One Year of Family Physicians' Observations on Working with Medical Scribes
| Autor: | Cathina Nguyen, Steven Lin, Tracy Rydel, Amelia Sattler |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Documentation Burnout Affect (psychology) Efficiency Organizational Grounded theory Session (web analytics) Workflow 03 medical and health sciences 0302 clinical medicine Patient experience Medicine Electronic Health Records Humans 030212 general & internal medicine Health Workforce Longitudinal Studies Quality of care Burnout Professional Medical Record Administrators Quality of Health Care Primary Health Care business.industry 030503 health policy & services Public Health Environmental and Occupational Health Physicians Family Primary care clinic Family medicine Observational study 0305 other medical science business Family Practice |
| Zdroj: | Journal of the American Board of Family Medicine : JABFM. 31(1) |
| ISSN: | 1558-7118 |
| Popis: | PURPOSE The immense clerical burden felt by physicians is one of the leading causes of burnout. Scribes are increasingly being used to help alleviate this burden, yet few published studies investigate how scribes affect physicians' daily work, attitudes and behaviors, and relationships with patients and the workplace. METHODS Using a longitudinal observational design, data were collected, over 1 year, from 4 physicians working with 2 scribes at a single academic family medicine practice. Physician experience was measured by open-ended written reflections requested after each 4-hour clinic session. A data-driven codebook was generated using a constant comparative method with grounded theory approach. RESULTS A total of 361 physician reflections were completed, yielding 150 distinct excerpts; 289 codes were assigned. The 11 themes that emerged were further categorized under 4 domains. The most frequently recurring domain was clinic operations, which comprised 51.6% of the codes. Joy of practice, quality of care, and patient experience comprised 22.1%, 16.3%, and 10.0% of the codes, respectively. CONCLUSIONS Our study suggests that integrating scribes into a primary care clinic can produce positive outcomes that go beyond reducing clerical burden for physicians. Scribes may benefit patient experience, quality of care, clinic operations, and joy of practice. |
| Databáze: | OpenAIRE |
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