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外科医生在电子健康记录使用中的性别差异
Karen Malacon1, Gavin Touponse1, Ezra Yoseph1
1Department of Neurosurgery, Stanford University Medical Center, Stanford, California.
JAMA network open
|July 23, 2024
概括
女性外科医生花更多的时间处理电子健康记录 (EHR),并比男性外科医生写更长的笔记. 这种增加的文档负担可能会导致女性在外科手术中的倦怠和支付差距.
科学领域:
- 医疗信息学 医疗信息学
- 在外科手术实践中.
- 健康 公平 卫生 公平
背景情况:
- 电子健康记录 (EHR) 的使用是现代手术实践的组成部分.
- 了解EHR使用的基于性别的差异对于解决医生福祉和潜在差异至关重要.
研究的目的:
- 调查和量化参与手术的外科医生在电子病历使用模式中的性别差异.
- 确定男性和女性外科医生之间的时间分配和记录实践不同的特定领域.
主要方法:
- 一项横截面研究分析了一家学术医院的224名外科医生的EHR数据.
- 数据包括患者接触,在电子健康记录中花费的时间,笔记长度和文档量.
- 统计分析,包括克鲁斯卡尔-瓦利斯测试和多变量线性回归,用于比较性别之间的结果.
主要成果:
- 与男性外科医生相比,女性外科医生每张笔记花费了更多的时间,并写了较长的住院和门诊笔记.
- 虽然在EHR的总体时间相似,但女性外科医生在标准诊所时间之外花费了更多的时间登录.
- 男性外科医生每月完成的医疗记录更多,但女性外科医生手工写的笔记的比例更高.
结论:
- 女外科医生在EHR系统中面临着不成比例的更高的文档负担.
- 这些发现突出了导致倦怠的潜在因素,并为促进外科专业性别平等的战略提供了信息.
- 解决这些与电子健康记录相关的工作量差异对于医生福祉和公平补偿至关重要.
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