医生电子健康记录使用的变化随着远程医疗的扩大
A Jay Holmgren1, Robert Thombley1, Christine A Sinsky2
1Division of Clinical Informatics and Digital Transformation, Department of Medicine, University of California, San Francisco.
JAMA internal medicine
|October 30, 2023
概括
远程医疗的扩张增加了医生在电子健康记录 (EHR) 和文档上花费的时间,特别是在患者工作时间之外. 这项研究表明,卫生系统需要解决EHR文档负担,并调整医生生产力预期.
科学领域:
- 医疗信息学 医疗信息学
- 医疗信息学 医疗信息学
- 医生倦怠研究研究 医生倦怠研究
背景情况:
- 医生倦怠是一个重大问题,电子健康记录 (EHR) 的负担有助于解决这个问题.
- COVID-19大流行加速了远程医疗的采用,需要对其对EHR负担的影响进行评估.
研究的目的:
- 量化远程医疗使用增加与医生花在电子病历任务和患者消息传递上的时间之间的关联.
- 为了比较COVID-19流行病爆发前后的门诊医生的EHR负担指标.
主要方法:
- 一项纵向队列研究分析了大型学术医疗中心的门诊医生的每周EHR元数据.
- 电子健康记录指标 (电子健康记录中的时间,记录时间,患者信息) 的比较,用于COVID-19大流行开始前1年和1年.
- 多变量回归模型评估了远程医疗使用与电子病历负担之间的关联.
主要成果:
- 疫情后,医生在电子健康记录室的时间在患者预定的时间内外显著增加.
- 文件处理时间也大幅增加.
- 虽然收到的患者信息增加了,但随着远程医疗的使用越来越多,发送给患者的信息减少了.
结论:
- 远程医疗与医生EHR时间的增加有关,主要是为了文档.
- 研究结果表明,卫生系统需要重新评估生产力预期,并制定减轻电子健康记录文件负担的策略.
- 解决EHR负担对于医生福祉和预防倦怠至关重要.
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