利用电子健康记录（EHR）二次数据分析眼科医生使用电子健康记录的总时间需求
Analysis of Total Time Requirements of Electronic Health Record Use by Ophthalmologists Using Secondary EHR Data.
作者信息
Goldstein Isaac H, Hribar Michelle R, Reznick Leah G, Chiang Michael F
机构信息
Medical Informatics & Clinical Epidemiology.
Ophthalmology Oregon Health & Science University, Portland, OR.
出版信息
AMIA Annu Symp Proc. 2018 Dec 5;2018:490-497. eCollection 2018.
Abstract
Electronic Health Records (EHRs) are widely used in the United States for clinical care and billing activities. Their widespread adoption has raised a variety of concerns about their effects on providers and medical care. As researchers address these concerns, they will need to understand how much time providers actually spend on the EHR. This study develops and validates methods for calculating total time requirements for EHR use by ophthalmologists using secondary EHR data from audit logs. Key findings from this study are that (1) Secondary EHR data can be used to estimate lower bounds on provider EHR use, (2) Providers spend a large amount of time using the EHR, (3) Most time spent on the EHR is spent reviewing information. These findings have important implications for practicing clinicians, and for EHR system design in the future.
摘要
电子健康记录（EHRs）在美国被广泛用于临床护理和计费活动。它们的广泛采用引发了对其对医疗服务提供者和医疗护理影响的各种担忧。随着研究人员解决这些担忧，他们将需要了解医疗服务提供者实际在电子健康记录上花费了多少时间。本研究开发并验证了使用来自审计日志的二级电子健康记录数据来计算眼科医生使用电子健康记录的总时间需求的方法。本研究的主要发现是：（1）二级电子健康记录数据可用于估计医疗服务提供者使用电子健康记录的下限；（2）医疗服务提供者在使用电子健康记录上花费大量时间；（3）在电子健康记录上花费的大部分时间用于查看信息。这些发现对执业临床医生以及未来的电子健康记录系统设计具有重要意义。
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本文引用的文献
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