Accepted for/Published in: JMIR Human Factors
Date Submitted: Sep 15, 2022
Open Peer Review Period: Sep 15, 2022 - Nov 10, 2022
Date Accepted: Feb 26, 2023
(closed for review but you can still tweet)
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Patients are Highly Satisfied with Speech Recognition in the Exam Room: An Exploratory Survey
ABSTRACT
Background:
Medical speech recognition is not typically used in exam rooms. Patient perceptions regarding speech recognition in the exam room (SRIER) are therefore unknown.
Objective:
To characterize patient perceptions of SRIER by administering a survey to consecutive patients in three outpatient clinic sites.
Methods:
We used speech recognition to complete the after-visit summary in the patient’s presence, then administered a 4-question exploratory survey to 65 consecutive patients in academic internal medicine, academic specialty, and community family practice clinics in 2021 to characterize patient perceptions of SRIER. All questions were completed by all participants.
Results:
When compared to visits with no microphone, 86% of respondents agreed or strongly agreed their provider addressed their concerns better, and 73% agreed or strongly agreed they understood their provider’s advice better. 99% agreed or strongly agreed a printed after-visit summary was helpful. By comparing “agree” and “strongly agree” responses to neutral responses, patients felt that clinicians using speech recognition in the exam room addressed their concerns better (p<0.0005), they understood their clinician’s advice better (P < 0.0005) and felt that receiving a paper summary was helpful (p<0.0005). Patients were likely to recommend a provider using a microphone based on the Net Promoter Score of 58.
Conclusions:
This survey suggests patients have a very positive perception of speech recognition use in the exam room. Clinical Trial: N/A
Citation
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