医生倦怠与感知到的EHR工作压力以及潜在的可采取行动因素的关联
Ming Tai-Seale1,2,3,4,5, Sally Baxter4,5,6, Marlene Millen4,5
1Family Medicine, UC San Diego School of Medicine, La Jolla, California, USA.
概括
医生倦怠与电子健康记录 (EHR) 压力和行政任务有关. 解决这些EHR因素和支持年轻的医生可以改善福祉.
科学领域:
- 医疗信息学 医疗信息学
- 职业健康 职业健康 职业健康
- 医生福利 医生福利
背景情况:
- 在COVID-19大流行期间,医生面临着前所未有的压力因素,加剧了现有的倦怠.
- 电子健康记录 (EHR) 增加了医生的工作量和压力.
- 了解与倦怠相关的因素对于有针对性的干预至关重要.
研究的目的:
- 检查燃烧和感知/可采取行动的EHR工作负载因素之间的关联.
- 确定与医生倦怠相关的个人,专业和组织特征.
- 发现干预的关键领域,以减轻医生倦怠.
主要方法:
- 在一个学术医疗中心对所有专业的医生进行了一项调查.
- 燃烧被评估使用标准措施,与自我报告的EHR压力一起进行评估.
- 通过处方再授权信息量化了EHR工作量;进行了多变量回归分析.
主要成果:
- 近50%的受访医生报告了倦怠症状.
- 更高的倦怠率与增加的电子健康记录压力,处方重新授权信息和被低估的感觉相关.
- 倦怠也与睡眠时间少于6小时和职业生涯早期的医生 (≤15年) 有关.
结论:
- 感知到的EHR压力和处方重新授权信息是显著的燃烧预测器.
- 非EHR因素,如感觉被低估和与领导力的价值不一致,也会导致倦怠.
- 支持年轻医生和解决可操作的EHR杆的多方面的战略对于可持续的福祉至关重要.
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