@jik @shansterable
Retired #PrimaryCare MD (US) here...
1) This problem has been around for a long time. There is no time provided for "#documentation" other than the #patient_visit, or in academia, one "admin" half-day per week. I remember my more diligent colleagues taking their paper #charts home at the end of the day, so they could pick-up kids, cook dinner, have some family time... and then stay up late writing their notes.
2) This graphic from 2017 shows how the situation was worsened by the main-streaming of #EMR s/#EHR s. Note in this study the work day is ten hours. Also note the Y-axis is % of total use, not minutes or hours. For example the "Weekend Nights" peak at 10pm is over 6% of total use! Their conclusions:
"Primary care physicians spend more than one-half of their work- day, nearly 6 hours, interacting with the EHR during and after clinic hours. EHR event logs can identify areas of EHR-related work that could be delegated, thus reducing workload, improving professional satisfaction, and decreasing burnout. Direct time-motion observations validated EHR-event log data as a reliable source of information regarding clinician time allocation." [Ann Fam Med 2017;15:419-426]
3) I retired before the push for #AI-generated notes. I would certainly opt-out if I had a choice. Notes were getting worse in terms of usefulness for patient care before #AI. I assume this has only gotten worse. The truth is patient notes aren't really useful for patient care anymore.
4) I encourage anyone who is interested in #healthcare #economics to read the 2012 book "The #CostDisease: Why Computers Get Cheaper and Health Care Doesn't", William J. #Baumol et al, 2012, Yale University Press (also applies to #education, #performing_arts, #law, and #law_enforcement BTW).
