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Computer-Based Documentation
Effect on Parent and Physician Satisfaction During a Pediatric Health Maintenance Encounter
Kevin B. Johnson, MD, MS;
Janet R. Serwint, MD;
Lawrence M. Fagan, MD, PhD;
Richard E. Thompson, PhD;
Modena H. Wilson, MD
Arch Pediatr Adolesc Med. 2005;159:250-254.
Objective To investigate the impact of a computer-based documentation (CBD) tool on parent and physician satisfaction with a pediatric health maintenance encounter.
Design The project used a preintervention and postintervention design. The preintervention group visits used paper-based forms for data entry, whereas the postintervention visits used CBD. At the conclusion of each encounter, both the physician and the parent completed a survey that assessed their perceptions of the encounter’s quality.
Setting Urban hospital-based pediatric teaching clinic.
Participants Parents and physicians of children 18 months and younger.
Main Outcome Measures Parent and physician satisfaction with 7 components of a health maintenance encounter (interim history, social history, anticipatory guidance, developmental assessment, physical examination, assessment, and plan).
Results There was no change in overall parent or physician satisfaction in the areas of communication or physician helpfulness. Physicians using CBD were less likely to agree that they provided clear explanations but were also less likely to agree that they "acted bossy during the visit." There was no correlation between physician and parent satisfaction or between physician satisfaction and pattern of CBD use. However, there was a strong correlation between physicians’ satisfaction and the extent to which they found CBD helpful (Spearman  = 0.29, P<.001).
Conclusions The introduction of CBD into the health maintenance encounter did not affect measured aspects of parent or physician satisfaction; these results support its continued use in that setting.
Author Affiliations: Departments of Biomedical Informatics and Pediatrics, Vanderbilt University, Nashville, Tenn (Dr Johnson); Department of Pediatrics, Johns Hopkins University (Dr Serwint), and Johns Hopkins Bloomberg School of Public Health (Dr Thompson), Baltimore, Md; Biomedical Informatics Training Program, Stanford University, Palo Alto, Calif (Dr Fagan); and Department of Professional Standards, American Medical Association, Chicago, Ill (Dr Wilson).
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Computer-Based Documentation Doesn't Decrease Satisfaction
JWatch General 2005;2005:3-3.
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