We reviewed both our work and the broader literature on risk pooling systems in the article that we published Nature Human Behaviour. Participants should have a consensus about what constitutes need Participants should not be not expected to help others until they have taken care of their own needs Giving to those in need should not create an obligation for them to repay Participants should agree that the pool is for needs that arise unpredictably, not for routine, predictable needs We found that successful risk pooling systems followed seven key design principles. The scale of the network should be large enough to cover the scale of risks Individuals should be able to decide which partners to accept Resources should be either naturally visible or made visible to reduce cheating It combines efficient documentation and patient-centered care at a fraction of the cost of a medical scribe.We were inspired by the work of Elinor Ostrom and her collaborators who, in the early 1990s, showed that the tragedy of the commons did not necessarily have to end in tragedy. Medical dictation software is simple, intuitive, and reliable. This means you can review notes for accuracy as you go, and there’s no waiting around for your patient charts to be completed. Your words appear instantly on the screen and are automatically saved in your existing EHR. Physicians use apps like Mobius to efficiently dictate clinical notes during and just after patient visits, so nothing is missed and there’s no charting homework. Mobius can listen as fast as you speak, and it recognizes medical terminology out-of-the-box. Providers use Mobius to dictate directly into the EHR via a mobile app on the smartphone or tablet they already own. It’s available within the Mobius Clinic app and provides unlimited usage across all your devices for a flat monthly rate. Mobius is a premium speech-to-text software that uses deep learning to adapt to your voice patterns. Transitioning to a modern medical dictation software avoids all of these challenges. There is bound to be miscommunication between scribes and physicians, which can lead to inaccuracy and messy legal situations. A human scribe raises fraud and liability concerns.Even the fastest typists can’t compare to the speed of dictating with voice recognition software. Medical scribes type dictated clinical notes, meaning documentation speed is still limited by typing speed.This can be a major disruption to your clinical workflow. Scribes are people who will inevitably need days off and call in sick.Trust is a vital part of effective patient care, and many patients are less candid in the presence of someone who isn’t medically trained. As another person in the room, scribes affect the doctor-patient relationship.Hiring a medical scribe comes with additional challenges that aren’t a factor with dictation software. While hiring a medical scribe may be worth what you pay, dictation software can provide similar benefits at a fraction of the cost. By comparison, medical grade dictation software might cost $2 – 5,000/year. Medical scribes make around $20/hour, equivalent to around $40,000/year. Hiring means an additional salary per provider. There are a few reasons why dictation software may be a better solution for your practice than hiring a medical scribe. But if a medical scribe sounds ideal, consider modern dictation software. Providers are free to focus on treating patients with minimal time spent reviewing and dictating notes. Many scribes are professionally trained, and they can capture most relevant clinical information in real time during a patient visit. Hiring a medical scribe may seem like the obvious solution. The result across specialities is work-life imbalance, professional dissatisfaction, and high rates of physician burnout. A recent study found that family physicians in Wisconsin spend on average six hours in the EHR daily, including 90 minutes after hours. Documentation in the digital era is awkward, repetitive, impersonal, and slow. Whether scribe or software, it’s no wonder physicians are looking for any alternative to typing clinical notes into the EHR. If you’ve previously written off dictation software as too clunky or burdensome, it’s time to think again. Many doctors hire medical scribes as a way to manage the burden of digital documentation, but they often overlook a third option: medical grade voice recognition software. With the advent of electronic health records physicians are spending hours a day on the computer typing clinical notes.
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