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Computer-based Speech Recognition as an Alternative to Medical Transcription

Affiliation of the author: University of Virginia, Charlottesville, Virginia.

Correspondence and reprints: Stephen M. Borowitz, MD, Division of Pediatric Gastroenterology and Nutrition, University of Virginia Health Sciences Center, Box 386 HSC, Charlottesville, Virginia 22908; e-mail: <Witz{at}Virginia.edu>.

The purpose of this report is to describe the author's experience using computerized dictation during routine outpatient medical practice. During a six-month period, patients seen by the author in the Pediatric Gastroenterology Clinic at the University of Virginia were assigned to human or computer-based transcription. Of 1,129 notes, 580 were completed by a transcriptionist and 549 by computer. The total time spent dictating and editing notes was approximately one minute more for computerized dictation than for a human transcriptionist (379.81 ± 132.69 sec vs. 326.14 ± 126.02 sec; P < 0.0001). Notes generated by computer were slightly longer than notes generated by a transcriptionist (52.42 ± 16.45 lines vs. 50.41 ± 16.73 lines; P = 0.0422). Of notes generated by a transcriptionist, 139 (24 percent) were completed within two days of the visit, whereas all notes generated by computer were completed on the day of the visit.

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