Effect of digitization of medical case files on doctor patient relationship in an Out Patient Department setting of Northern India: A comparative study





Electronic Health Records, Primary Healthcare, Physician Patient Relationship, Patient Satisfaction, India


Background: Digitization of health records and health delivery processes in health care settings may have an impact on the Patient-Physician communication, wait times, that affect the overall patient satisfaction with the health care services. Aim & Objective: We ascertained the effect of digitization of medical case files on the doctor patient relationship (DPR) domain of patient satisfaction at an urban primary health center in India. Settings and Design: Comparative, cross-sectional study in primary health centres. Methods and Material: The patient satisfaction was compared between the patients attending the Public Health Dispensary (PHD) that uses digitized medical case file system and a Civil Dispensary (CD) which follows the conventional paper based medical records, using a Patient Satisfaction Questionnaire (PSQ). Statistical analysis used: Univariate analysis was done by chi-square test and adjusted analysis was done by multiple linear regression. Results: Patient satisfaction in DPR was found to be same between the digitized medical case files based and conventional OPD (p=0.453). Significantly higher overall patient satisfaction was reported in the conventional paper based OPD than the digitized OPD (p<0.001). Conclusions: Patient satisfaction towards the doctor-patient relationship (DPR) was same between paper based OPD and the digitized medical case files based OPD.


Download data is not yet available.


Rizer MK, Sieck C, Lehman JS, et al. Working with an Electronic Medical Record in Ambulatory Care: A Study of Patient Perceptions of Intrusiveness. Perspect Heal Inf Manag 2017; 14(Winter): 1g.

Cline L. The electronic health record and patient-centered care. Nurs Manage 2020; 51: 6–8.

Legler A, Price M, Parikh M, Nebeker JR, Ward MC, Wedemeyer L, Pizer SD. Effect on VA Patient Satisfaction of Provider’s Use of an Integrated Viewer of Multiple Electronic Health Records. J Gen Intern Med 2019; 34(1): 132.

Marmor RA, Clay B, Millen M, Savides TJ, Longhurst CA. The Impact of Physician EHR Usage on Patient Satisfaction. Applied clinical informatics 2018; 9(1): 11–14.

Shaarani I, Taleb R, Antoun J. Effect of computer use on physician-patient communication using a validated instrument: Patient perspective. Int J Med Inform 2017; 108: 152–157.

Wali RM, Alqahtani RM, Alharazi SK, et al. Patient satisfaction with the implementation of electronic medical Records in the Western Region, Saudi Arabia, 2018. BMC Fam Pract 2020;21(1): 37.

Mehra P. Outpatient clinic waiting time, provider communication styles and satisfaction with healthcare in India. Int J Health Care Qual Assur 2016; 29(7): 759–777.

Mohd A, Chakravarty A. Patient satisfaction with services of the outpatient department. Med J Armed Forces India 2014; 70(3): 237–242.

Grogan S, Conner M, Norman P, et al. Validation of a questionnaire measuring patient satisfaction with general practitioner services. Qual Heal Care 2000; 9(4): 210–215.

Ng JHY, Luk BHK. Patient satisfaction: Concept analysis in the healthcare context. Patient Educ Couns 2019; 102(4): 790–796.

Park S, Xu J, Smith FS, et al. What Factors Affect Patient Perceptions on Their Hospital Experience? Hosp Top 2020; 98(3): 127–134.

Tsai CH, Eghdam A, Davoody N, et al. Effects of electronic health record implementation and barriers to adoption and use: a scoping review and qualitative analysis of the content. Life 2020;10(12):327.

Eberts M, Capurro D. Patient and Physician Perceptions of the Impact of Electronic Health Records on the Patient–Physician Relationship. Appl Clin Inform 2019; 10(4): 729.

North F, Pecina JL, Tulledge-Scheitel SM, Chaudhry R, Matulis JC, Ebbert JO. Is a switch to a different electronic health record associated with a change in patient satisfaction? J Am Med Inform Assoc 2020; 27(6): 867–876.

Antoun J, Hamadeh G, Romani M. Effect of computer use on physician-patient communication using interviews: A patient perspective. Int J Med Inform 2019; 125: 91–95.

Pérez-Santonja T, Gómez-Paredes L, Álvarez-Montero S, et al. [Electronic medical records: Evolution of physician-patient relationship in the Primary Care clinic]. Semergen 2017; 43: 175–181.

Ou MT, Kleiman H, Kalarn S, et al. A Pilot Study on the Effects of Physician Gaze on Patient Satisfaction in the Setting of Electronic Health Records. J Acad Ophthalmol 2019; 11: e24–e29.

Shaarani I, Berjaoui H, Daher A, et al. Attitudes of patients towards digital information retrieval by their physician at point of care in an ambulatory setting. Int J Med Inform 2019; 130: 103936.

Merz V, Ferro A, Piras EM, et al. Electronic Medical Record-Assisted Telephone Follow-Up of Breast Cancer Survivors During the COVID-19 Pandemic: A Single Institution Experience. JCO Oncol Pract 2021; 17: e44–e52.

Mwachofi AK, Khaliq AA, Carrillo ER, et al. Technology versus humanism: how patients perceive the use of electronic health records in physicians’ offices--a qualitative study. Health Commun 2016; 31: 257–264.

Cavuoto KM, Monsalve P, Chang TC. The Impact of the Transition to an Electronic Medical Record on Patient Perceptions in a Pediatric Ophthalmology Practice. J Pediatr Ophthalmol Strabismus 2016; 53: 173–178.

Lulejian A, Cantor MN. Measuring Patient and Staff Satisfaction Before and After Implementation of a Paperless Registration System. J Healthc Manag 2018; 63: e20–e30.

Torabipour A, Badieenasab P, Dolatshah M. Factors affecting the relationship between physician and patient in Ahvaz Community Health Centers. Iran J Heal Sci 2018; 6: 45–52.

Chen AJ, Baxter SL, Gali HE, et al. Evaluation of Electronic Health Record Implementation in an Academic Oculoplastics Practice. Ophthal Plast Reconstr Surg 2020; 36: 277–283.




How to Cite

Gandhi P A, Goel K, Gupta M, Singh A. Effect of digitization of medical case files on doctor patient relationship in an Out Patient Department setting of Northern India: A comparative study. Indian J Community Health [Internet]. 2022 Dec. 31 [cited 2024 May 24];34(4):477-82. Available from: https://www.iapsmupuk.org/journal/index.php/IJCH/article/view/2408



Original Article

Most read articles by the same author(s)

1 2 > >>