From American College of Physicians, Washington, DC.
Ann Intern Med. 2017 May 2;166(9):659-661. doi: 10.7326/M16-2697. Epub 2017 Mar 28.
This American College of Physicians (ACP) position paper, initiated and written by ACP's Medical Practice and Quality Committee and approved by the Board of Regents on 21 January 2017, reports policy recommendations to address the issue of administrative tasks to mitigate or eliminate their adverse effects on physicians, their patients, and the health care system as a whole. The paper outlines a cohesive framework for analyzing administrative tasks through several lenses to better understand any given task that a clinician and his or her staff may be required to perform. In addition, a scoping literature review and environmental scan were done to assess the effects on physician time, practice and system cost, and patient care due to the increase in administrative tasks. The findings from the scoping review, in addition to the framework, provide the backbone of detailed policy recommendations from the ACP to external stakeholders (such as payers, governmental oversight organizations, and vendors) regarding how any given administrative requirement, regulation, or program should be assessed, then potentially revised or removed entirely.
这份美国医师学会（ACP）立场文件由 ACP 的医疗实践和质量委员会发起并撰写，并于 2017 年 1 月 21 日获得理事会批准。该文件提出了一系列政策建议，旨在解决行政任务对医生、患者和整个医疗体系产生的不利影响问题。本文通过几个角度概述了一个连贯的分析行政任务的框架，以便更好地理解临床医生及其员工可能需要执行的任何给定任务。此外，还进行了范围界定文献回顾和环境扫描，以评估由于行政任务增加而对医生时间、实践和系统成本以及患者护理产生的影响。除了框架之外，范围界定审查的结果还为 ACP 向外部利益相关者（如支付方、政府监督组织和供应商）提供了详细的政策建议的基础，这些建议涉及如何评估任何给定的行政要求、规定或计划，然后可能对其进行修订或完全删除。
