电子健康记录中的性别差异儿科外科医生专家之间的收件箱信息量
Darren Ha1, Nicole Russell2, Kaitlin E Olson3
1University of Colorado School of Medicine, 13001 E 17(th) Place, Aurora, CO 80045, USA.
Journal of pediatric surgery
|February 4, 2025
概括
外科医生的性别没有预测儿科外科子专业的电子健康记录 (EHR) 信息量或长度. 这项研究没有发现这些专家在电子健康记录沟通模式中存在基于性别的差异.
科学领域:
- 儿科手术 儿科手术
- 医疗信息学 医疗信息学
- 医学中的性别平等.
背景情况:
- 之前的研究探讨了医生的性别和电子健康记录 (EHR) 对于性别平等的利用.
- 这种关系尚未在儿科外科子专家中进行研究.
- 假设:女性外科医生收到更多的收件箱消息,并且比男性外科医生收到的信息更长.
研究的目的:
- 调查外科医生的性别与电子病历使用模式之间的关联.
- 确定性别是否影响儿科外科子专家接收的信息的数量和长度.
- 在EHR沟通中评估提供者性别平等.
主要方法:
- 对儿科外科子专家的电子病历使用数据进行了回顾性分析.
- 按性别分层的外科医生,包括在2021年1月至2022年12月期间执行至少五项手术的外科医生.
- 主要结果:收到的收件箱消息数量 (根据外科手术量进行调整) 和消息长度.
主要成果:
- 分析包括41名女性和79名男性外科医生.
- 在单变量分析中,外科医生的性别是收件箱消息数的重要预测因素 (IRR 1.58有利于女性外科医生,p=0.03).
- 在调整了病例复杂度后,这种关联在多变量分析中没有显著意义;外科医生性别没有预测消息长度.
结论:
- 在儿科外科子专家中,外科医生的性别不是收件箱消息数或消息长度的重要预测因素.
- 结果表明,在EHR活动中,性别平等是必要的,避免了潜在的偏见.
- 进一步的研究可能会探索影响电子健康记录使用的其他因素.
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