Christopher V. Almario|William D. Chey|Aung Kaung|Cynthia B. Whitman|Garth Fuller|Mark W. Reid|Ken Nguyen|Roger Bolus|Buddy Dennis|Rey Encarnacion|Bibiana Martínez|Jennifer Talley|Rushaba Modi|Nikhil Agarwal|Aaron Lee|Scott Kubomoto|Gobind Sharma|Sally Bolus|Lin Chang|Brennan Spiegel
Computer-Generated Vs. Physician-Documented History of Present Illness (HPI): Results of a Blinded Comparison
Cedars-Sinai Medical Center|VA Greater Los Angeles Healthcare System|University of California, Los Angeles|University of Michigan–Ann Arbor|VA Greater Los Angeles Healthcare System|Cedars-Sinai Medical Center|Cedars-Sinai Medical Center|Cedars-Sinai Medical Center|Cedars-Sinai Medical Center|VA Greater Los Angeles Healthcare System|Cedars-Sinai Medical Center|Cedars-Sinai Medical Center|Cedars-Sinai Medical Center|VA Greater Los Angeles Healthcare System|Cedars-Sinai Medical Center|VA Greater Los Angeles Healthcare System|VA Greater Los Angeles Healthcare System|Cedars-Sinai Medical Center|University of California, Los Angeles|VA Greater Los Angeles Healthcare System|Cedars-Sinai Medical Center|University of California, Los Angeles|Cedars-Sinai Medical Center|Cedars-Sinai Medical Center|Cedars-Sinai Medical Center|Cedars-Sinai Medical Center|University of California, Los Angeles|Cedars-Sinai Medical Center|Sinai Health System|VA Greater Los Angeles Healthcare System
objectives healthcare delivery mandates shorter visits higher documentation requirements undermining patientprovider interaction improve clinic visit efficiency developed patientprovider portal systematically collects patient symptoms using computer algorithm called automated evaluation gastrointestinal symptoms aegis aegis also automatically translates patient report full narrative history present illness hpi aimed compare quality computergenerated vs physiciandocumented hpis methods performed crosssectional study paired sample design among individuals visiting outpatient adult gastrointestinal gi clinics evaluation active gi symptoms participants first underwent usual care subsequently completed aegis individual thereby physiciandocumented computergenerated hpi fortyeight blinded physicians assessed hpi quality across six domains using 5point scales overall impression ii thoroughness iii usefulness iv organization v succinctness vi comprehensibility compared hpi scores within patient using repeated measures model results seventyfive patients computergenerated physiciandocumented hpis mean overall impression score computergenerated hpis higher physician hpis 368 vs 280p0001 even adjusting physician visit type location mode transcription demographics computergenerated hpis also judged complete 370 vs 273p0001 useful 382 vs 304p0001 better organized 366 vs 280p0001 succinct 355 vs 317p0001 comprehensible 366 vs 297p0001 conclusions computergenerated hpis higher overall quality better organized succinct comprehensible complete useful compared hpis written physicians usual care gi clinics