Primary care physician time utilization before and after implementation of an electronic health record: A time-motion study
Primary care physician time utilization before and after implementation of an electronic health record: A time-motion study
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DOI：
10.1016/j.jbi.2004.11.009
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发表时间：
2005-06-01
影响因子：
4.5
通讯作者：
Bates, DW
中科院分区：
文献类型：
--
作者：
Pizziferri, L;Kittler, AF;Bates, DW
尽管与使用电子健康记录（EHR）相关的好处，但采用的一个主要障碍是担心EHR可能比纸质系统需要更长的时间供医生使用。为了解决这个问题，我们在五个初级保健诊所进行了时间运动研究。20名医生进行了观察，并在EHR实施之前和之后的临床会议期间进行了特定的活动。调查评估了医生对EHR的看法。实施后，每例患者在门诊期间花费的校正平均总时间从干预前的校正平均值27.55分钟（SE = 2.1）减少0.5分钟（p = 0.86; 95%置信区间[-5.05，6.04]）至干预后的校正平均值27.05分钟（SE = 1.6）。大多数受访者认为使用电子健康记录可以提高质量，但只有29%的受访者表示，与纸质系统相比，电子健康记录记录所需的时间相同或更少。虽然EHR在门诊期间不需要医生更多的时间，但进一步的研究应该评估EHR对非门诊时间的潜在影响。2004年爱思唯尔公司All rights reserved.
Despite benefits associated with the use of electronic health records (EHRs), one major barrier to adoption is the concern that EHRs may take longer for physicians to use than paper-based systems. To address this issue, we performed a time-motion study in five primary care clinics. Twenty physicians were observed and specific activities were timed during a clinic session before and after EHR implementation. Surveys evaluated physicians' perceptions regarding the EHR. Post-implementation, the adjusted mean overall time spent per patient during clinic sessions decreased by 0.5 min (p = 0.86; 95% confidence interval [-5.05, 6.04]) from a pre-intervention adjusted average of 27.55 min (SE = 2.1) to a post-intervention adjusted average of 27.05 min (SE = 1.6). A majority of survey respondents believed EHR use results in quality improvement, yet only 29% reported that EHR documentation takes the same amount of time or less compared to the paper-based system. While the EHR did not require more time for physicians during a clinic session, further studies should assess the EHR's potential impact on non-clinic time. 2004 Elsevier Inc. All rights reserved.