在初级保健中,收件箱消息优先级和管理方法
Nate C Apathy1,2, Katelyn Hicks3, Lucy Bocknek4
1Health Policy & Management, University of Maryland School of Public Health, College Park, MD 20742, United States.
JAMIA open
|November 12, 2024
概括
由于时间限制,初级保健临床医生很难优先考虑患者的信息. 协作工作流程和界限设置是有效管理不断增加的消息量的关键.
科学领域:
- 医疗信息学 医疗信息学
- 主要护理医学 医疗保健
- 临床工作流程管理
背景情况:
- 疫情后,患者向临床医生发送信息激增,需要有效的收件箱管理.
- 目前的信息学工作重点是信息分类,但信息优先级仍然是初级保健中的一个挑战.
研究的目的:
- 检查初级保健临床医生如何优先考虑患者信息.
- 了解初级保健医生使用的收件箱工作流程管理策略.
主要方法:
- 对11名初级保健医生进行了半结构化采访.
- 执行收件箱工作观察以分析实时工作流程.
- 分析成绩单以确定与消息优先级和收件箱管理相关的主题和子主题.
主要成果:
- 临床医生报告说,由于时间限制,他们没有优先考虑消息,将优先考虑视为额外的负担.
- 确定了关键主题:建立团队工作流程规范 (尤其是医疗助理),与患者和同事设定界限,并使用消息分类启发式.
- 消息分类涉及精神分类消息的后续,删除/确认,或信息价值.
结论:
- 初级保健中的时间限制阻碍了有效的信息优先级.
- 涉及医疗助理和同位人员的协作工作流程显示出希望,但对于集中资源,需要标准化.
- 医疗保健组织必须支持界限设定,以减轻临床医生管理患者信息的负担.
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