Methods: We explore the literature on potential NLP products/services applied to various medical/clinical/healthcare areas. This gap raises questions, such as what has medical NLP achieved in each medical field, and what is the burden for the practical use of NLP? This paper aims to clarify the above questions. Although numerous medical NLP papers are published annually, there is still a gap between basic NLP research and practical product development. Objectives: Owing to the rapid progress of natural language processing (NLP), the role of NLP in the medical field has radically gained considerable attention from both NLP and medical informatics. We conclude that a patient-centered digital scribe may be an effective tool for automatic medical documentation. It may also be more reliable compared to previous approaches that solely use machine learning. Results also suggested that providers required minimal training to use the digital scribe, and that they improved at using the system to document history sections.Ĭompared to typing and dictation, a patient-centered digital scribe may facilitate effective patient communication. For physical exam sections, the digital scribe was about 2.17 times faster than typing and about 3.12 times faster than dictation. We conducted a proof-of-concept study by simulating patient encounters with two medical students.įor history sections, the digital scribe was about 2.7 times faster than both typing and dictation. We also utilized text classification to allow providers to simultaneously perform and document the physical exam. Another element was signposting, which involved providers using transition questions and statements to guide the conversation. One element was summarizing, which involved providers recapping information to confirm an accurate understanding of the patient. We utilized two elements of patient-centered communication to document patient history. We demonstrate that patient-centered communication may allow providers to simultaneously talk to patients and efficiently document relevant information. Patient-centered communication may improve patient satisfaction, reduce malpractice rates, and decrease diagnostic testing expenses. Excessive time spent on medical documentation may contribute to physician burnout. We developed a digital scribe for automatic medical documentation by utilizing elements of patient-centered communication.
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