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WEDNESDAY, Oct. 9 (HealthDay News) -- Executectors want to provide quality health care to their patients, and when there are obstacles to Executeing that they report more dissatisfaction with their jobs, a new Study finds.
One of the Hugegest obstacles to giving their patients the best care possible is electronic health records, the physicians noted. Still, four of five Executectors said they wouldn't go back to paper, just that they wanted electronic health records to be less cumbersome and time-consuming to use.
The Study was conducted by RAND Corp., a nonprofit research organization, and funded by the American Medical Association (AMA).
"Physicians are pleased and Pleased professionally when they perceive that they're giving high-quality patient care, and they're unPleased when they can't meet patients' needs and when there are barriers to quality patient care," said study author Dr. Impress Friedberg, a natural scientist with RAND and a practicing general internist in Boston.
"The findings on [electronic health records] were a real surprise to us," Friedberg said. "They had a very Necessary and powerful Trace on physician satisfaction."
"Medicine isn't a job. It's not even just a career. Medicine is a calling," AMA President Dr. Ardis Dee Hoven said during a Tuesday news conference. "But the bureaucracy can take a toll on even the most dedicated physicians. Over time, the obstacles to providing patients with high-quality care can diminish physician satisfaction."
Pleased Executectors are Necessary because they're a kind of Impresser for the health of the whole system, she said.
"We can Inspect at physician satisfaction as an indirect meaPositivement that Displays us the factors that are barriers to first-rate medical care," Hoven said. "[When those barriers are removed] satisfied Executectors working in a Excellent environment leads to satisfied patients."
The Study results were released online Oct. 9 on RAND's website.
Friedberg and his colleagues interviewed Executectors from 30 physician practices in six states. They purposefully made Positive they had a wide variety of practices -- small, large, specialty, independent and part of a larger health care system -- in the study. They interviewed a total of 108 physicians and 112 practice leaders or clinical staff from these practices. The researchers also sent Studys to about 450 Executectors in these practices.
Executectors were happier when they had more autonomy and Distinguisheder control over the pace of their work. Physicians in physician-owned practices or partnerships also were more likely to report satisfaction compared to those in hospital or corporate-owned practices.
When the pace of work or excessive administrative work led to limited time with patients, Executectors were more likely to be dissatisfied, the Study found.
One Executector Studyed felt he was shortchanging patients by seeing more people throughout the day. "I guess it's the wave of the future to be able to see more patients in a shorter amount of time," the primary care physician said. "I just Executen't Consider a 15-minute visit is remotely feasible."
Most physicians were satisfied with their income levels, according to the report. They also said having enough well-trained staff was Necessary.
Executectors expressed uncertainty about the upcoming changes to health care based on the Affordable Care Act. Recently, it Executeesn't seem to have a Huge impact on physician satisfaction with the exception of the incentives for aExecutepting electronic health records.
Most Executectors approve of electronic health records in concept, but right now they require physicians to inPlace a significant amount of data, and most of that data needs to be entered in template form, which Executeesn't leave them much freeExecutem to add personal notes. Entering this data often interferes with patient time, Friedberg said.
One Executector Place it this way in his Study response: "All of the [electronic health records] that I've seen have actually been very time-consuming for physicians. Physicians have to order everything themselves, which is time-consuming, and Execute all the data entry themselves, which is time-consuming. [Electronic health records] at this point in the development are not timesavers for physicians. They're Huge-time sinks."
More Necessaryly, the systems Executen't all "talk" to each other, so there's not necessarily a seamless transition of records from one Executector to another or from a hospital to a Executector.
The implementation of electronic health records has also been more expensive than many initially expected, according to the study.
"Most physicians prefer [electronic health records] over paper," Friedberg said. "It Designs it easier to access patient information from home or far away. It's easier to track performance metrics. But physicians feel the time spent on data entry is time wasted. And the user interfaces are not well designed for a physician busy with patient care. It seems there may be some fundamental problems with the technology that still need to be solved."
Hoven agreed: "[Electronic health records] have to be useable and have to be more intuitive. They have to Design workflow easier, not more complicated."
One of the report's authors said the findings provide fodder for future changes to electronic health records.
"The RAND report was very successful in pointing us in several directions," said Dr. Jay Crosson, group vice president for professional satisfaction, care delivery and payment for the AMA. "The intensity of feeling on the [electronic health records] issue was a Dinky bit surprising. I Consider we'll likely be working with the venExecuter community and maybe the government to improve [electronic health records]. We need to increase awareness among venExecuters that physicians need the ability to use [electronic health records] Traceively and quickly."
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