دورية أكاديمية
أعرض في EDS

Evaluating the adoption of voice recognition technology for real-time dictation in a rural healthcare system: A retrospective analysis of dragon medical one.

التفاصيل البيبلوغرافية
العنوان: Evaluating the adoption of voice recognition technology for real-time dictation in a rural healthcare system: A retrospective analysis of dragon medical one.
المؤلفون: Onitilo AA; Cancer Care and Research Center, Department of Oncology, Marshfield Clinic Health System, Marshfield, Wisconsin, United States of America.; Marshfield Clinic Research Institute, Marshfield Clinic Health System, Marshfield, Wisconsin, United States of America., Shour AR; Cancer Care and Research Center, Department of Oncology, Marshfield Clinic Health System, Marshfield, Wisconsin, United States of America.; Marshfield Clinic Research Institute, Marshfield Clinic Health System, Marshfield, Wisconsin, United States of America., Puthoff DS; Marshfield Clinic Research Institute, Marshfield Clinic Health System, Marshfield, Wisconsin, United States of America., Tanimu Y; Cancer Care and Research Center, Department of Oncology, Marshfield Clinic Health System, Marshfield, Wisconsin, United States of America.; Marshfield Clinic Research Institute, Marshfield Clinic Health System, Marshfield, Wisconsin, United States of America., Joseph A; NSIA-LUTH Cancer Center, Lagos University Teaching Hospital, Lagos, Nigeria., Sheehan MT; Department of Endocrinology, Marshfield Clinic, Weston, WI, United States of America.
المصدر: PloS one [PLoS One] 2023 Mar 23; Vol. 18 (3), pp. e0272545. Date of Electronic Publication: 2023 Mar 23 (Print Publication: 2023).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
أسماء مطبوعة: Original Publication: San Francisco, CA : Public Library of Science
مواضيع طبية MeSH: Voice Recognition* , Physicians*, Humans ; Retrospective Studies ; Ambulatory Care Facilities ; Delivery of Health Care
مستخلص: Background: In 2013, Marshfield Clinic Health System (MCHS) implemented the Dragon Medical One (DMO) system provided by Nuance Management Center (NMC) for Real-Time Dictation (RTD), embracing the idea of streamlined clinic workflow, reduced dictation hours, and improved documentation legibility. Since then, MCHS has observed a trend of reduced time in documentation, however, the target goal of 100% adoption of voice recognition (VR)-based RTD has not been met.
Objective: To evaluate the uptake/adoption of VR technology for RTD in MCHS, between 2018-2020.
Methods: DMO data for 1,373 MCHS providers from 2018-2020 were analyzed. The study outcome was VR uptake, defined as the median number of hours each provider used VR technology to dictate patient information, and classified as no/yes. Covariates included sex, age, US-trained/international medical graduates, trend, specialty, and facility. Descriptive statistics and unadjusted and adjusted logistic regression analyses were performed. Stata/SE.version.17 was used for analyses. P-values less than/equal to 0.05 were considered statistically significant.
Results: Of the 1,373 MCHS providers, the mean (SD) age was 48.3 (12.4) years. VR uptake was higher than no uptake (72.0% vs. 28.0%). In both unadjusted and adjusted analyses, VR uptake was 4.3 times and 7.7 times higher in 2019-2020 compared to 2018, respectively (OR:4.30,95%CI:2.44-7.46 and AOR:7.74,95%CI:2.51-23.86). VR uptake was 0.5 and 0.6 times lower among US-trained physicians compared to internationally-trained physicians (OR:0.53,95%CI:0.37-0.76 and AOR:0.58,95%CI:0.35-0.97). Uptake was 0.2 times lower among physicians aged 60/above than physicians aged 29/less (OR:0.20,95%CI:0.10-0.59, and AOR:0.17,95%CI:0.27-1.06).
Conclusion: Since 2018, VR adoption has increased significantly across MCHS. However, it was lower among US-trained physicians than among internationally-trained physicians (although internationally physicians were in minority) and lower among more senior physicians than among younger physicians. These findings provide critical information about VR trends, physician factors, and which providers could benefit from additional training to increase VR adoption in healthcare systems.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2023 Onitilo et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
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تواريخ الأحداث: Date Created: 20230323 Date Completed: 20230327 Latest Revision: 20230410
رمز التحديث: 20230411
مُعرف محوري في PubMed: PMC10035815
DOI: 10.1371/journal.pone.0272545
PMID: 36952436
قاعدة البيانات: MEDLINE
الوصف
تدمد:1932-6203
DOI:10.1371/journal.pone.0272545