![]() ![]() Although harder to assess than quantitative variables, current literature suggests medical scribes may improve clinician satisfaction while having an unclear effect on patient satisfaction.Ĭlinician satisfaction is measured in a variety of ways. Scribes may also increase revenue by simply ensuring more comprehensive coding, billing at a higher level separate from changes in productivity.Ĭlinician and patient satisfaction are important health care system outcomes. Because of low costs and increased productivity, clinicians can see more patients or accomplish more with ones they do see, increasing net revenue. Scribes in the United States earn about $12 an hour. Perhaps a byproduct of increased productivity, net revenue also increased with scribe use. Physicians using scribes were more administratively efficient during shifts, reducing the need to complete charts after hours. More RVUs per hour means more work per hour.) That division of labor-physicians focused on clinical responsibilities and scribes on administrative ones-seems to be more productive than physicians doing both.Įven further, scribe use decreased documented physician overtime. ( Although imperfect, RVUs are a way to measure the amount of work associated with a procedure or clinical activity relative to others. The number of work relative value units (RVUs) completed per hour often increased as well. However measured, the literature suggests that scribes are associated with an increase in physician productivity.įor example, several studies found that scribe use increased the number of patients seen per hour. Productivity measures how much work is done per unit of input and is measured in a variety of ways across studies. This suggests scribes do not reduce the documentation burden overall, they simply shift the responsibility from the clinician to themselves. However, a study on the effect of scribes in a pediatric emergency department found that the time required to complete patient charts did not decrease. Another study found use of scribes was associated with less self-reported after-hours documenting EHRs by primary care physicians at 2 medical center facilities. And it sort of works.”Ī recent study published in JAMA Internal Medicine noted a reduction in time spent by clinicians on EHR documentation, both during clinics and after hours, when scribes were used. Now computers have become inefficient, so we’re hiring more humans. We replaced paper with computers because paper was inefficient. In a recent New Yorker article, Atul Gawande, MD, MPH, wrote, “This fix is, admittedly, a little ridiculous. Scribes may alleviate some of this burden. Clinicians often lament the time spent charting rather than spent with patients. Shared Decision Making and CommunicationĮlectronic health records are intended to improve efficiency and organization, but they have also proved cumbersome.Scientific Discovery and the Future of Medicine.Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience.Challenges in Clinical Electrocardiography. ![]()
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