Summary of Studies’ Findings
| Author | Outcome | Results | Authors’ Conclusion | Our Interpretation |
|---|---|---|---|---|
| Gadd (2000) | 1 to 5 Likert scale (strongly disagree to strongly agree) | General Satisfaction Scale 4.59 (±0.47); Physician Computer Use Scale 4.00 (±0.68)* | Patients did not indicate a sense of loss of rapport with their physicians | Neutral |
| Gadd (2001) | 1 to 5 Likert scale (highly detrimental to highly beneficial) | Before implementation: mean score, 3.20 (±0.60) After implementation: mean score, 2.91(±0.85) P = .019 | Physicians perceive EHR use had a detrimental impact on patient's satisfaction with quality of care and physician autonomy | Negative |
| Garrison (2002) | Percentage of “excellent or very good” to “How would you rate the overall care you received?” | Before implementation: 81% After implementation: 83.5% P= NS | No difference in patient satisfaction after the introduction of point-of-care computers at the clinic | Neutral |
| Hsu (2005) | Percentage of reporting “excellent satisfaction” | 2 months before implementation: OR, 1 (reference) 1 month after implementation: OR, 1.64; 95% CI, 0.83–3.24 7 months after implementation: OR, 1.50; 95% CI, 1.01–2.22 | The examination room computers seemed to have positive effects on physician-patient interactions | Positive |
| Johnson (2005) | Percentage who report “strongly agree” to satisfaction with attention given by physician and medical care received | Attention After implementation: OR, 0.89; 95% CI, 0.49 to 1.59, before implementation being the reference Medical care received After implementation: OR, 1.77; 95% CI, 0.97 to 3.25, before implementation being the reference | The adoption of computer based documentation in a primary care pediatric clinic did not significantly affect parent satisfaction with the encounter | Neutral |
| Joos (2006) | Percentage of response to “the new system has increased patient satisfaction” | 31% agree 62% neutral 7% disagree | Physicians did not know whether or not the use of EHR impacted patient satisfaction | Neutral |
| Rouf (2007) | Percentage that “strongly agree” they were satisfied with overall relationship with physician | Patients seeing residents: 50% Patients seeing faculty: 71%; P = .02 | Patients seeing residents were more likely to report negative effect on the patient-physician interaction. However, only 8% of all patients reported that the computer interfered with their relationship with their doctor. | Neutral |
* General Satisfaction Scale: 10 overall visit and patient satisfaction items; Physician Computer Use Scale: 5 computer-related satisfaction items.
EHR, electronic health record; OR, odds ratio.