Status and Challenges of Medical History Taking in Bangladesh and an Affordable Digital Solution to Tackle Them

Abstract

Capturing patients’ medical histories significantly influences clinical decisions. Errors in this process lead to clinical errors, which increase costs and dissatisfaction among physicians and patients. Physicians in developing countries are overloaded with patients and cannot always follow the proper history-taking procedure. The challenges have been acknowledged; however, a comprehensive understanding of the status and the remedies has remained unexplored. This paper aims to investigate the workload, history-taking challenges, and the willingness of the physicians to accept digital solutions. A cross-sectional online survey was conducted on 104 physicians across Bangladesh, featuring 22 questions regarding their professional environment, workload, digitization status of health records, challenges in history taking, and attitudes toward adopting digital solutions for managing patient histories; 92.67% of the physicians face high workloads, 88.46% struggle in medical history taking, and only 4.81% use digital medical records. About 70% struggle to complete the necessary history-taking steps, emphasizing the urgent need for solutions. A novel visualization system, the Smart Health Gantt Chart (SHGC), has been introduced for their instant feedback. A total of 93.27% of physicians expressed their willingness to use such a system. The proposed SHGC has the potential to enhance healthcare efficiency in developing nations, benefit physicians, and improve patient-centered care.

Keywords

• health informatics
• digital health
• physicians’ workload
• history-taking challenges
• electronic health records (EHRs)
• modern healthcare system