Computer-assisted medical history taking prior to patient consultation in the outpatient care setting: a prospective pilot project
Abstract Background Feeding patients’ self-reported medical history into the diagnostic care process may accelerate workflows in clinical routine. Methods We prospectively piloted a novel medical history documentation system in a German cardiological outpatient practice and evaluated its feasibility...
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| Language: | English |
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BMC
2024-12-01
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| Series: | BMC Health Services Research |
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| Online Access: | https://doi.org/10.1186/s12913-024-12043-3 |
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| author | Roman Hauber Maximilian Schirm Mirco Lukas Clemens Reitelbach Jonas Brenig Margret Breunig Susanne Brenner Stefan Störk Frank Puppe |
| author_facet | Roman Hauber Maximilian Schirm Mirco Lukas Clemens Reitelbach Jonas Brenig Margret Breunig Susanne Brenner Stefan Störk Frank Puppe |
| author_sort | Roman Hauber |
| collection | DOAJ |
| description | Abstract Background Feeding patients’ self-reported medical history into the diagnostic care process may accelerate workflows in clinical routine. Methods We prospectively piloted a novel medical history documentation system in a German cardiological outpatient practice and evaluated its feasibility and perceived usefulness. Based on a generic software that allows to record structured information, a customized solution for the cooperating practice was developed and implemented. Prior to the consultation of the physician, the patient used a tablet that guided the user through a structured comprehensive workflow to document the medical history. The retrieved information was arranged by the software into a ready-to-use text format, presented to the physician in an editable form and added to her report. Three user-centered endpoints were explored: i) Appropriateness—measured by the duration of a patient interview; ii) Patient acceptance—assessed by three questions to patients; iii) Usefulness—operationalized by multiple ratings of the physician. Results A total of 2,513 patients were approached of which 2,415 provided complete histories. The system was assessed as appropriate for the practical workflow in terms of time and workflows. The patient-system interaction was rated favourably by patients including elderly ones. The system was regarded useful by the physician, reducing her daily workload by about one hour. Conclusions Automated history-taking tools deployed before consultation could support physicians in obtaining patients’ medical histories, thereby reducing professionals’ perceived workload. The technical and methodological limitations of our study should be respected, calling for additional future evaluations. |
| format | Article |
| id | doaj-art-9f93b532861b4fe0b7bdf671581e79f0 |
| institution | Kabale University |
| issn | 1472-6963 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj-art-9f93b532861b4fe0b7bdf671581e79f02024-12-22T12:23:37ZengBMCBMC Health Services Research1472-69632024-12-0124111210.1186/s12913-024-12043-3Computer-assisted medical history taking prior to patient consultation in the outpatient care setting: a prospective pilot projectRoman Hauber0Maximilian SchirmMirco LukasClemens Reitelbach1Jonas Brenig2Margret Breunig3Susanne Brenner4Stefan Störk5Frank Puppe6Department Clinical Research & Epidemiology, Comprehensive Heart Failure Center, University Hospital WürzburgHuman Computer Interaction, Faculty of Media, Bauhaus UniversityComputer Vision Laboratory, Center for Artificial Intelligence and Data Science, University of WürzburgJoint Center for Nephrology & CardiologyFederal Police AcademyDepartment Clinical Research & Epidemiology, Comprehensive Heart Failure Center, University Hospital WürzburgChair for Artificial Intelligence and Knowledge Systems, University of WürzburgAbstract Background Feeding patients’ self-reported medical history into the diagnostic care process may accelerate workflows in clinical routine. Methods We prospectively piloted a novel medical history documentation system in a German cardiological outpatient practice and evaluated its feasibility and perceived usefulness. Based on a generic software that allows to record structured information, a customized solution for the cooperating practice was developed and implemented. Prior to the consultation of the physician, the patient used a tablet that guided the user through a structured comprehensive workflow to document the medical history. The retrieved information was arranged by the software into a ready-to-use text format, presented to the physician in an editable form and added to her report. Three user-centered endpoints were explored: i) Appropriateness—measured by the duration of a patient interview; ii) Patient acceptance—assessed by three questions to patients; iii) Usefulness—operationalized by multiple ratings of the physician. Results A total of 2,513 patients were approached of which 2,415 provided complete histories. The system was assessed as appropriate for the practical workflow in terms of time and workflows. The patient-system interaction was rated favourably by patients including elderly ones. The system was regarded useful by the physician, reducing her daily workload by about one hour. Conclusions Automated history-taking tools deployed before consultation could support physicians in obtaining patients’ medical histories, thereby reducing professionals’ perceived workload. The technical and methodological limitations of our study should be respected, calling for additional future evaluations.https://doi.org/10.1186/s12913-024-12043-3Digital healthClinical documentationKnowledge-based systemTechnological anamnesis conceptInteroperabilityPilot project |
| spellingShingle | Roman Hauber Maximilian Schirm Mirco Lukas Clemens Reitelbach Jonas Brenig Margret Breunig Susanne Brenner Stefan Störk Frank Puppe Computer-assisted medical history taking prior to patient consultation in the outpatient care setting: a prospective pilot project BMC Health Services Research Digital health Clinical documentation Knowledge-based system Technological anamnesis concept Interoperability Pilot project |
| title | Computer-assisted medical history taking prior to patient consultation in the outpatient care setting: a prospective pilot project |
| title_full | Computer-assisted medical history taking prior to patient consultation in the outpatient care setting: a prospective pilot project |
| title_fullStr | Computer-assisted medical history taking prior to patient consultation in the outpatient care setting: a prospective pilot project |
| title_full_unstemmed | Computer-assisted medical history taking prior to patient consultation in the outpatient care setting: a prospective pilot project |
| title_short | Computer-assisted medical history taking prior to patient consultation in the outpatient care setting: a prospective pilot project |
| title_sort | computer assisted medical history taking prior to patient consultation in the outpatient care setting a prospective pilot project |
| topic | Digital health Clinical documentation Knowledge-based system Technological anamnesis concept Interoperability Pilot project |
| url | https://doi.org/10.1186/s12913-024-12043-3 |
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