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Quantifying the impact of telemedicine and patient medical advice request messages on physicians' work-outside-work.
Mandal, Soumik; Wiesenfeld, Batia M; Mann, Devin M; Szerencsy, Adam C; Iturrate, Eduardo; Nov, Oded.
Afiliación
  • Mandal S; Dept of Population Health, New York University Grossman School of Medicine, New York, NY, USA. mandal.soumik@gmail.com.
  • Wiesenfeld BM; Technology Management & Innovation, New York University Tandon School of Engineering, New York, NY, USA. mandal.soumik@gmail.com.
  • Mann DM; New York University Leonard N Stern School of Business, New York, NY, USA.
  • Szerencsy AC; Dept of Population Health, New York University Grossman School of Medicine, New York, NY, USA.
  • Iturrate E; MCIT Department of Health Informatics, NYU Langone Health, New York, USA.
  • Nov O; MCIT Department of Health Informatics, NYU Langone Health, New York, USA.
NPJ Digit Med ; 7(1): 35, 2024 Feb 14.
Article en En | MEDLINE | ID: mdl-38355913
ABSTRACT
The COVID-19 pandemic has boosted digital health utilization, raising concerns about increased physicians' after-hours clinical work ("work-outside-work"). The surge in patients' digital messages and additional time spent on work-outside-work by telemedicine providers underscores the need to evaluate the connection between digital health utilization and physicians' after-hours commitments. We examined the impact on physicians' workload from two types of digital demands - patients' messages requesting medical advice (PMARs) sent to physicians' inbox (inbasket), and telemedicine. Our study included 1716 ambulatory-care physicians in New York City regularly practicing between November 2022 and March 2023. Regression analyses assessed primary and interaction effects of (PMARs) and telemedicine on work-outside-work. The study revealed a significant effect of PMARs on physicians' work-outside-work and that this relationship is moderated by physicians' specialties. Non-primary care physicians or specialists experienced a more pronounced effect than their primary care peers. Analysis of their telemedicine load revealed that primary care physicians received fewer PMARs and spent less time in work-outside-work with more telemedicine. Specialists faced increased PMARs and did more work-outside-work as telemedicine visits increased which could be due to the difference in patient panels. Reducing PMAR volumes and efficient inbasket management strategies needed to reduce physicians' work-outside-work. Policymakers need to be cognizant of potential disruptions in physicians carefully balanced workload caused by the digital health services.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: NPJ Digit Med Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: NPJ Digit Med Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido