Doctors get more time, patients get more attention and less readmission.
The length of time patients receive care is very important to the quality of care and the health results they get! In 20 18, the National Bureau of Economic Research published a paper by Elena Andreyeva of the University of Pennsylvania and her colleagues. They studied the influence of the length of 1 home visit on patients with acute diseases after discharge. According to more than 60,000 home visits by practical nurse, physiotherapists and other clinicians, they found that the risk of readmission was reduced by 8% every 65,438+0 minutes. Every 65,438+0 minutes of nursing staff will reduce the risk of readmission by 65,438+06%, while every 65,438+0 minutes of nursing staff will reduce the risk of readmission by 65,438+03%. The researchers found that time is the most likely important factor affecting the risk of readmission!
More visiting hours and care for patients can reduce the readmission rate. Pisabe
William osler also wrote in 1895: "It is not satisfactory to review a case for less than half an hour! Sick people want others to spend a lot of time on them, instead of 10 to 12 minutes of hasty examination! This sentence is still correct today after 120 years, and will not change in the future!
Extending the patient's visit time can get more than you think!
David Meltzer, a physician at the University of Chicago, studied the relationship between time spent with doctors and other key factors, including continuity of care: "If you need to see a doctor in a big hospital, will you see a doctor in a big hospital?" Research shows that spending more time with patients can reduce the hospitalization rate by 20%, which not only saves a lot of money, but also helps to avoid the risk of hospital infection and other unfortunate accidents. Later, Kaiser Permanente and Vanderbilt University followed suit, which brought huge benefits.
These studies confirm the importance of clinicians spending time with patients. Extending the visiting time inside and outside the hospital can not only enhance communication and build trust, but also improve the health level of patients and reduce the follow-up expenses!
It is everyone's wish to work in a humanized way.
Like my classmates 1975, most medical practitioners are full of motivation and proud of their ability to take care of patients! Doctors will lose their career vision, largely because they can't perform their work in a humanized way! David Rosenthal and Abraham Vergis explained this very well:
Simply put, most of the "work" we define must be done in the studio and on the computer, and it is far away from the patients. Therefore, our attention is often not focused on those who put their lives, bodies and souls in our hands, so that it has become normal for doctors to stare at the screen and ignore patients in our culture! Technology enables us to take care of patients far away from sickbeds and nursing staff, so we gradually alienate patients and colleagues and turn to work on computers.
Medical care is not a production line!
Artificial intelligence can help us win valuable time with patients. In 20 18, the Institute of Public Policy published a report entitled "Let all people enjoy better health and health care". It is estimated that artificial intelligence will save clinicians more than 25% time on average for patient care. The most important influence is to free clinicians from the bondage of electronic health records! In the University of Colorado, the practice of removing the computer from the clinic and using medical assistants to assist doctors has significantly reduced the overload of doctors from 53% to 13%. Using natural language processing to assist doctors in receiving patients should have the same effect. However, unless people realize that medical care is not a production line, science and technology alone can't solve the problem! As Ronald Epstein and Michael Privitera wrote in The Lancet, "What makes doctors disillusioned is that the management is productivity-oriented, and people are not sure about the value of maintaining the doctor-patient relationship as the source of doctors' sense of mission. Doctors need enlightened leaders to realize that medical care is a great cause of human efforts, not a production line! They are quite right, except this: we need everyone to participate, not just leaders! If improving efficiency is only a means used by management to improve productivity, so that doctors can see more patients and interpret more scanned images or slices to maximize production, then it is impossible to really return time to doctors! This situation is entirely possible! After all, it was the doctors themselves who allowed seriously inappropriate electronic health records to invade hospitals, and they never resisted companies like Epic. Epic put a sealed clause in the contract with hospitals and doctors, prohibiting them from belittling electronic health records and publishing screenshots of electronic health records. This time, doctors must stand up and defend their rights and interests!
The practice of moving the computer out of the clinic and using medical assistants to assist doctors has obviously reduced the overload of doctors. Pisabe
Unfortunately, the doctor's initiative is unlikely to be supported by professional medical organizations, at least in the United States. One of the reasons is that there is no representative group of doctors in the United States, and the number of members of the American Medical Association is even less than one-third of the practicing doctors. To make matters worse, such organizations may not really represent doctors. The main function of professional medical organizations is to act as trade unions and ensure the remuneration of their members. However, the large amount of capital owned by such organizations will have potential influence. In 20 17, four of the top seven groups lobbying the United States were health care organizations: pharmaceutical research and manufacturers (with a capital of $25.8 million), Blue Cross Blue Shield ($24.3 million), American Hospital Association ($ 2265438+ million) and American Medical Association ($2265438 million). However, these groups now only protect the financial interests of the organization itself, not the interests of patients or clinicians!
To truly realize deep medical care, doctors must change their thinking about patients and change the way they interact with patients! Even though technology has given doctors more time, it is still not enough to improve the current predicament. However, sufficient time is indeed the prerequisite for these changes to have a chance to take root!
-This article is taken from "Ai Yi Deep Medicine", published with the banner, 165438+20201October 20th. Related Tags: Aiai Medical Sustainable Development Goal 3 | Health and Social Welfare Overloaded Medical Resources Hot Tags: Yahoo Newham Pi Radar Carnation Article Difficulty is fully discussed 4 Log in to discuss with you.