COVID加剧了医生电子健康记录收件箱负担的性别差异
Lisa Rotenstein1, A Jay Holmgren2
1Department of Medicine, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
随着COVID-19的流行,医生们对患者的信息越来越多. 女性医生经历了更大的信息增加,加剧了电子健康记录 (EHR) 负担的性别差异.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健服务研究 医疗服务研究
- 医生福利 医生福利
背景情况:
- 随着COVID-19大流行,门诊护理发生了重大变化,特别是通过电子健康记录 (EHR) 增加了患者与医生的信息交流.
- 高信息量与医生倦怠和幸福感降低有关.
- 之前存在的差异表明,女性医生已经面临更大的电子健康记录负担和更高的患者信息量.
研究的目的:
- 为了评估大流行对患者信息量的影响.
- 为了比较流行病后男性和女性医生之间的信息量变化.
- 调查在EHR工作负载中性别差异的潜在加剧.
主要方法:
- 利用学术医疗中心的门诊医生的EHR审计日志数据.
- 采用差异差异框架来分析大流行前和后的消息量.
- 通过医生性别分层比较消息量变化.
主要成果:
- 疫情后,所有医生的患者信息量显著增加.
- 与男性相比,女性医生体验到患者信息量不成比例地增加.
- 这一发现表明,在EHR相关的沟通需求中,性别差距可能会恶化.
结论:
- 随着COVID-19大流行,在门诊护理中增加了患者的信息传递负担.
- 女性医生面临着更大的信息量增加,突出并可能加剧现有的性别差异.
- 调查结果强调需要解决影响女性医生的沟通期望和工作负载不平等问题.
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