电子病历临床工作量指标来自北美10,210名胃肠科医生
Jeannie S Huang1,2, Mario Bialostozky1,2
1University of California San Diego School of Medicine, La Jolla, California, USA.
Journal of pediatric gastroenterology and nutrition
|July 22, 2024
概括
基于时间的计费现在对于补偿胃肠科医生至关重要,从旧的相对价值单位 (RVU) 系统转移. 电子医疗记录 (EMR) 数据的分析显示,不同专家花费的时间各不相同,突出显示需要更新的补偿模型.
科学领域:
- 胃肠病学 胃肠病学
- 卫生经济学 卫生经济学
- 医疗信息学 医疗信息学
背景情况:
- 美国的临床工作历来使用相对价值单位 (RVU) 系统进行补偿.
- 在2021年引入基于时间的计费,使时间计费成为工作补偿的关键指标.
- 电子医疗记录 (EMR) 系统,如Epic,现在可以跟踪临床医生的时间,为工作负载分析提供新的数据.
研究的目的:
- 用EMR数据分析临床医生的时间模式.
- 为了比较不同胃肠道学子专业所花费的时间.
- 评估基于时间的指标对临床补偿的影响.
主要方法:
- 从356个北美机构的10,200名胃肠科医生中提取了Epic Signal数据.
- 分析的工作负载指标报告为每个月的组中位数 (四分位数范围).
- 使用非参数测试进行统计比较.
主要成果:
- 胃肠道科医生显示出不同的EMR时间模式,受患者人口统计和实践环境的影响.
- 儿科和学术胃肠道科医生每次接触的时间比以前在RVU模型下补偿的时间要多.
- 在不同的实践领域,时间分配存在显著差异.
结论:
- 当前的补偿基准可能不能充分反映所有胃肠科医生实际投入的时间.
- 基于时间的工作负载指标对于确保临床实践中公平和适当的补偿至关重要.
- 调整补偿模型以纳入时间数据对于不断变化的医疗保健环境是必要的.
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