Friday, July 08, 2016

This Is A Problem That The New ePIP Regulations Will Just Add To. E-Health Fatigue And Burnout!

This appeared last week.
27 June, 2016

E-health linked to doctor burnout

Posted by ruby
While it is supposed to improve healthcare for both doctors and patients, shifting from a paper to an electronic practice may actually make doctors less happy and more burnt out, a new study suggests.
In particular, use of electronic health records and computerised physician order entry were the two factors linked to the most professional dissatisfaction and the highest rates of burnout, Mayo Clinic researchers have found.
“Although electronic health records, electronic prescribing and computerised physician order entry have been touted as ways to improve quality of care, these tools also create clerical burden, cognitive burden, frequent interruptions and distraction – all of which can contribute to physician burnout,” said lead author Dr Tait Shanafelt, a Mayo Clinic physician.
“Burnout has been shown to erode quality of care, increase risk of medical errors, and lead physicians to reduce clinical work hours, suggesting that the net effect of these electronic tools on quality of care for the US health care system is less clear,” the authors wrote.
Their survey on a national sample of 6560 doctors from the American Medical Association database used a validated questionnaire to assess burnout, and is one of number of studies published by the researchers on physician welfare.
Out of all the specialties, GPs were the least happy with the amount of time they spent on tasks unrelated to patient care, barring urologists.
And behind urologists, family medicine doctors were the most burnt-out of the group.
Professional burnout normally manifested as emotional exhaustion, loss of meaning in work, and feelings of ineffectiveness, the authors said.
The underlying problem was the ways doctors were supposed to record information did not align very well with the existing clinical workflow, Dr Nathan Pinskier, chair of the RACGP’s Expert Committee eHealth and Practice Systems.
“The reality is that what we’ve done so far in terms of electronic health records is essentially just converting pen and paper records into an electronic form,” he said.
“We haven’t done anything more sophisticated, and yet we’ve upped the ante in terms of demanding clinicians to become clerks. They’re now required to add more information to more and more documents.”
On top of that, doctors were working in an environment that was more highly regulated and with more compliance demands than they were 50 years ago, Dr Pinskier said.
These were likely to be contributing factors to increasing fatigue and less job satisfaction, he said.
More here:
With the clunkiness of the present myHR and its rather poor implementation it seems that things in Australia are just going to get more involved and complicated.
Dr Pinskier’s point on the rising demands of compliance is well made!

Here is another link covering the same problem:


Anonymous said...

.... clunkiness of the present myHR .... exemplifies why it will not be embraced by clinicians and other health providers in its present design.

Someone (the Department probably) has just revamped the user interface of the My Health Record. Have a look, you will see the screens have been changed BUT the underlying structure and substance of the system is still the same. More importantly anyone well versed in screen design and user interface requirements for a health record will quickly conclude that this new version is no better than the previous one. It looks very much as though it has been put together by amateurs with no real insight into clinical health care recording. No way can this be construed as progress?

Bernard Robertson-Dunn said...

It's still just a glorified filing cabinet. The more that's in it, the harder it is to use.

Considering GPs don't like it because of the effort and difficulties of putting data in, never mind the uselessness of the data once it's in there, is it any surprise it is highly unlikely to ever deliver any sort of return on investment?

Anonymous said...

To be fair it is brought to us by those who use an expensive tablet device as a glorified clipboard.