Physician, Scribe, and Patient Perspectives on Clinical Scribes in Primary Care

Chen, Yan; Rose, Susannah; Rothberg, Michael B.; Mercer, Mary Beth; Goodman, Kenneth W.; Misra‐Hebert, Anita D.

doi:10.1007/s11606-016-3719-x

Cited by 57 publications

(78 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…W e appreciate Dr. Schattner's response to our reported findings 1 regarding the role of scribes in primary care. While we agree that introducing additional team members into the provision of health care delivery has the potential to adversely affect the physician-patient relationship, it could also enhance the relationship-in delegating tasks to another member of the care team, the physician has greater ability to focus on the patient.…”

mentioning

confidence: 94%

Physician, Scribe, and Patient Perspectives on Clinical Scribes in Primary Care

et al. 2016

Self Cite

View full text Add to dashboard Cite

mentioning

confidence: 94%

Physician, Scribe, and Patient Perspectives on Clinical Scribes in Primary Care

et al. 2016

Self Cite

View full text Add to dashboard Cite

“…9,10 Few studies have explored the perspectives of physicians, scribes, and patients regarding scribes in primary care. 11,12 To our knowledge, no longitudinal observational study of scribes has examined their impact on physicians' daily work, attitudes and behaviors, and relationships with patients and the workplace. Our aim was to explore these questions through an ethnographic study of physicians and scribes in an academic family medicine clinic, using repeated observations and data collection over 1 year.…”

mentioning

confidence: 99%

One Year of Family Physicians' Observations on Working with Medical Scribes

et al. 2018

View full text Add to dashboard Cite

Purpose:The immense clerical burden felt by physicians is one of the leading causes of burnout. Scribes are increasingly being used to help alleviate this burden, yet few published studies investigate how scribes affect physicians' daily work, attitudes and behaviors, and relationships with patients and the workplace.Methods: Using a longitudinal observational design, data were collected, over 1 year, from 4 physicians working with 2 scribes at a single academic family medicine practice. Physician experience was measured by open-ended written reflections requested after each 4-hour clinic session. A data-driven codebook was generated using a constant comparative method with grounded theory approach.Results: A total of 361 physician reflections were completed, yielding 150 distinct excerpts; 289 codes were assigned. The 11 themes that emerged were further categorized under 4 domains. The most frequently recurring domain was clinic operations, which comprised 51.6% of the codes. Joy of practice, quality of care, and patient experience comprised 22.1%, 16.3%, and 10.0% of the codes, respectively.Conclusions: Our study suggests that integrating scribes into a primary care clinic can produce positive outcomes that go beyond reducing clerical burden for physicians. Scribes may benefit patient experience, quality of care, clinic operations, and joy of practice. (J Am Board Fam Med 2018;31:49 -56.)

show abstract

“…1 In fact, it offers a window into panoply of major issues that will likely decide the future of primary care. While the burden of clinical documentation is only one of a number of stresses currently facing primary care clinicians, listening to concerns in the literature and hallways, it may well be the straw that is breaking the camel's back, with reports of clinicians spending two to three extra hours each night writing notes instead of spending time with their families.…”

mentioning

confidence: 99%