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数字化医疗记录:提高医疗效率,减少医护人员 burnout。

Digitalisation Medical Records: Improving Efficiency and Reducing Burnout in Healthcare.

机构信息

Department of Community Health, Faculty of Medicine and Health Sciences, University Putra Malaysia, Serdang 43400, Malaysia.

Negeri Sembilan State Health Department, Ministry of Health Malaysia, Seremban 70300, Malaysia.

出版信息

Int J Environ Res Public Health. 2023 Feb 15;20(4):3441. doi: 10.3390/ijerph20043441.

Abstract

(1) Background: electronic medical record (EMR) systems remain a significant priority for the improvement of healthcare services. However, their implementation may have resulted in a burden on healthcare workers (HCWs). This study aimed to determine the prevalence of burnout symptoms among HCWs who use EMRs at their workplace, as well as burnout-associated factors. (2) Methods: an analytical cross-sectional study was conducted at six public health clinics equipped with an electronic medical record system. The respondents were from a heterogeneity of job descriptions. Consent was obtained before enrolment into the study. A questionnaire was distributed through an online platform. Ethical approval was secured. (3) Results: a total of 161 respondents were included in the final analysis, accounting for a 90.0% response rate. The prevalence of burnout symptoms was 10.7% (n = 17). Three significant predictors were obtained in the final model: experiencing ineffective screen layouts and navigation systems, experiencing physical or verbal abuse by patients, and having a poor relationship with colleagues. (4) Conclusions: the prevalence of burnout symptoms among healthcare workers working with electronic medical record systems was low. Despite several limitations and barriers to implementation, a paradigm shift is needed to equip all health sectors with electronic medical record systems to improve healthcare service delivery. Continuous technical support and financial resources are important to ensure a smooth transition and integration.

摘要

(1) 背景:电子病历(EMR)系统仍然是改善医疗服务的重要重点。然而,它们的实施可能给医疗保健工作者(HCW)带来了负担。本研究旨在确定在配备电子病历系统的六家公共卫生诊所工作的 HCW 出现倦怠症状的患病率,以及与倦怠相关的因素。

(2) 方法:在配备电子病历系统的六家公共卫生诊所进行了一项分析性横断面研究。受访者来自不同的工作描述。在入组研究之前获得了同意。通过在线平台分发问卷。获得了伦理批准。

(3) 结果:共有 161 名受访者被纳入最终分析,占 90.0%的应答率。倦怠症状的患病率为 10.7%(n = 17)。最终模型中获得了三个重要的预测因素:经历无效的屏幕布局和导航系统、遭受患者的身体或言语虐待、与同事关系不佳。

(4) 结论:使用电子病历系统工作的医疗保健工作者出现倦怠症状的患病率较低。尽管实施过程中存在一些限制和障碍,但需要进行范式转变,为所有卫生部门配备电子病历系统,以改善医疗服务的提供。持续的技术支持和财政资源对于确保顺利过渡和整合很重要。

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