Academic Journal

Primary Care Physician Preferences Regarding Communication from Orthopaedic Surgeons

التفاصيل البيبلوغرافية
العنوان: Primary Care Physician Preferences Regarding Communication from Orthopaedic Surgeons
المؤلفون: Chiodo, Christopher P., Striano, Brendan M., Parker, Emily, Smith, Jeremy T., Bluman, Eric M., Martin, Elizabeth A., Greco, Julia M., Healey, Michael J.
المصدر: Journal of Bone and Joint Surgery ; volume 106, issue 9, page 760-766 ; ISSN 0021-9355 1535-1386
بيانات النشر: Ovid Technologies (Wolters Kluwer Health)
سنة النشر: 2024
الوصف: Background: Musculoskeletal consultations constitute a growing portion of primary care physician (PCP) referrals. Optimizing communication between PCPs and orthopaedists can potentially reduce time spent in the electronic medical record (EMR) as well as physician burnout. Little is known about the preferences of PCPs regarding communication from orthopaedic surgeons. Hence, the present study investigated, across a large health network, the preferences of PCPs regarding communication from orthopaedists. Methods: A total of 175 PCPs across 15 practices within our health network were surveyed. These providers universally utilized Epic as their EMR platform. Five-point, labeled Likert scales were utilized to assess the PCP-perceived importance of communication from orthopaedists in specific clinical scenarios. PCPs were further asked to report their preferred method of communication in each scenario and their overall interest in communication from orthopaedists. Logistic regression analyses were performed to determine whether any PCP characteristics were associated with the preferred method of communication and the overall PCP interest in communication from orthopaedists. Results: A total of 107 PCPs (61.1%) responded to the survey. PCPs most commonly rated communication from orthopaedists as highly important in the scenario of an orthopaedist needing information from the PCP. In this scenario, PCPs preferred to receive an Epic Staff Message. Scenarios involving a recommendation for surgery, hospitalization, or a major clinical change were also rated as highly important. In these scenarios, an Epic CC’d Chart rather than a Staff Message was preferred. Increased after-hours EMR use was associated with diminished odds of having a high interest in communication from orthopaedists (odds ratio, 0.65; 95% confidence interval, 0.48 to 0.88; p = 0.005). Ninety-three PCPs (86.9%) reported spending 1 to 1.5 hours or more per day in Epic after normal clinical hours, and 27 (25.2%) spent >3 hours per day. Forty-six PCPs ...
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.2106/jbjs.23.00836
DOI: 10.2106/JBJS.23.00836
الاتاحة: http://dx.doi.org/10.2106/jbjs.23.00836
https://journals.lww.com/10.2106/JBJS.23.00836
رقم الانضمام: edsbas.567A3599
قاعدة البيانات: BASE