电子健康记录在幸福调查受访者和非受访者中的使用模式:纵向观察性研究
Daniel Tawfik1, Tait D Shanafelt2,3, Mohsen Bayati4
1Department of Pediatrics, Stanford University School of Medicine, Palo Alto, CA, United States.
JMIR medical informatics
|February 4, 2025
概括
电子健康记录 (EHR) 使用数据可以识别不响应调查的医生,揭示非响应者中更高的倦怠率. 这有助于估计真正的医生倦怠率,改善幸福感的洞察力.
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:
- 医生调查对于了解医生经验至关重要,但非响应偏差可能会限制研究结果.
- 电子健康记录 (EHR) 数据提供了一种潜在的方法来评估非响应者的经验.
- 了解非受访者特征是提高调查代表性的关键.
研究的目的:
- 为了识别EHR,使用与医生调查答案相关的措施.
- 开发用于估计医生群体调查结果的方法.
- 评估EHR数据对了解医生倦怠和调查非响应的有用性.
主要方法:
- 初级保健医生的长度观察研究 (2019-2020年).
- 量化EHR使用和倦怠症状 (情绪疲劳,人际疏远).
- 使用处罚线性回归和倾向权重来模型燃烧和响应预测.
主要成果:
- 响应者和非响应者具有相似的人口统计数据,但不同的临床工作负载和EHR效率.
- 电子健康数据使用措施有效地歧视了调查受访者和非受访者 (AUC=0.88).
- 非响应者 (52%) 的预测倦怠率高于响应者 (28%),估计人口患病率为31%.
结论:
- 电子健康记录使用数据可以区分调查受访者和非受访者.
- 虽然在直接预测倦怠方面存在局限性,但EHR数据有助于理解非响应者的影响.
- 电子健康数据指标可以为提高调查响应率和改善医生健康评估的策略提供信息.
关键词:
欧洲人权理事会 欧洲人权理事会燃烧症是什么? 燃烧症是什么?电子健康记录 电子健康记录电子健康记录的元数据电子医疗记录 电子医疗记录经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验经验.医疗记录 医疗记录纵向研究是指纵向研究.观察性研究是指观察性研究.患者记录 患者记录个人健康记录 个人健康记录医生是医生,医生是医生.响应偏差是一种反应偏差.调查调查调查调查调查使用使用使用使用使用使用.幸福感就是幸福感.
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