Documentation in a Medical Setting

Abstract

The authors extend previous findings regarding the social impact of introducing new documentation technologies to the doctor-patient interaction by including an age comparison. Participants (including ‘young adults’ aged 18-39 and ‘older adults’ aged 62-87) viewed one of several video conditions portraying a medical interview during which the physician used one of five documenting methods/devices (nothing, pen and paper, desktop computer, PDA, wearable computer). After viewing the doctor-patient interaction, participants completed a series of questionnaires evaluating their general satisfaction with the quality of care (QoC) delivered during the medical interview. Results show a significant effect of the documentation method on QoC ratings. Further, participant responses varied significantly by age group, with younger adults tending to rate the doctor more favorably. Though advanced technology may afford the opportunity for better healthcare delivery, there may be a trade-off with lower levels of patient satisfaction.