Computer-generated vs. physician-recorded patient histories: Which is better?

Computer-generated histories of present illness were of higher overall quality, better organized and more useful than with histories written by physicians in gastroenterology clinics, according to a study published in the American Journal of Gastroenterology.

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Researchers performed a cross-sectional study, which included adult GI patients undergoing usual care and then completing AEGIS, a patient–provider portal that systematically collects patient symptoms using a computer algorithm. The HPI generated by the computer and by a physician were evaluated by 48 blinded physicians.

According to study results, the mean overall impression score for computer-generated HPIs was higher than physician HPIs — 3.68 vs. 2.80. Computer-generated HPIs were also judged more complete, more useful, better organized, more succinct and more comprehensible.

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