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Demasiadas tarefas administrativas sobre o médico.
Putting Patients First by Reducing Administrative Tasks in Health Care:
A Position Paper of the American College of Physicians
Shari M. Erickson, MPH; Brooke Rockwern, MPH; Michelle Koltov, MPH; and Robert McLean, MD; for the Medical Practice and
Quality Committee of the American College of Physicians*
This American College of Physicians (ACP) position paper, initiated
and written by ACP's Medical Practice and Quality Committee
and approved by the Board of Regents on 21 January 2017,
reports policy recommendations to address the issue of administrative
tasks to mitigate or eliminate their adverse effects on
physicians, their patients, and the health care system as a whole.
The paper outlines a cohesive framework for analyzing administrative
tasks through several lenses to better understand any
given task that a clinician and his or her staff may be required to
perform. In addition, a scoping literature review and environmental
scan were done to assess the effects on physician time,
practice and system cost, and patient care due to the increase in
administrative tasks. The findings from the scoping review, in
addition to the framework, provide the backbone of detailed
policy recommendations from the ACP to external stakeholders
(such as payers, governmental oversight organizations, and vendors)
regarding how any given administrative requirement, regulation,
or program should be assessed, then potentially revised
or removed entirely.
Ann Intern Med. doi:10.7
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