Health care units use a number of methods to produce patient documentation. Some organisations have outsourced all their medical transcription work, while others use in-house transcriptionists. A combination of these two methods is also used. In addition, medical transcriptions are produced using speech recognition, which can be the only, primary or secondary way of producing documentation in the organisation. Whatever the method, the ultimate goal is to achieve quick turnaround times for new entries and to produce high-quality texts.