更多地与EHR联系在一起:学术初级保健医生中的EHR工作量趋势,2019-2023年
Brian G Arndt1, Mark A Micek2, Adam Rule3
1Department of Family Medicine and Community Health, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin brian.arndt@fammed.wisc.edu.
Annals of family medicine
|January 22, 2024
概括
初级保健医生电子健康记录 (EHR) 的工作量显著增加,医生在EHR系统中花费更多时间,管理更多的患者信息. 卫生系统必须应对这种日益增长的电子健康记录负担,以防止医生压力和劳动力减少.
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
- 主要护理医学 医疗保健
背景情况:
- 电子健康记录 (EHR) 是现代医疗保健提供不可或缺的一部分.
- 医生的工作负担,特别是在初级保健中,是一个越来越令人担忧的问题.
- 随着COVID-19的流行,可能会加剧与EHR相关的负担.
研究的目的:
- 评估初级保健医生 (PCP) 电子健康记录 (EHR) 工作负载的最新趋势.
- 在四年时间内量化EHR时间和相关任务的变化.
- 评估这些趋势对医生劳动力动态的影响.
主要方法:
- 从2019年5月到2023年3月,对141名学术PCP进行了纵向研究.
- 评估门诊全职等效 (aFTE),访问量和小组规模.
- 测量每8小时的EHR时间和收件箱消息量.
主要成果:
- 从疫情前到最近的研究年,PCP每8小时在EHR中的平均时间增加了7.8% (+28.4分钟).
- 订单,收件箱消息,图表查看和EHR中的笔记所花费的时间也大幅增加.
- 医生收到更多的患者建议和处方请求,而患者的呼叫和结果信息减少了.
- 总EHR时间持续上升,计划外时间增加.
- 在研究期间,PCP的平均aFTE下降了5.2%.
结论:
- PCP EHR的工作量,包括在系统中花费的时间和管理收件箱消息,继续增加.
- 收件箱时间,虽然最近略有下降,但与大流行前水平相比仍然大幅增加.
- 卫生系统需要实施战略,以减少电子健康记录负担,减轻医生的职业压力,并防止劳动力消耗.
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