This retrospective cross-sectional study uses administrative health system databases to analyze data from all 3473 physicians providing ambulatory care through a large New England health care system, which includes 12 hospitals and their ambulatory practices, from October 1, 2019, through December 31, 2020. To identify physician characteristics associated with the transition to virtual health care in a large regional health care system. Physicians transitioning more slowly or not at all could result in access challenges for their patients. The rapid transition to virtual health care has depended on physician and patient abilities to adopt new technology and workflows. These findings provide critical information about VR trends, physician factors, and which providers could benefit from additional training to increase VR adoption in healthcare systems. However, it was lower among US-trained physicians than among internationally-trained physicians (although internationally physicians were in minority) and lower among more senior physicians than among younger physicians. Since 2018, VR adoption has increased significantly across MCHS. VR uptake was 0.5 and 0.6 times lower among US-trained physicians compared to internationally-trained physicians (OR:0.53,95%CI:0.37-0.76 and AOR:0.58,95%CI:0.35-0.97). VR uptake was higher than no uptake (72.0% vs. Of the 1,373 MCHS providers, the mean (SD) age was 48.3 (12.4) years. P-values less than/equal to 0.05 were considered statistically significant. Stata/SE.version.17 was used for analyses. Descriptive statistics and unadjusted and adjusted logistic regression analyses were performed. Covariates included sex, age, US-trained/international medical graduates, trend, specialty, and facility. The study outcome was VR uptake, defined as the median number of hours each provider used VR technology to dictate patient information, and classified as no/yes. To evaluate the uptake/adoption of VR technology for RTD in MCHS, between 2018-2020.ĭMO data for 1,373 MCHS providers from 2018-2020 were analyzed. Since then, MCHS has observed a trend of reduced time in documentation, however, the target goal of 100% adoption of voice recognition (VR)-based RTD has not been met. In 2013, Marshfield Clinic Health System (MCHS) implemented the Dragon Medical One (DMO) system provided by Nuance Management Center (NMC) for Real-Time Dictation (RTD), embracing the idea of streamlined clinic workflow, reduced dictation hours, and improved documentation legibility.
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