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Related Concept Videos

Barriers to Effective Communication II01:21

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The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
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Differences in Patient Secure Message Volume Among Otolaryngologists: A Retrospective Cohort Study.

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Otolaryngologist inbox burden, mainly from secure messages, varies by subspecialty. Head and neck oncologists face higher burdens, suggesting a need for inbox management support.

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Area of Science:

  • Otolaryngology
  • Health Informatics
  • Medical Practice Management

Background:

  • Physician workload is increasingly impacted by digital communication.
  • Understanding the sources and distribution of inbox tasks is crucial for practice efficiency.

Purpose of the Study:

  • To analyze the differences in inbox and secure message burden among otolaryngologists.
  • To investigate how these burdens vary by demographic factors and subspecialty over a four-year period.

Main Methods:

  • A retrospective cohort study analyzed inbox data from January 2019 to December 2022.
  • Otolaryngologists were categorized by practice area and gender.
  • Inbox tasks, secure messages, and clinical encounters were compared using statistical tests.

Main Results:

  • Otolaryngologists handle an average of 143.5 inbox tasks monthly, with 67.7% being secure messages.
  • The ratio of secure messages per clinical encounter varied significantly by subspecialty, notably higher in oncology.
  • No significant differences in inbox burden were found based on gender or years in practice.

Conclusions:

  • Patient secure messages are the primary driver of inbox burden in otolaryngology.
  • Head and neck oncologists experience a disproportionately high inbox burden.
  • Implementing support systems for inbox management is recommended to balance clinical and non-clinical duties.