Simulation analysis of resident and attending physician teaching methods at Kosair Children's Hospital.

Hoover, Scott R.

doi:10.18297/etd/631

Cited by 1 publication

(2 citation statements)

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“…Generally speaking, the primary responsibility of a resident physician is to provide professional medical care for patients within their clinical privileges correspondent to the level of training they have received. Therefore, clinical tasks such as diagnosis, prescribing attending physician's orders, delivering test results, assisting in surgery, or writing medical records are all responsibilities residents must bear [39,40] . Residents must spend more time than attending physician do in using an HIS to accomplish clinical tasks effectively.…”

Section: Discussionmentioning

confidence: 99%

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Improving the Performance of Hospital Information System Usage: Adaptive Structuration Theory and Job Demand-Control Perspectives

Zhu¹,

Song²,

Zhou³

2021

Preprint

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Background: More healthcare facilities have been forced to introduce hospital information systems (HISs) aimed at integrating daily clinical and administrative concerns. As a result, China begun to implement HISs with basic functionalities among large and medium-sized hospitals. Although still in the initial stages of HIS usage, the performance of adopting HISs has yet to be evaluated. These applications are suitable for investigating user-system performance issues but seldom been utilized in a healthcare context. Even though models such as the technology acceptance model incorporates the determinants of technology use, the predictors assembled by these models largely focuses on interindividual user characteristics, yet none of them comprehensively exhaust other complex user adaptation characteristics relating to structure and task. We fill this gap by empirically investigating the motivators for improving Chinese physicians’ performance through HIS usage, based on the lens of adaptive structuration theory and job demand-control model.Methods: Using survey methodology, 305 valid responses were collected and analyzed via partial least squares.Results: The eight proposed hypotheses were supported in their entirety. Further, a moderating analysis was undertaken and it was determined that the associations of technology adaptation-task adaptation, technology adaptation-job demand, task adaptation-job demand, and job demand-attitude showed significant differences occurring between residents and attending physicians.Conclusions: Based on the findings, administrators are suggested to increase the training of physicians regarding their use of an HIS, and to grant physicians sufficient discretion necessary to improve the level of job demand and job control. This must be done in order to improve the performance of current HIS usage.

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Section: Discussionmentioning

confidence: 99%

“…Attending physicians, on the other hand, primarily supervise the patient care of residents, and they have used an HIS less frequently than residents [39,40] . Therefore, attending physicians are less familiar with an HIS than that of residents, but attending physicians possess a deeper medical knowledge than residents.…”

Section: Discussionmentioning

confidence: 99%