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相关概念视频

Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Methods of Documentation V: CBE01:23

Methods of Documentation V: CBE

Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
Methods of Documentation VII: EMR01:30

Methods of Documentation VII: EMR

Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare settings,...
Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:

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相关实验视频

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Non-fluoroscopic Catheter Tracking for Fluoroscopy Reduction in Interventional Electrophysiology
10:46

Non-fluoroscopic Catheter Tracking for Fluoroscopy Reduction in Interventional Electrophysiology

Published on: May 26, 2015

在医生减少临床访问量后,初级保健医生电子健康记录模式的变化.

Gabe G Weinreb1, A Jay Holmgren2, Nate C Apathy3

  • 1Gabe G. Weinreb (gweinreb@hbs.edu), Harvard University, Boston, Massachusetts.

Health affairs (Project Hope)
|February 2, 2026
PubMed
概括

初级保健医生减少了病人访问,但仍然花费大量时间在电子健康记录 (EHR) 上. 这种异步的EHR工作增加了每次访问的负担,表明需要工作流创新.

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Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
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科学领域:

  • 医疗保健服务研究 医疗服务研究
  • 医疗信息学 医疗信息学
  • 主要护理医学 医疗保健

背景情况:

  • 初级保健医生 (PCP) 经历了不断升级的工作负载压力.
  • 一个PCP的子集正在减少患者访问量,但对整体工作量的影响仍然不清楚.

研究的目的:

  • 调查患者访问量减少与初级保健医生电子健康记录 (EHR) 使用之间的关系.
  • 为了分析EHR时间的变化,异步工作和患者组复杂性,在减少访问量后.

主要方法:

  • 利用了国家Epic EHR元数据从2019-2022年.
  • 对比了减少每月访问量>=10% (减少者) 与没有减少 (非减少者) 的医生的EHR使用和患者特征.
  • 分析了访问的变化,每次访问的EHR时间,以及EHR工作后的EHR工作时间.

主要成果:

  • 减少访问的医生每月访问量减少了32.6%,但EHR时间仅下降了21.2%.
  • 每次访问的EHR分钟在减少者中增加了21.3%.
  • 不同步的EHR任务,包括电子收件箱消息和超时EHR工作,每次访问增加.

结论:

  • 减少患者访问量并不会相应地减少初级保健中的EHR工作量.
  • 异步的EHR任务持续并逐次加剧,突出了对高效的异步护理交付模型的关键需求.
  • 创新策略对于管理EHR需求和支持面临工作量压力的初级保健医生至关重要.