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Nuance Survey Reveals Patients Value Technology, but not at the Expense of Time and Engagement with Physicians

Data from 3,000 respondents across U.S., UK and Germany reveals high expectations for patient-physician relations when it comes to quality medical care

BURLINGTON, Mass., March 30, 2015 – The healthcare industry has made great strides in finding new technologies to help patients stay engaged in their health and interact with clinicians. A 3,000-person survey conducted by Nuance Communications, Inc. (NASDAQ: NUAN) across the U.S., UK and Germany found that while 97% of patients are comfortable with technology in healthcare, the physician-patient relationship plays a primary role in the overall patient experience and keeping people satisfied and invested in their health.

Nuance’s survey, “Healthcare from the Patient Perspective,” revealed the importance of physicians establishing a personal connection with patients through eye contact, a handshake, 1:1 conversation and privacy in the exam room. Technology is seen as an enhancement, and should play a supporting role.

Differing Opinions on Technology in the Hands of Physicians

According to a 2013 RAND Corporation study, physicians believe technology challenges are to blame for most of their frustrations, with 43 percent feeling electronic health records (EHRs) slow them down and 36 percent reporting EHRs interfere with face-to-face care. However, in Nuance’s study, virtually all patients report they are comfortable with their physician using technology during a consultation and 58 percent believe this technology positively impacts their overall experience especially when used collaboratively to educate or explain.

“Physicians just don’t spend enough time with their patients nor do they look at their patients anymore. I hear that complaint from patients on a regular basis” says Mark Michelman, MD, MBA, vice president of medical affairs, BayCare Health Network, Clearwater, Florida. ”The electronic medical record and mandated regulatory documentation are requiring the physicians to spend much more time on the computer and allowing them less time to spend with their patients. This has a very negative effect on the patients who want the physician to spend more time with them and actually have eye contact with them, not with the computer.”

At the heart of the visit, patients agree on the top things physicians cannot ignore when it comes to quality medical care:

  • 73 percent say "time for discussion;"
  • 66 percent say "verbal communication of specific recommendations;"
  • The third-most important factor varies by region
        • Patients in Germany choose privacy in the exam room, while patients in the U.S. and UK value eye contact with physicians.

The Cost of Scribes

Then Using medical scribes to alleviate the time and documentation challenges of entering data in EHRs may come at a cost. In this survey, 95 percent of patients report they are completely honest with their physician today, but concerns over privacy topped the charts. Solutions that preserve the physician-patient relationship and enable providers to increase productivity while keeping their focus and eyes on the patient are likely to support a better patient experience.

“Patient engagement is more than just the buzzword of the moment – it’s a key to unlocking a healthier population and fixing some of the widening cracks of the healthcare system,” said Dr. Nick van Terheyden, CMIO, Nuance. “As this survey shows, the relationship between physicians and their patients is paramount in truly achieving engagement with patients in ways that matter most to them.

Physician-Patient Engagement

According to this survey, more than a third of patients spend less than 10 minutes with their physician during an average visit. This leaves both patients and physicians tight on time – with 40 percent of patients feeling rushed during appointments.

To help counter the limited time with their physicians, patients are seeking information and embracing technology outside of the doctor’s office to come to appointments prepared. Approximately 80 percent of patients feel engaged in their own health, while:

  • 68 percent of patients bring a list of questions to each doctor's consult;
  • 39 percent have checked WebMD or another online source in advance; and
  • 20 percent bring personal health data from outside monitors.

*This question was a multi-selection response

This survey demonstrates patients are comfortable with the growing role health IT is playing in their care experience when it is in a supporting role. Nuance commissioned the “Healthcare from the Patient Perspective” survey to ensure that physicians, providers and healthcare technology developers understand the patients’ perspective on physicians’ use of health IT when balanced with the Art of Medicine.

For more information, stop by the Nuance booth #1831 at HIMSS15 Annual Conference & Exhibition, and visit Nuance’s Art of Medicine web page to download the “Healthcare from the Patient Perspective” eBook and read related blogs, including Dr. John Halamka’s “Care Traffic Control,” which shares his insights on the survey findings from a CIOs perspective.

About Nuance Communications, Inc

Nuance Communications, Inc. (NASDAQ: NUAN) is a leading provider of voice and language solutions for businesses and consumers around the world. Its technologies, applications and services make the user experience more compelling by transforming the way people interact with devices and systems. Every day, millions of users and thousands of businesses experience Nuance’s proven applications. For more information, please visit

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