临床培训 (TACT) 的时间分配:全国性研究显示,住院医生每小时与患者共度四个小时的管理时间
Sammy Arab1,2, Karanjot Chhatwal1,3, Thomas Hargreaves4
1Imperial College School of Medicine, Imperial College London, South Kensington Campus, London, SW7 2AZ, United Kingdom.
QJM : monthly journal of the Association of Physicians
|June 28, 2025
概括
住院医生 (RDs) 将大部分时间花在非患者面临的行政任务上,导致不满. 简化这些职责对于提高NHS工作满意度和患者护理至关重要.
科学领域:
- 医学教育 医学教育
- 医疗保健管理的管理
- 博士学位培训 博士学位培训
背景情况:
- 英国的住院医生 (RDs) 在临床培训之外面临着越来越多的行政负担.
- 这种工作负载会影响专业发展,工作满意度和患者护理质量.
- 向顾问提供的护理的转变重新分配了责任,加剧了 RDs 的行政负担.
研究的目的:
- 量化住院医生 (RD) 在面向患者和非面向患者的任务之间分配的时间.
- 评估这种时间分配对R&D工作满意度的影响.
- 确定导致研发人员经历的行政工作负担的因素.
主要方法:
- 一个多中心的观察队列研究 (临床培训中的时间分配 - TACT) 进行了七个月 (2024年1月至7月).
- 137名RD (基础年1至专业培训年8) 被观察了四小时,并对五个任务类别进行了时间跟踪.
- 用一个可选的五点利克特尺度调查来评估工作满意度.
主要成果:
- 研发人员73.0%的时间用于非面向患者的任务,而面向患者的活动占17.9%.
- 女性研发人员花费的非面对病人的时间比男性多 (75.0%对69.9%).
- 初级研发人员在面向患者的任务上花费的时间比高级研发人员少 (17.8%对38.4%). 62%的研发人员表示对行政负担不满. 电子健康记录用户花费更多时间处理行政任务 (44.1%对37.3%).
结论:
- 住院医生的临床和行政任务之间存在严重的不平衡.
- 过度的行政工作负担是 RD 不满的关键驱动力.
- 简化行政职责和利用数字解决方案对于提高NHS内的工作满意度,临床发展和医疗保健服务至关重要.
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