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The Use of Electronic Health Records in the Exam Room and Patient Satisfaction: A Systematic Review
Journal of the American Board of Family Medicine, 09/08/09

Irani JS et al. – Studies examining physician EHR use have found mostly neutral or positive effects on patient satisfaction, but primary care researchers need to conduct further research for a more definitive answer.

Methods

The authors searched the literature using MEDLINE (Ovid), EMBASE, CINAHL, Cochrane Library, PsycINFO, Proceedings First, and ProQuest Digital Dissertations.
The authors' inclusion criteria were a description of physician EHR use in the examination room, EHR use in an outpatient setting, setting in the United States, publication year no earlier than 2000, and measurement of patient satisfaction.
The authors included both qualitative and quantitative research.

Results

Several studies had methodological concerns.
6 studies found that physician EHR use had either a positive or neutral effect on patient satisfaction.
One study found a negative effect on the physicians’ perception of patient satisfaction.
The reported statistical results from these studies were not homogenous enough for meta–analysis.