电子健康记录的可用性,满意度和家庭医生的疲劳
A Jay Holmgren1, Nathaniel Hendrix2, Natalya Maisel1
1Division of Clinical Informatics and Digital Transformation, University of California, San Francisco.
JAMA network open
|August 29, 2024
概括
医生对电子健康记录 (EHR) 的满意度与减少倦怠有关. 电子健康系统的可用性是关键,效率策略只有利于那些具有高度可用的系统的人.
科学领域:
- 医疗信息学 医疗信息学
- 医生福利 医生福利
- 医疗保健服务研究 医疗服务研究
背景情况:
- 电子健康记录 (EHR) 与医生的幸福感下降有关.
- 了解EHR可用性对医生满意度和倦怠的影响至关重要.
- 团队和技术策略可能会缓解这种联系.
研究的目的:
- 为了测量家庭医生对EHR可用性的满意度.
- 评估EHR可用性,满意度和倦怠之间的关联.
- 评估EHR效率策略的调节作用.
主要方法:
- 对寻求重新认证的家庭医生进行横截面调查.
- 从2021年12月到2022年10月收集的数据.
- 评估了6个领域的EHR可用性,并采用了4个效率策略.
主要成果:
- 27.2%的医生对他们的电子病历表非常满意; 26.3%的医生报告了出色的可读性,而警报可用性最低.
- 在数据输入,工作流程调整,信息检索和警报方面,更高的EHR可用性与更高的医生满意度相关.
- 非常满意的医生报告说,燃烧程度较低 (β=-0.64).
- 提高效率的策略只提高了医生对高可用的电子健康记录的满意度.
结论:
- 大约四分之一的家庭医生对他们的电子病历非常满意,同样比例的人不满意.
- 电子健康系统警报的可用性是需要改进的一个重要领域.
- 通过高度可用的电子健康记录系统,减少电子健康记录负担的干预措施最有效.
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