Professional Satisfaction and Practice Sustainability, American Medical Association, Chicago, USA.
J Am Med Inform Assoc. 2019 Jul 1;26(7):673-677. doi: 10.1093/jamia/ocz021.
Physicians can spend more time completing administrative tasks in their electronic health record (EHR) than engaging in direct face time with patients. Increasing rates of burnout associated with EHR use necessitate improvements in how EHRs are developed and used. Although EHR design often bears the brunt of the blame for frustrations expressed by physicians, the EHR user experience is influenced by a variety of factors, including decisions made by entities other than the developers and end users, such as regulators, policymakers, and administrators. Identifying these key influences can help create a deeper understanding of the challenges in developing a better EHR user experience. There are multiple opportunities for regulators, policymakers, EHR developers, payers, health system leadership, and users each to make changes to collectively improve the use and efficacy of EHRs.
医生在电子健康记录 (EHR) 中完成管理任务的时间可能比与患者直接面对面交流的时间还要多。与 EHR 使用相关的 burnout 发生率不断增加，这需要改进 EHR 的开发和使用方式。尽管 EHR 的设计通常是医生表达不满的主要原因，但 EHR 用户体验受到多种因素的影响，包括开发人员和最终用户以外的实体（如监管机构、政策制定者和管理人员）做出的决策。确定这些关键影响因素有助于更深入地了解开发更好的 EHR 用户体验所面临的挑战。监管机构、政策制定者、EHR 开发人员、支付方、医疗系统领导层和用户都有机会进行改变，共同提高 EHR 的使用效率和效果。
