The use of medical scribes in primary care decreased physician electronic health record (EHR) burden, improved work efficiency, and enhanced patient visit interactions, according to a new study. The 12-month crossover study evaluated the association of use of medical scribes with primary care physician (PCP) workflow and patient experience. PCPs were randomly assigned to start the first 3-month period with or without scribes and then alternated exposure status every 3 months for 1 year. The PCPs completed a 6-question survey at the end of each study period. Patients of participating PCPs were surveyed after scribed clinic visits. Researchers found:
- Of the 18 participating PCPs, 10 were women, 2 were internal medicine physicians, and 6 were family practice physicians.
- Compared with nonscribed periods, scribed periods were associated with less self-reported after-hours EHR documentation.
- Scribed periods were also associated with higher likelihood of PCP-reported spending >75% of the visits interacting with the patient and <25% of the visit on a computer.
- 61.2% of patients reported that scribes had a positive bearing on their visits.
Mishra P, Kiang JC, Grant RW. Association of medical scribes in primary care with physician workflow and patient experience. [Published online ahead of print September 17, 2018]. JAMA Intern Med. doi:10.1001/jamainternmed.2018.3956,
This Week's Must Reads
Acute Illness and Cannabis Use in Adults, Ann Intern Med; ePub 2019 Mar 26; Monte, et al
Pregnancy History and Risk of Miscarriage, BMJ; ePub 2019 Mar 20; Magnus, et al
Firearms Mortality Among US Schoolchildren, Am J Med; ePub 2019 Mar 25; Rubenstein, et al
Must Reads in Practice Management
Greater PCP Supply & Population Mortality, JAMA Intern Med; ePub 2019 Feb 18; Basu, et al
Team-Based Primary Care in Chronically Ill Patients, JAMA Intern Med; ePub 2018 Nov 26; Meyers, et al
Medical Scribes & Improved Workflow in Primary Care, JAMA Intern Med; ePub 2018 Sep 17; Mishra, et al
Does Physician Age Impact Elderly Patient Outcomes?, BMJ; 2017 May 16; Tsugawa, Newhouse, et al
Physician Time Allocation in Ambulatory Practice, Ann Intern Med; 2016 Dec 6; Sinsky, Colligan, et al