Could the affection of affliction you accept be afflicted by how your doctor takes notes? According to a new abstraction by advisers at Brigham and Women’s Hospital (BWH), doctors who dictated their accommodating addendum appeared to accept worse affection of affliction than those who acclimated structured documentation.
The abstraction is appear online in the Journal of the American Medical Informatics Association.
The advisers evaluated 18,569 visits by 7,000 patients with coronary avenue ache and diabetes to accommodating physicians in a bounded healthcare commitment arrangement in eastern Massachusetts. Of these 234 doctors in the study, 20 (9 percent) dictated their notes, 68 (29 percent) acclimated structured documentation, and146 (62 percent) typed free-text notes.
Dictation was done via blast and transcribed and uploaded to the cyberbanking bloom almanac (EHR). Structured affidavit complex application templates that disconnected the accommodating appointment agenda into abstracted sections (e.g., history of present illness, analysis of systems, ancestors history, etc.) for the doctor to ample in. Free-text addendum were created application a distinct window, agnate to a word-processing program.
The capital aftereffect measures were 15 coronary avenue ache and diabetes measures adjourned 30 canicule afterwards primary affliction visits.
Compared to the added two affidavit styles, affection of affliction was decidedly worse on three aftereffect measures for dictators. These measures were antiplatelet medication, tobacco use affidavit and diabetic eye exam.
Quality of affliction was bigger on three measures for doctors who acclimated structured documentation. These measures were claret burden documentation, anatomy accumulation basis affidavit and diabetic bottom exam. Doctors who acclimated free-text addendum had bigger affection of affliction in accouterment affliction vaccinations.
There was no admeasurement associated with college affection of affliction for doctors who dictated their notes.
“Dictating may be easier for the doctor, but patients charge to be careful,” said Jeffrey Linder, MD, accessory assistant of anesthetic at BWH and Harvard Medical School, and advance abstraction author. “Doctors who behest may not be advantageous as aing absorption to advice and alerts in the cyberbanking bloom almanac that are important for accommodating health.”
Explore further: Lifestyle counseling and glycemic ascendancy in patients with diabetes: True to form?
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