医院医生在安全聊天和电子健康记录使用中的性别差异
Micaela Witte1,2, Catherine McDermott1,2, Kathryn L Levy1,2
1Department of Internal Medicine, Michigan Medicine, Ann Arbor, Michigan, USA.
Journal of hospital medicine
|November 19, 2025
概括
女性医生花在电子健康记录 (EHR) 消息和数字通信上的时间比男性多,尽管工作时间相似. 这凸显了医疗保健机构需要公平的工作量策略的需要.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健服务研究 医疗服务研究
- 医生劳动力研究 医生劳动力研究
背景情况:
- 电子健康记录 (EHR) 中的数字消息对医院通信至关重要.
- 这些工具可能无意中在医疗保健专业人员的数字工作量中造成差异.
研究的目的:
- 调查和比较基于性别的电子病历差异,并确保医院医生之间的信息使用.
- 识别医生劳动力中数字通信负担的潜在不平等现象.
主要方法:
- 一项回顾性观察性研究分析了205名内科和医学-儿科医生 (住院医生和教师) 在一家学术三级医院的EHR元数据.
- 从2023年7月到2024年6月收集的数据包括每日消息,电子健康记录/安全聊天时间和工作时间,按性别和角色分层.
主要成果:
- 医生每天平均工作9.4小时,其中40.7%用于电子健康记录,6.3%用于安全聊天.
- 女性医生花在电子记录 (248分 vs. 222分/天) 和安全聊天 (38分 vs. 34分/天) 的时间显著多,并且每天发送/接收的信息比男性更多 (p < .001).
- 数字通信工作量中的这些基于性别的差异在医生角色之间以及工作流修改后仍然存在.
结论:
- 与男性相比,女性医生在电子健康记录系统中对数字通信的参与度更高,不论工作时间总数如何.
- 调查结果表明,数字通信负担存在持续的性别差异,需要制定基于公平的战略.
- 解决这些不平等问题对于减轻过度工作量和优化医院环境中的沟通实践至关重要.
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