量化远程医疗和患者医疗咨询请求信息对医生的影响-工作之外-工作
Soumik Mandal1,2, Batia M Wiesenfeld3, Devin M Mann4,5
1Dept of Population Health, New York University Grossman School of Medicine, New York, NY, USA. mandal.soumik@gmail.com.
NPJ digital medicine
|February 15, 2024
概括
医生的超时工作增加了数字健康工具,如患者信息和远程医疗. 专家们经历了更多的超时工作,突出了更好的工作负载管理的需要.
科学领域:
- 医疗信息学 医疗信息学
- 医疗实践管理 医疗实践管理
- 数字健康数字健康
背景情况:
- COVID-19大流行加速了数字健康的采用,导致医生在标准时间以外的工作量增加.
- 医生面临着来自患者数字信息和远程医疗的日益增长的需求,影响着工作与生活的平衡.
研究的目的:
- 评估数字健康利用,特别是患者信息请求医疗咨询 (PMAR) 和远程医疗对医生的超时临床工作的影响.
- 分析医生专业如何调节数字需求和超时工作之间的关系.
主要方法:
- 一项涉及纽约市1716名门诊护理医生的研究,从2022年11月到2023年3月.
- 用回归分析来评估PMAR和远程医疗对工作外工作的影响.
- 分析区分了初级保健医生和专家.
主要成果:
- 患者信息请求医疗咨询 (PMAR) 显著增加了医生的下班时间.
- 与初级保健医生相比,随着远程医疗使用的增长,专家在超时工作中出现了更明显的增加.
- 初级保健医生显示了较少的PMAR和较少的下班时间的工作趋势,与专家不同的是,远程医疗的增加.
结论:
- 数字健康工具,特别是患者信息,对医生的超时工作量做出了重大贡献.
- 患者小组的专业差异可能解释了数字健康对工作负载的不同影响.
- 减少PMAR量和有效的篮子管理的策略对于减轻医生倦怠至关重要.
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