Evidence map›Paper›PMID 38834180›Full record

Observational studyApplied clinical informatics2024

Effect of Ambient Voice Technology, Natural Language Processing, and Artificial Intelligence on the Patient-Physician Relationship.

Lance M Owens, J Joshua Wilda, Ronald Grifka, Joan Westendorp, Jeffrey J Fletcher

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Applied clinical informatics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06792890 (A Randomized Controlled Trial of Two Ambient Artificial Intelligence Scribe Technologies to Improve Documentation Efficiency and Reduce Physician Burnout), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

NCT06792890 nacompletednot on this map

A Randomized Controlled Trial of Two Ambient Artificial Intelligence Scribe Technologies to Improve Documentation Efficiency and Reduce Physician Burnout

TypeinterventionalSponsorUniversity of California, Los AngelesRan2024 to 2025Enrolled238ConditionsPhysician Workflow, Artificial Intelligence (AI)ArmsUse Nabla AI Scribe tool provided, Use AI Scribe tool provided by Vendor B
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Impact of Emerging Technologies on Outpatient Care Quality: Mixed Methods Study.JMIR rehabilitation and assistive technologies · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Lance M OwensDepartment of Family Medicine, University of Michigan Health-West, Wyoming, Michigan, United States.
J Joshua WildaHealth Information Technology, University of Michigan Health-West, Wyoming, Michigan, United States.
Ronald GrifkaDepartment of Research, University of Michigan Health West, Wyoming, Michigan, United States.
Joan WestendorpDepartment of Research, University of Michigan Health West, Wyoming, Michigan, United States.
Jeffrey J FletcherDepartment of Research, University of Michigan Health West, Wyoming, Michigan, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe method of documentation during a clinical encounter may affect the patient-physician relationship.

objectivesEvaluate how the use of ambient voice recognition, coupled with natural language processing and artificial intelligence (DAX), affects the patient-physician relationship.

methodsThis was a prospective observational study with a primary aim of evaluating any difference in patient satisfaction on the Patient-Doctor Relationship Questionnaire-9 (PDRQ-9) scale between primary care encounters in which DAX was utilized for documentation as compared to another method. A single-arm open-label phase was also performed to query direct feedback from patients.

resultsA total of 288 patients were include in the open-label arm and 304 patients were included in the masked phase of the study comparing encounters with and without DAX use. In the open-label phase, patients strongly agreed that the provider was more focused on them, spent less time typing, and made the encounter feel more personable. In the masked phase of the study, no difference was seen in the total PDRQ-9 score between patients whose encounters used DAX (median: 45, interquartile range [IQR]: 8) and those who did not (median: 45 [IQR: 3.5];

conclusionPatients strongly agreed with the use of ambient voice recognition, coupled with natural language processing and artificial intelligence (DAX) for documentation in primary care. However, no difference was detected in the patient-physician relationship on the PDRQ-9 scale.

Indexed as

Artificial IntelligenceNatural Language ProcessingPhysician-Patient RelationsAdultFemaleHumansMaleMiddle AgedPatient SatisfactionProspective StudiesSpeech Recognition SoftwareSurveys and QuestionnairesVoice

Identifiers

PMID38834180
PMCPMC11305826

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.