Multivariable linear regression analysis revealed many factors associated with total visit time including patient, physician, and clinic infrastructure factors.Ĭonclusions: Primary care physicians spent more time working in the EHR than they spent in face-to-face time with patients in clinic visits.Ī survey by the Office of the National Coordinator for Health Information Technology in 2014 reported that 87% of primary care physicians used electronic health records (EHRs). The total time and total EHR time varied only slightly between faculty physicians, third-year and second-year residents.
The mean time components included 2.9 (3.8) minutes working in the EHR prior to entering the room, 16.5 (9.2) minutes of face-to-face time not working in the EHR, 2.0 (2.1) minutes working in the EHR in the room (which occurred in 73.4% of the visits), 7.5 (7.5) minutes of non-face time (mostly EHR time), and 6.9 (7.6) minutes of EHR work outside of normal clinic operational hours (which occurred in 64.6% of the visits). Results: The mean (SD) visit length was 35.8 (16.6) minutes, not counting resident precepting time. We measured total visit time, previsit chart time, face-to-face time, non-face time, out-of-hours EHR work time, and total EHR work time. The FPs were purposely chosen to reflect a diversity of patient care styles. Methods: We directly observed family physician (FP) attendings, residents, and their ambulatory patients in 982 visits in clinics affiliated with 10 residencies of the Residency Research Network of Texas.
#AVERAGE TIME DOCTOR SPENDS WITH PATIENT UPDATE#
In this study, we update previous research on the time required to care for patients in primary care clinics with EHRs. Background and Objectives: Electronic health records (EHRs) have had mixed effects on the workflow of ambulatory primary care.
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