A qualitative study of provider burnout: do medical scribes hinder or help?
A qualitative study of provider burnout: do medical scribes hinder or help?
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DOI：
10.1093/jamiaopen/ooab047
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发表时间：
2021-07
期刊：
影响因子：
2.1
通讯作者：
Gold JA
中科院分区：
文献类型：
--
作者：
Corby S;Ash JS;Mohan V;Becton J;Solberg N;Bergstrom R;Orwoll B;Hoekstra C;Gold JA
提供者倦怠是医疗保健的危机，并导致医疗错误，患者满意度下降和提供者的流动性。许多人认为，电子健康记录的使用增加有助于倦怠的速度。为了避免提供者倦怠，许多组织正在雇用医学抄写员。本研究的目的是确定提供者-抄写员关系的相关要素（如减少文档负担，延长提供者的职业生涯和防止退休），并描述它们如何以及在何种程度上影响提供者倦怠。定性的方法被用来获得一个广泛的看法复杂的景观周围文士。数据于二零一七年底至二零一九年初分三个阶段收集。利用归纳法分析了5次现场访问、与有抄写经验的医学生访谈以及专家会议讨论的数据。共184份成绩单进行了分析，以确定模式和主题相关的供应商倦怠。提供者倦怠导致提供者沮丧和疲惫增加。供应商报告说，医疗抄写员提高供应商的工作满意度，减少倦怠，因为他们减少了文件的负担。医学抄写员延长了提供者的职业生涯，并可能防止提前退休。不幸的是，医学抄写员自己可能会经历类似形式的倦怠。我们从供应商和管理人员的数据表明，医疗抄写员有助于减少供应商倦怠。然而，抄写员并不是减轻文档负担的唯一解决方案，可能有更好的选择来防止倦怠。有趣的是，医学抄写员有时也会感到倦怠，尽管他们只是临时的角色。
Provider burnout is a crisis in healthcare and leads to medical errors, a decrease in patient satisfaction, and provider turnover. Many feel that the increased use of electronic health records contributes to the rate of burnout. To avoid provider burnout, many organizations are hiring medical scribes. The goal of this study was to identify relevant elements of the provider–scribe relationship (like decreasing documentation burden, extending providers’ careers, and preventing retirement) and describe how and to what extent they may influence provider burnout. Qualitative methods were used to gain a broad view of the complex landscape surrounding scribes. Data were collected in 3 phases between late 2017 and early 2019. Data from 5 site visits, interviews with medical students who had experience as scribes, and discussions at an expert conference were analyzed utilizing an inductive approach. A total of 184 transcripts were analyzed to identify patterns and themes related to provider burnout. Provider burnout leads to increased provider frustration and exhaustion. Providers reported that medical scribes improve provider job satisfaction and reduce burnout because they reduce the documentation burden. Medical scribes extend providers’ careers and may prevent early retirement. Unfortunately, medical scribes themselves may experience similar forms of burnout. Our data from providers and managers suggest that medical scribes help to reduce provider burnout. However, scribes are not the only solution for reducing documentation burden and there may be potentially better options for preventing burnout. Interestingly, medical scribes sometimes suffer from burnout themselves, despite their temporary roles.
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影响因子：
1.7
作者：
McMullen CK;Ash JS;Sittig DF;Bunce A;Guappone K;Dykstra R;Carpenter J;Richardson J;Wright A
通讯作者：
Wright A
DOI：
10.1093/jamia/ocaa199
发表时间：
2021-02-15
期刊：
Journal of the American Medical Informatics Association : JAMIA
影响因子：
--
作者：
Ash JS;Corby S;Mohan V;Solberg N;Becton J;Bergstrom R;Orwoll B;Hoekstra C;Gold JA
通讯作者：
Gold JA
DOI：
10.1016/j.ijmedinf.2019.01.001
发表时间：
2019-03-01
影响因子：
4.9
作者：
Bossen, Claus;Chen, Yunan;Pine, Kathleen H.
通讯作者：
Pine, Kathleen H.
影响因子：
8.9
作者：
Shanafelt, Tait D.;Hasan, Omar;West, Colin P.
通讯作者：
West, Colin P.
DOI：
10.1093/jamia/ocy145
发表时间：
2019-02-01
影响因子：
6.4
作者：
Gardner, Rebekah L.;Cooper, Emily;Linzer, Mark
通讯作者：
Linzer, Mark