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Related Experiment Videos

Do primary care physicians prefer dictated or computer-generated discharge summaries?

J E Brazy1, D L Langkamp, N D Brazy

  • 1Department of Pediatrics, University of Wisconsin, Madison.

American Journal of Diseases of Children (1960)
|September 1, 1993
PubMed
Summary

Primary care physicians overwhelmingly prefer computer-generated discharge summaries over dictated ones. This preference stems from the relevance of information for ongoing patient care, improving neonatal intensive care unit transitions.

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Area of Science:

  • Medical Informatics
  • Healthcare Communication
  • Neonatal Care

Background:

  • Discharge summaries are critical for continuity of care after neonatal intensive care unit (NICU) hospitalization.
  • Traditional dictated summaries may have limitations in timeliness and format compared to electronic options.
  • Understanding physician preferences is key to optimizing information transfer.

Purpose of the Study:

  • To compare primary care physician (PCP) preferences for computer-generated versus dictated NICU discharge summaries.
  • To identify factors influencing PCP preferences for discharge summary format.

Main Methods:

  • A survey was mailed to pediatricians and family medicine physicians in a regional referral area.
  • Participants cared for infants discharged from a level III NICU.

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  • Response rate was 78% (45 of 58 physicians).

    • Main Results:

    • 73% of PCPs preferred computer-generated discharge summaries, while only 9% preferred dictated summaries (P < .001).
    • The primary reason for preference was the relevance of information for continued patient care.
    • Preferences were not significantly influenced by years in practice, practice type, reading preference, or computer usage.

    Conclusions:

    • Primary care physicians demonstrate a strong preference for computer-generated NICU discharge summaries.
    • Computer-generated summaries appear to better meet the needs of PCPs for effective patient management post-NICU.
    • This finding supports the adoption and refinement of electronic discharge summary systems.