SynthesisJournal of the American Board of Family Medicine : JABFM
The use of electronic health records in the exam room and patient satisfaction: a systematic review.
Synthesis in Journal of the American Board of Family Medicine : JABFM. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
30 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Impact of Electronic Medical Record Use on the Patient-Doctor Relationship and Communication: A Systematic Review.Journal of general internal medicine · 2016Pooled it
- Interventions to improve safe and effective medicines use by consumers: an overview of systematic reviews.The Cochrane database of systematic reviews · 2014Pooled it
- The impact of eHealth on the quality and safety of health care: a systematic overview.PLoS medicine · 2011Pooled it
- The effect of EHR-integrated patient-reported outcomes on satisfaction with chronic pain care.The American journal of managed care · 2016Trial
- Effects of electronic health record use on the exam room communication skills of resident physicians: a randomized within-subjects study.Journal of the American Medical Informatics Association : JAMIA · 2015Trial
- A multilevel analysis on the predictors of client satisfaction with family planning services in Ethiopia: evidence from the Ethiopian service provision assessment (ESPA) 2021/22.Global health action · 2025Article
- The impact of eHealth on relationships and trust in primary care: a review of reviews.BMC primary care · 2023Review
- Harnessing Electronic Medical Records in Cardiovascular Clinical Practice and Research.Journal of cardiovascular translational research · 2023Review
- How Do Patients Want Us to Use the Computer During Medical Encounters?-A Discrete Choice Experiment Study.Journal of general internal medicine · 2021Article
- Doctors documenting: an ethnographic and informatics approach to understanding attending physician documentation in the pediatric emergency department.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Article
- Association of Electronic Health Record Use Above Meaningful Use Thresholds With Hospital Quality and Safety Outcomes.JAMA network open · 2020Article
- Exploring association between certified EHRs adoption and patient experience in U.S. psychiatric hospitals.PloS one · 2020Article
- Perspectives of English, Chinese, and Spanish-Speaking Safety-Net Patients on Clinician Computer Use: Qualitative Analysis.Journal of medical Internet research · 2019Article
- Electronic medical record implementation for a healthcare system caring for homeless people.JAMIA open · 2019Article
- Provider and patient satisfaction with the integration of ambulatory and hospital EHR systems.Journal of the American Medical Informatics Association : JAMIA · 2018Article
- Patient Portal Use and Experience Among Older Adults: Systematic Review.JMIR medical informatics · 2017Article
- Learning to use electronic health records: can we stay patient-centered? A pre-post intervention study with family medicine residents.BMC family practice · 2017Article
- Article
- A Survey of the Literature on Unintended Consequences Associated with Health Information Technology: 2014-2015.Yearbook of medical informatics · 2016Review
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundPhysicians may hesitate to implement electronic health record (EHR) systems because they fear a decrease in patient satisfaction. We conducted a systematic review to determine whether physician EHR use in the patient room affects patient satisfaction.
methodsWe searched the literature using MEDLINE (Ovid), EMBASE, CINAHL, Cochrane Library, PsycINFO, Proceedings First, and ProQuest Digital Dissertations. Our inclusion criteria were a description of physician EHR use in the examination room, EHR use in an outpatient setting, setting in the United States, publication year no earlier than 2000, and measurement of patient satisfaction. We included both qualitative and quantitative research. We included 7 articles in the final analysis: 3 cross-sectional, and 4 pre-design and post-design.
resultsSeveral studies had methodological concerns. Six studies found that physician EHR use had either a positive or neutral effect on patient satisfaction. One study found a negative effect on the physicians' perception of patient satisfaction. The reported statistical results from these studies were not homogenous enough for meta-analysis.
conclusionStudies examining physician EHR use have found mostly neutral or positive effects on patient satisfaction, but primary care researchers need to conduct further research for a more definitive answer.
Indexed as
Identifiers
19734402What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.