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Unveiling High-speed Follow-up Consultation for Chronic Disease Treatment: A Pediatric Hospital Case in China

Published: 11 November 2022 Publication History

Abstract

In developing countries suffering from a severe shortage of physicians, the follow-up clinical consultation of long-term chronic care becomes a high-speed collaborative work, which has to be conducted in a few minutes. Although much existing work studies how time factors affect physicians' workflows and requirements for information systems, high-speed chronic care is yet to be well investigated. This work bridges the gap by presenting a case of a pediatric hospital in China. We focus on the processes of follow-up consultations, the factors enabling physicians to complete consultation in several minutes, as well as the challenges faced by physicians and patients. Through observations and interviews, we find that physicians conduct multiple tasks (information acquisition, patient-provider communication, and medical data documentation) simultaneously to reduce the consultation duration. Adopting an information summary alternative is the key to fast information acquisition. Templates and references in EMR contribute to rapid documentation and prescription. However, multitasking brings physicians a heavy cognitive load. It also severely compresses the duration of patient-provider communication. As a result, some of the patients' needs, especially emotional ones, are neglected. Based on these findings, we discuss the characteristics and requirements of high-speed chronic care and accordingly propose design suggestions.

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    cover image Proceedings of the ACM on Human-Computer Interaction
    Proceedings of the ACM on Human-Computer Interaction  Volume 6, Issue CSCW2
    CSCW
    November 2022
    8205 pages
    EISSN:2573-0142
    DOI:10.1145/3571154
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    Published: 11 November 2022
    Published in PACMHCI Volume 6, Issue CSCW2

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    Author Tags

    1. Chinese pediatric hospital
    2. chronic disease
    3. clinical consultation
    4. follow-up treatment
    5. high-speed collaboration
    6. long-term collaboration

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    • the Natural Science Foundation of Shanghai
    • the National Natural Science Foundation of China

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    • (2024)Challenges in Restructuring Community-based ModerationProceedings of the ACM on Human-Computer Interaction10.1145/36869548:CSCW2(1-24)Online publication date: 8-Nov-2024
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    • (2023)“After she fell asleep, it went to my next podcast, which was about a serial killer”: Unveiling Needs and Expectations Regarding Parental Control within Digital AssistantCompanion Publication of the 2023 Conference on Computer Supported Cooperative Work and Social Computing10.1145/3584931.3607019(17-21)Online publication date: 14-Oct-2023
    • (2023)Enhancing Patient Satisfaction in Cross-Regional Healthcare: a Cross-Sectional Study in the Knowledge-Based Healthcare LandscapeJournal of the Knowledge Economy10.1007/s13132-023-01685-z15:3(14172-14198)Online publication date: 11-Dec-2023

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