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by urduntupu 1197 days ago
Technically interesting but solving the wrong problem.

Doctor's already today spent too little time with their patients to understand diseases holistically enough.

Adding technically between these 2 will make treatments in most of the cases worse, not better.

4 comments

Nothing's going to fix that but having more doctors around.

Going from a recorded transcript to a summary note, extracted structured data, and diagnostic codes is a big time saver.

> solving the wrong problem

You seem quite confident about this, but based on the doctors I know writing notes is a real pain and mostly seen as (important) scutwork. They're only given a set amount of time to see a patient (including notes), and if you can reduce notes they'd actually get more time talking and seeing the patient.

> if you can reduce notes they'd actually get more time talking and seeing the patient

You're not thinking like a hospital administrator. Sounds like these doctors can handle 40% more patients to me!

You're both correct. My wife is a psychiatrist. I'm friends with several doctors through her.

Everyone hates notes. However, there are already a bunch of dictation services that help write notes more efficiently. They absolutely work well enough.

Adoption and funding is the primary blocker. When my wife works at facilities that have M-Modal, she's 80%+ faster. However, she works at many, who despite knowing the benefits, simply don't care to spend the time, money, or resources on implementing scribe/dictation services.

What percent of that scutwork is actually note taking rather than clicking a bunch of checkboxes or combo boxes or otherwise navigating through EHR UI?
The last time I visited a doctor, he had an assistant with him that took all the notes.
Right now, drs type notes as you speak to them. If this works, they'd have more time to spend actually listening and talking to you.
Wow, lots of haters in this thread. Having doctors spend less time with clerical/administrative work needed to record conversations will free up more time to focus on patients. I assume the generated note text can be easily modified by the doc if necessary, but saves them the bulk of having to type things up and remember everything that was discussed.