In 2 studies the scribes were students (premedical, prenursing, pre-physician assistant, or first-year medical students). 26,28 In the first, the nature of the employment relationship between the scribe and clinical setting was not clearly specified. The study described a 2-week, nonstandardized training period during which the scribe familiarized themselves with the urology practice site and its documentation practices.…”

Section: Medical Scribesmentioning

confidence: 99%

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The Use of Medical Scribes in Health Care Settings: A Systematic Review and Future Directions

Shultz

Holmstrom

2015

The Journal of the American Board of Family Medicine

120

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Background: Electronic health records (EHRs) hold promise to improve productivity, quality, and outcomes; however, using EHRs can be cumbersome, disruptive to workflow, and off-putting to patients and clinicians. One proposed solution to this problem is the use of medical scribes. The purpose of this systematic review is to summarize the literature investigating the effect of medical scribes on health care productivity, quality, and outcomes. Implications for future research are discussed.Methods: A keyword search of the Cochrane Library, OvidSP Medline database, and Embase database from January 2000 through September 2014 was performed using the terms scribe or scribes in the title or abstract. To ensure no potentially eligible articles were missed, a second search was done using Google Scholar. English-language, peer-reviewed studies assessing the effect of medical scribes on health care productivity, quality, and outcomes were retained. Identified studies were assessed and the findings reported.Results: Five studies were identified. Three studies assessed scribe use in an emergency department, 1 in a cardiology clinic, and 1 in a urology clinic. Two of 3 studies reported scribes had no effect on patient satisfaction; 2 of 2 reported improved clinician satisfaction; 2 of 3 reported an increase in the number of patients; 2 of 2 reported an increase in the number of relative value units per hour; 1 of 1 reported increased revenue; 3 of 4 reported improved time-related efficiencies; and 1 of 1 reported improved patient-clinician interactions.Conclusions: Available evidence suggests medical scribes may improve clinician satisfaction, productivity, time-related efficiencies, revenue, and patient-clinician interactions. Because the number of studies is small, and because each study suffered important limitations, confidence in the reliability of the evidence is significantly constrained. Given the nascent state of the science, methodologically rigorous and sufficiently powered studies are greatly needed. (J Am Board Fam Med 2015;28:371-381.)

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Section: Resultsmentioning

confidence: 99%

“…27 and 1 in a urology clinic. 26 Each study setting was affiliated with a larger academic health center, 25,26,29 health care organization, 27 or community hospital.…”

Section: Resultsmentioning

confidence: 99%

Section: Medical Scribesmentioning

confidence: 99%

Section: Medical Scribesmentioning

confidence: 99%

See 2 more Smart Citations

The Use of Medical Scribes in Health Care Settings: A Systematic Review and Future Directions

Shultz

Holmstrom

2015

The Journal of the American Board of Family Medicine

120

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“…[1][2][3] Recent research, however, describes workflow inefficiencies, reduced satisfaction, 4,5 and clinician concerns 6 in relation to using electronic communication systems. 7 Mayo Clinic believes in providing quality, patient-centered care and creating a health care workforce of the future to align with its core values.…”

Section: Introductionmentioning

confidence: 99%

Improving Efficiency and Reducing Administrative Burden through Electronic Communication

Cook

Ludens

Ghosh

et al. 2013

TPJ

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The Effect of a Physician Partner Program on Physician Efficiency and Patient Satisfaction

et al. 2014

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Scribes in an Ambulatory Urology Practice: Patient and Physician Satisfaction

Abstract: Electronic medical record scribes in a urology practice may be a practical solution to provide documentation while maintaining or improving the doctor-patient relationship because they increase physician satisfaction and do not detract from patient satisfaction.

Cited by 75 publications

References 6 publications

The Use of Medical Scribes in Health Care Settings: A Systematic Review and Future Directions

The Use of Medical Scribes in Health Care Settings: A Systematic Review and Future Directions

Improving Efficiency and Reducing Administrative Burden through Electronic Communication

The Effect of a Physician Partner Program on Physician Efficiency and Patient Satisfaction

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