医生和高级实践从业人员在初级保健和专业实践环境中的工作模式的比较
Lisa S Rotenstein1, Nate Apathy2,3, Susan Edgman-Levitan4
1Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts.
JAMA network open
|June 13, 2023
概括
高级实践从业者 (APP) 和医生在医疗和外科专业中表现出不同的工作模式. 这项研究突出了患者访问和电子健康记录 (EHR) 使用的差异,为团队整合和护理质量评估提供了信息.
科学领域:
- 医疗保健劳动力动力学
- 临床实践模式 临床实践模式
- 医疗信息学 医疗信息学
背景情况:
- 高级实践从业者 (APP),包括执业护士和医生助理,越来越多地成为医疗保健提供不可或缺的一部分.
- 然而,与医生相比,他们的工作模式和在护理团队中的整合仍然不完全理解.
研究的目的:
- 分析和比较不同专业的医生和APP的工作模式.
- 关键的比较领域包括预约安排,访问类型和电子健康记录 (EHR) 的使用.
主要方法:
- 一项全国性的横截面研究,利用使用Epic Systems的美国机构的电子健康记录 (EHR) 数据.
- 分析了2021年1月至5月的数据,以比较医生和APP的预约日,访问类型 (新/已建立,E/M水平) 和EHR时间.
主要成果:
- 在不同专业的医生和APP之间,在预约频率和访问类型方面观察到显著的差异.
- 医生通常管理更多的新患者访问和更高层次的评估和管理 (E/M) 访问.
- 电子病历使用模式各不相同,医学和外科专业的医生在电子病历上花费的时间少于APP,而初级保健医生花费的时间更多.
结论:
- 这项研究揭示了不同专业类型的医生和APP之间临床实践和EHR使用的显著差异.
- 这些发现为了解医生和APP的角色和整合提供了关键的背景,为未来的结果和质量评估奠定了基础.
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