Completion Rate and Satisfaction With Online Computer-Assisted History Taking Questionnaires in Orthopedics: Multicenter Implementation Report

Collecting the medical history during a first outpatient consultation plays an important role in making a diagnosis. However, it is a time-consuming process, and time is scarce in today's health care environment. The computer-assisted history taking (CAHT) systems allow patients to share their...

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Bibliographic Details
Published in:JMIR medical informatics 2024-11, Vol.12, p.e60655-e60655
Main Authors: Craamer, Casper, Timmers, Thomas, Siebelt, Michiel, Kool, Rudolf Bertijn, Diekerhof, Carel, Caron, Jan Jacob, Gosens, Taco, van der Weegen, Walter
Format: Article
Language:English
Subjects:
Adult
Aged
Algorithms
Automation
Computerized History Taking
Digital Health, Telehealth and e-Innovation in Clinical Settings
Electronic health records
Family physicians
Female
Hospitals
Humans
Implementation Report
Knee
Male
Medical history
Medical History Taking - methods
Medical History Taking - standards
Middle Aged
Orthopedics
Patient Satisfaction
Personal grooming
Questionnaires
Research Instruments, Questionnaires, and Tools
Surveys and Questionnaires
Text messaging
Tools and Questionnaires in Human Factors Evaluation
Citations: Items that this one cites
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Summary:Collecting the medical history during a first outpatient consultation plays an important role in making a diagnosis. However, it is a time-consuming process, and time is scarce in today's health care environment. The computer-assisted history taking (CAHT) systems allow patients to share their medical history electronically before their visit. Although multiple advantages of CAHT have been demonstrated, adoption in everyday medical practice remains low, which has been attributed to various barriers. This study aimed to implement a CAHT questionnaire for orthopedic patients in preparation for their first outpatient consultation and analyze its completion rate and added value. A multicenter implementation study was conducted in which all patients who were referred to the orthopedic department were invited to self-complete the CAHT questionnaire. The primary outcome of the study is the completion rate of the questionnaire. Secondary outcomes included patient and physician satisfaction. These were assessed via surveys and semistructured interviews. In total, 5321 patients were invited, and 4932 (92.7%) fully completed the CAHT questionnaire between April 2022 and July 2022. On average, participants (n=224) rated the easiness of completing the questionnaire at 8.0 (SD 1.9; 0-10 scale) and the satisfaction of the consult at 8.0 (SD 1.7; 0-10 scale). Satisfaction with the outpatient consultation was higher in cases where the given answers were used by the orthopedic surgeon during this consultation (median 8.3, IQR 8.0-9.1 vs median 8.0, IQR 7.0-8.5; P
ISSN:2291-9694
2291-9694
DOI:10.2196/60655