电子健康记录,iPatients和临床医生的幸福感
Kimberly Ho1, Marissa Dulas2, Zi-Yi Choo3
1Internal medicine resident at the Warren Alpert Medical School of Brown University in in Providence, Rhode Island.
AMA journal of ethics
|November 3, 2025
概括
电子健康记录 (EHR) 将临床医生的注意力从患者转移到屏幕上,创造了一个"iPatient"的动态. 这一趋势在患者与临床医生的关系中引发了重大的伦理和临床问题.
科学领域:
- 医疗信息学 医疗信息学
- 临床伦理学 临床伦理学
- 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) 是现代医疗保健操作不可或缺的一部分.
- 电子健康记录的一个显著缺点是临床医生可能会将注意力从患者转移到计算机屏幕上.
- 这种转变导致了"iPatient"的概念,指的是患者屏幕二极管.
研究的目的:
- 探索该项研究的伦理和临床影响.
- 在 iPatient 中使用.
- 一个现象,一个现象.
- 讨论EHR驱动屏幕对患者与临床医生的关系的影响.
- 突出在EHR时代临床接触的关键考虑因素.
主要方法:
- 案例评论分析.案例评论分析.
- 审查与电子健康记录使用有关的临床和伦理文献.
- 讨论一个具体的临床案例,说明"iPatient"的动态.
主要成果:
- 临床医生专注于屏幕而不是患者的"iPatient"现象越来越令人担忧.
- 这种趋势可能会对患者与临床医生的沟通和关系建设的质量产生负面影响.
- 伦理挑战包括潜在的护理非个性化以及对患者信任的影响.
结论:
- 解决"iPatient"动态对于保持高质量,以患者为中心的护理至关重要.
- 需要制定策略,以减轻EHR对临床关注和关系的负面影响.
- 进一步的研究和道德准则是必要的,以导航医疗保健的这一不断变化的方面.
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