Department of Biomedical Informatics, University of Cincinnati College of Medicine, Ohio, United States.
Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, United States.
Appl Clin Inform. 2021 May;12(3):597-620. doi: 10.1055/s-0041-1731399. Epub 2021 Jul 7.
Clinician burnout is a prevalent issue in healthcare, with detrimental implications in healthcare quality and medical costs due to errors. The inefficient use of health information technologies (HIT) is attributed to having a role in burnout.
This paper seeks to review the literature with the following two goals: (1) characterize and extract HIT trends in burnout studies over time, and (2) examine the evidence and synthesize themes of HIT's roles in burnout studies.
A scoping literature review was performed by following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines with two rounds of searches in PubMed, IEEE Xplore, ACM, and Google Scholar. The retrieved papers and their references were screened for eligibility by using developed inclusion and exclusion criteria. Data were extracted from included papers and summarized either statistically or qualitatively to demonstrate patterns.
After narrowing down the initial 945 papers, 36 papers were included. All papers were published between 2013 and 2020; nearly half of them focused on primary care ( = 16; 44.4%). The most commonly studied variable was electronic health record (EHR) practices (e.g., number of clicks). The most common study population was physicians. HIT played multiple roles in burnout studies: it can contribute to burnout; it can be used to measure burnout; or it can intervene and mitigate burnout levels.
This scoping review presents trends in HIT-centered burnout studies and synthesizes three roles for HIT in contributing to, measuring, and mitigating burnout. Four recommendations were generated accordingly for future burnout studies: (1) validate and standardize HIT burnout measures; (2) focus on EHR-based solutions to mitigate clinician burnout; (3) expand burnout studies to other specialties and types of healthcare providers, and (4) utilize mobile and tracking technology to study time efficiency.
临床医生倦怠是医疗保健中的一个普遍问题，由于错误导致医疗质量和医疗成本受损。低效使用健康信息技术（HIT）被认为与倦怠有关。
本文旨在回顾文献，以期实现以下两个目标：（1）随着时间的推移，描述和提取倦怠研究中的 HIT 趋势；（2）研究 HIT 在倦怠研究中的作用的证据并进行综合分析。
采用系统评价和荟萃分析（PRISMA）的首选报告项目指南进行范围广泛的文献回顾，在 PubMed、IEEE Xplore、ACM 和 Google Scholar 中进行了两轮搜索。使用制定的纳入和排除标准对检索到的论文及其参考文献进行筛选，以确定其是否符合入选标准。从纳入的论文中提取数据并进行总结，要么进行统计分析，要么进行定性分析，以展示模式。
在缩小最初的 945 篇论文后，有 36 篇论文入选。所有论文均发表于 2013 年至 2020 年之间；其中近一半（16 篇；44.4%）专注于初级保健。研究变量最常研究的变量是电子健康记录（EHR）实践（例如，点击次数）。最常见的研究人群是医生。HIT 在倦怠研究中发挥了多种作用：它可能导致倦怠；它可以用来衡量倦怠；或者它可以干预和减轻倦怠水平。
本范围综述介绍了以 HIT 为中心的倦怠研究趋势，并综合了 HIT 在导致、衡量和减轻倦怠方面的三个作用。相应地提出了四项未来倦怠研究建议：（1）验证和标准化 HIT 倦怠衡量标准；（2）专注于基于 EHR 的解决方案来减轻临床医生的倦怠；（3）将倦怠研究扩展到其他专业和类型的医疗保健提供者；（4）利用移动和跟踪技术研究时间效率。
