Table 4.

Effect of EHR Integration and Learning on the Satisfaction of Obstetric Patients Only^a

Survey questions	Stage_1	Stage_2	Stage_3	Recoveryb	N
#1 Friendliness/courtesy of nurse/asst	−0.192**	−0.124*	0.024	9, - c	2335
	(0.022)	(0.068)	(0.790)
	[0.125]	[0.787]	[0.986]
#2 Concern of nurse/asst for problem	−0.097	−0.109	−0.062	8, d	2199
	(0.351)	(0.140)	(0.514)
	[0.351]	[0.787]	[0.973]
#3 Friendliness/courtesy of care provider	−0.121	−0.018	0.138	12, d	2336
	(0.150)	(0.789)	(0.213)
	[0.239]	[0.900]	[0.973]
#4 Care provider explanations of prob/condition	−0.115	−0.021	0.087	10, d	2318
	(0.292)	(0.780)	(0.487)
	[0.316]	[0.900]	[0.973]
#5 Care provider concern for questions/worries	−0.135	−0.023	−0.002	12, d	2321
	(0.234)	(0.757)	(0.986)
	[0.276]	[0.900]	[0.986]
#6 Care provider efforts to include in decisions	−0.134	−0.014	0.181	9, d	2206
	(0.194)	(0.852)	(0.151)
	[0.265]	[0.900]	[0.973]
#7 Care provider information about medications	−0.166	−0.058	0.023	8, d	1697
	(0.160)	(0.481)	(0.830)
	[0.239]	[0.814]	[0.986]
#8 Care provider instructions for follow-up care	−0.232**	−0.029	−0.008	12, d	2012
	(0.036)	(0.717)	(0.940)
	[0.134]	[0.900]	[0.986]
#9 Care provider spoke using clear language	−0.081	−0.046	0.044	6, d	2320
	(0.334)	(0.478)	(0.600)
	[0.348]	[0.814]	[0.973]
#10 Time care provider spent with patient	−0.222*	−0.052	0.068	14, d	2333
	(0.063)	(0.532)	(0.585)
	[0.149]	[0.814]	[0.973]
#11 Patients' confidence in care provider	−0.148	−0.053	0.080	10, d	2333
	(0.166)	(0.510)	(0.531)
	[0.239]	[0.814]	[0.973]
#12 Likelihood of recommending provider	−0.141	−0.015	0.125	9, d	2324
	(0.215)	(0.865)	(0.349)
	[0.271]	[0.900]	[0.973]
#13 Convenience of our office hours	−0.090	−0.079	−0.026	4, - e	2329
	(0.264)	(0.242)	(0.838)
	[0.298]	[0.787]	[0.986]
#14 Our sensitivity to patients' needs	−0.163*	−0.015	0.204*	7	2321
	(0.077)	(0.835)	(0.064)
	[0.154]	[0.900]	[0.750]
#15 Our concern for patients' privacy	−0.138**	−0.000	0.084	9	2320
	(0.035)	(0.900)	(0.345)
	[0.134]	[0.997]	[0.973]
#16 Staff respected having family with	−0.134	0.051	0.199	7	1628
	(0.128)	(0.355)	(0.019)
	[0.221]	[0.814]	[0.486]
#17 Cheerfulness of practice	−0.196**	−0.0667	−0.015	7	2327
	(0.043)	(0.296)	(0.871)
	[0.141]	[0.814]	[0.986]
#18 Cleanliness of our practice	−0.130*	0.071	0.004	7	2325
	(0.059)	(0.199)	(0.961)
	[0.149]	[0.787]	[0.986]
#19 Care received during visit	−0.180*	−0.043	0.037	10	2329
	(0.062)	(0.518)	(0.700)
	[0.149]	[0.814]	[0.986]
#20 Likelihood of recommending practice	−0.163*	−0.045	0.101	9, - e	2327
	(0.076)	(0.497)	(0.357)
	[0.154]	[0.814]	[0.973]
#21 Ease of scheduling appointments	−0.142*	−0.167**	−0.107	7, - c	2334
	(0.096)	(0.017)	(0.368)
	[0.178]	[0.436]	[0.973]
#22 Courtesy of person scheduling apt	−0.116	−0.082	−0.011	7	2336
	(0.219)	(0.237)	(0.931)
	[0.271]	[0.787]	[0.986]
#23 Our promptness in returning calls	−0.332***	−0.113	−0.110	8, - e	1904
	(0.007)	(0.201)	(0.384)
	[0.064]	[0.787]	[0.973]
#24 Ability to get desired appointment	−0.348***	−0.040	0.121	8, - c	2323
	(0.001)	(0.677)	(0.526)
	[0.017]	[0.900]	[0.973]
#25 Ease of getting clinic on phone	−0.237**	−0.115	−0.180*	12	2116
	(0.024)	(0.145)	(0.087)
	[0.125]	[0.787]	[0.750]
#26 Courtesy of registration Staff	−0.229***	−0.046	−0.041	9	2323
	(0.007)	(0.470)	(0.636)
	[0.064]	[0.814]	[0.973]

^aUnadjusted p-values are in parentheses based on standard errors that are clustered at the patient level; “family-wise” p-values are in brackets. All regressions include control variables for patient characteristics, experiences on the day of the visit; an indicator for a missing risk score, and indicators for practice, practice site, quarter, three-digit patient zip code, and year.

^bMonths taken for satisfaction to recover to original level.

^cSatisfaction recovers, but becomes negative after Stage 2.

^dSatisfaction recovers in the months shown, but becomes negative after Stage 2, then recovers after Stage 3.

^eSatisfaction recovers, but becomes negative after Stage 3.

^***p < .01, **p < .05, *p < .1 (based on unadjusted p-values).