事例報告
外来・病棟業務を円滑に行うために
医師事務作業補助者導入による業務効率化
2020 年 21 巻 1 号 p. 30-33
詳細
2020 年 21 巻 1 号 p. 30-33
もみのき病院では2016年6月20日の電子カルテの導入に伴って、医師事務作業補助者の増員を行なった。現在7名が脳神経外科と眼科の外来および病棟勤務を行っている。当院での医師事務作業補助者の業務内容は、主に診療情報提供書、入院証明書や介護保険における主治医意見書などの文書作成補助業務、退院サマリーや検査、処方、次回の診察予約などオーダリングシステムへの代行入力業務、そして診療データの登録・集計業務（Japan Neurosurgical Database、以下JND）などである。今回客観的な評価として、外来待ち時間調査、退院サマリー完成率、入院証明書や介護保険における主治医意見書の作成期間、医師への満足度調査、医師の時間外労働時間の5項目について調査ならびに検討を行った。その結果、脳神経外科外来予約患者の予約時間から診察開始までの時間は平均10.9分で、導入前の半分以下に短縮を認めた。退院サマリーの2週間以内の完成率は改善を認め、満足度調査の結果からも医師の負担軽減が確認できた。医師事務作業補助者の導入は業務効率化につながり、医師の負担軽減となるものと思われた。
At Mominoki hospital, we increased the number of medical assistants (MAs) along with the introduction of the electronic medical record on 20th June 2016. Currently seven MAs are doing outpatient and ward work of neurosurgery and ophthalmology. The MA's work in our hospital mainly consists of providing clinical information documents, hospitalization certificate, documentation support work such as doctor's opinion in nursing care insurance, discharging summary and examination, prescription, next visit reservation etc. They also substitute ordering system inputs, outpatient consultation assistance, registration and aggregation work of clinical data (JND registration), and some other related jobs. As an objective evaluation this time, we surveyed and examined five items；outpatient waiting time survey, discharge completion summary rate, period of preparation of doctor's advice in hospitalization certificate and long-term care insurance, satisfaction survey on doctors, and doctors' overtime hours. As a result, the average time from the reservation time of the reserved patient for neurosurgical outpatient to the start of examination was 10.9 minutes, and it was shortened to less than half the time before introduction. For the hospitalization certificate and the written opinion of the doctor in nursing care insurance, the average preparation period was 6.3 days, 8.1 days respectively, and the achievement rate within the target 2 weeks was 97.4% and 95.2%. The rate of completion within 2 weeks of the discharge summary improved, and the results of the satisfaction survey confirmed that the burden on the doctor was reduced. Introduction of MAs leads to work efficiency improvement, which appears to reduce the burden on doctors.
