Table 3.

Summary of Studies’ Findings

AuthorOutcomeResultsAuthors’ ConclusionOur 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 physiciansNeutral
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 = .019Physicians perceive EHR use had a detrimental impact on patient's satisfaction with quality of care and physician autonomyNegative
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= NSNo difference in patient satisfaction after the introduction of point-of-care computers at the clinicNeutral
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, 1.01–2.22The examination room computers seemed to have positive effects on physician-patient interactionsPositive
Johnson (2005)Percentage who report “strongly agree” to satisfaction with attention given by physician and medical care receivedAttention 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 referenceThe adoption of computer based documentation in a primary care pediatric clinic did not significantly affect parent satisfaction with the encounterNeutral
Joos (2006)Percentage of response to “the new system has increased patient satisfaction”31% agree 62% neutral 7% disagreePhysicians did not know whether or not the use of EHR impacted patient satisfactionNeutral
Rouf (2007)Percentage that “strongly agree” they were satisfied with overall relationship with physicianPatients seeing residents: 50% Patients seeing faculty: 71%; P = .02Patients 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.