title: Computer-based documentation: effect on parent and physician satisfaction during a pediatric health maintenance encounter.
abstract: OBJECTIVE
  To investigate the impact of a computer-based documentation (CBD) tool on parent and physician satisfaction with a pediatric health maintenance encounter.
  
  
  METHODS
  The project used a preintervention and postintervention design. The preintervention group visits used paper-based forms for data entry, whereas the postintervention visits used CBD. At the conclusion of each encounter, both the physician and the parent completed a survey that assessed their perceptions of the encounter's quality.
  
  
  METHODS
  Urban hospital-based pediatric teaching clinic.
  
  
  METHODS
  Parents and physicians of children 18 months and younger.
  
  
  METHODS
  Parent and physician satisfaction with 7 components of a health maintenance encounter (interim history, social history, anticipatory guidance, developmental assessment, physical examination, assessment, and plan).
  
  
  RESULTS
  There was no change in overall parent or physician satisfaction in the areas of communication or physician helpfulness. Physicians using CBD were less likely to agree that they provided clear explanations but were also less likely to agree that they "acted bossy during the visit." There was no correlation between physician and parent satisfaction or between physician satisfaction and pattern of CBD use. However, there was a strong correlation between physicians' satisfaction and the extent to which they found CBD helpful (Spearman rho = 0.29, P<.001).
  
  
  CONCLUSIONS
  The introduction of CBD into the health maintenance encounter did not affect measured aspects of parent or physician satisfaction; these results support its continued use in that setting.
authors.affiliation: Department of Biomedical Informatics, Vanderbilt University, Nashville, TN, USA. Kevin.johnson@vanderbilt.edu
authors.forename: Kevin B
authors.initials: KB
authors.lastname: Johnson
authors.forename: Janet R
authors.initials: JR
authors.lastname: Serwint
authors.forename: Lawrence M
authors.initials: LM
authors.lastname: Fagan
authors.forename: Richard E
authors.initials: RE
authors.lastname: Thompson
authors.forename: Modena H
authors.initials: MH
authors.lastname: Wilson
mesh_terms: D001292:Attitude to Computers; D003258:Consumer Behavior; D004282:Documentation; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D016347:Medical Records Systems, Computerized; D010290:Parents; D010817:Physician-Patient Relations; D011795:Surveys and Questionnaires; D014481:United States