初级保健医生对整形外科医生沟通的偏好
Christopher P Chiodo1, Brendan M Striano2, Emily Parker3
1Foot and Ankle Division, Department of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, Massachusetts.
The Journal of bone and joint surgery. American volume
|February 22, 2024
概括
初级保健医生 (PCP) 喜欢基于临床情景的骨科专家的特定沟通方法. 优化这些通信可能会减少医生倦怠和电子病历 (EMR) 时间.
科学领域:
- 整形外科手术 整形外科手术
- 主要护理医学 医疗保健
- 医疗信息学 医疗信息学
背景情况:
- 肌肉骨咨询在初级保健中越来越多.
- 初级保健医生 (PCP) 和骨科医生之间的有效沟通可以减轻电子病历 (EMR) 的负担和医生倦怠.
- 对于骨科医生沟通方法的PCP偏好尚未得到充分理解.
研究的目的:
- 为了调查PCP偏好从骨科外科医生在一个大健康网络的沟通.
- 在各种临床场景中确定首选的沟通方法.
- 探索PCP特征与沟通偏好之间的关联.
主要方法:
- 通过使用Epic EMR系统,对15个实践中的175名PCP进行了调查.
- 在特定场景中,PCP使用利克特尺度对骨科医生沟通的重要性进行了评分.
- 评估了首选的沟通方法和对沟通的整体兴趣,分析了后勤回归的关联.
主要成果:
- 107名PCP做出了回应,在需要PCP信息时,高度重视骨科医生沟通 (首选方法:史诗工作人员信息).
- 对手术,住院或重大临床变化的建议也获得了很高的评分,人们更喜欢Epic Chart而不是Staff Message.
- 工作时间后使用EMR的增加与对沟通的兴趣降低相关 (OR 0.65,p=0.005); 43%的PCP报告了倦怠症状.
结论:
- 对于临床沟通,PCP表现出明显的偏好与骨科外科医生相比.
- 观察到显著的PCP燃烧和大量的超时EMR工作.
- 这些发现可以为提高PCP-骨科医生沟通和减少EMR工作量制定策略.
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