Patient Perspectives on Clinical Scribes in Primary Care

Clinical scribes who are medical assistants or nurses may not only relieve the increased administrative burdens electronic health records place on primary care physicians but also bring benefits1, 2 in documentation quality, patient care, and team dynamics3. In our previous qualitative study, patients associated clinical scribes with improved documentation quality and increased attention from their physicians 3. While most were comfortable with the clinical scribe’s presence, a few alluded to situations in which they would be uncomfortable 3. Thus, to describe quantitatively patient opinions, we surveyed patients about their perspectives regarding clinical scribes in primary care.

[1]  L. Green,et al.  Care Transformation , 2022 .

[2]  Gregory Makoul,et al.  Research Paper: The Use of Electronic Medical Records: Communication Patterns in Outpatient Encounters , 2001, J. Am. Medical Informatics Assoc..

[3]  D. Roter,et al.  Electronic medical record use and physician-patient communication: an observational study of Israeli primary care encounters. , 2006, Patient education and counseling.

[4]  Mph Rainu Kaushal MD,et al.  Electronic Health Records and Ambulatory Quality of Care , 2012, Journal of General Internal Medicine.

[5]  Michael B Rothberg,et al.  Medical scribes: How do their notes stack up? , 2016, The Journal of family practice.

[6]  D. Blumenthal,et al.  The benefits of health information technology: a review of the recent literature shows predominantly positive results. , 2011, Health affairs.

[7]  Brian G. Arndt,et al.  Tethered to the EHR: Primary Care Physician Workload Assessment Using EHR Event Log Data and Time-Motion Observations , 2017, The Annals of Family Medicine.

[8]  Christine A Sinsky,et al.  Team-based care: saving time and improving efficiency. , 2014, Family practice management.

[9]  Christine A. Sinsky,et al.  Allocation of Physician Time in Ambulatory Practice: A Time and Motion Study in 4 Specialties , 2016, Annals of Internal Medicine.

[10]  Ryan A Crowley,et al.  Principles Supporting Dynamic Clinical Care Teams: An American College of Physicians Position Paper , 2013, Annals of Internal Medicine.

[11]  Sally Okun,et al.  Core Principles & Values of Effective Team-Based Health Care , 2012 .

[12]  A. Shachak,et al.  The impact of electronic medical records on patient-doctor communication during consultation: a narrative literature review. , 2009, Journal of evaluation in clinical practice.

[13]  Peggy Nygren,et al.  Physicians, Patients, and the Electronic Health Record: An Ethnographic Analysis , 2006, The Annals of Family Medicine.

[14]  A Team-based Model of Primary Care Delivery and Physician-patient Interaction. , 2015, The American journal of medicine.

[15]  J. Sloan,et al.  Burnout and satisfaction with work-life balance among US physicians relative to the general US population. , 2012, Archives of internal medicine.

[16]  M. Danis,et al.  Enhancing patient-centered communication and collaboration by using the electronic health record in the examination room. , 2013, JAMA.

[17]  Thomas Bodenheimer,et al.  Expanding the roles of medical assistants: who does what in primary care? , 2014, JAMA internal medicine.

[18]  T. Bodenheimer,et al.  Team Structure and Culture Are Associated With Lower Burnout in Primary Care , 2014, The Journal of the American Board of Family Medicine.

[19]  S. Thorne,et al.  Interpretive description: a noncategorical qualitative alternative for developing nursing knowledge. , 1997, Research in nursing & health.

[20]  Robert L. Phillips,et al.  Projecting US Primary Care Physician Workforce Needs: 2010-2025 , 2012, The Annals of Family Medicine.

[21]  Thomas Bodenheimer,et al.  In Search of Joy in Practice: A Report of 23 High-Functioning Primary Care Practices , 2013, The Annals of Family Medicine.

[22]  Christine A Sinsky,et al.  Medical Scribes and Electronic Health Records. , 2015, JAMA.

[23]  D. Jeffe,et al.  Primary Care Specialty Choices of United States Medical Graduates, 1997–2006 , 2010, Academic medicine : journal of the Association of American Medical Colleges.

[24]  P. Feustel,et al.  Scribes in an ambulatory urology practice: patient and physician satisfaction. , 2010, The Journal of urology.

[25]  Hoangmai H Pham,et al.  Primary care: current problems and proposed solutions. , 2010, Health affairs.

[26]  T. Bodenheimer,et al.  The 10 Building Blocks of High-Performing Primary Care , 2014, The Annals of Family Medicine.