Mehr Versorgung für Patient*innen dank nutzerfreundlicher Praxissoftware? Eine explorative Studie

IF 1.7 Q4 HEALTH POLICY & SERVICES

Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen Pub Date : 2026-05-01 Epub Date: 2026-04-04 DOI:10.1016/j.zefq.2026.02.005

Doreen Müller , Michael Erhart , Jakob Holstiege , Dominik Graf von Stillfried

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引用次数: 0

Abstract

Background

Given the increasing demand for care and limited physician time, this study investigates whether the usability of practice management systems (PMS) is associated with the performance of medical practices. It analyzes whether more user-friendly PMS enable a higher number of treatment cases and greater service volumes (primary hypotheses), depending, in particular, on case load or service volume (secondary hypotheses).

Methods

A total of 24,140 individual practices (number of treatment cases) and 24,434 individual practices (service volume in euros) of office-based physicians were analyzed in 2024. Using linear multilevel models, it was tested whether the number of treatment cases or the service volume was associated with the usability of the PMS, both for the total sample and separately for practices above and below the mode of the dependent variable. In a sensitivity analysis, patient characteristics as well as regional socioeconomic deprivation and physician structure were taken into account.

Results

In the multilevel models of the total sample (concerning the primary hypotheses), no significant association was found between usability (β = 7.9; 90% confidence interval (CI) [–4.6; 20.4]) or the number of treatment cases or service volume (β = 505.4; 90% CI [–226.5; 1,237.7]). However, in practices below the mode, higher usability was significantly associated with higher service volumes (β = 530.1; 90% CI [13.9; 1,046.8]), even after sensitivity analysis, adjusted for patient-level factors of the practice and regional structures (β = 518.1; 90% CI [9.6; 1,027.3]).

Conclusions

The study highlights the potential of PMS to increase efficiency, especially where capacities are not fully utilized. The findings may encourage developers to further improve PMS usability and better tailor systems to everyday practice needs.

查看原文本刊更多论文

【人性化的实践软件让患者得到更多关怀？】探索性研究]。

背景：鉴于日益增长的护理需求和有限的医生时间，本研究调查是否可用性的执业管理系统（PMS）与医疗实践的表现有关。它分析了用户更友好的PMS是否能够实现更多的治疗病例数和更大的服务量（主要假设），特别是取决于病例负荷或服务量（次要假设）。方法：对2024年门诊医师24140例个人执业（治疗病例数）和24434例个人执业（服务量，欧元）进行分析。使用线性多水平模型，测试了治疗病例数或服务量是否与PMS的可用性相关，无论是对于总样本还是对于因变量模式下的实践。在敏感性分析中，考虑了患者特征以及区域社会经济剥夺和医生结构。结果：在总样本的多水平模型中（关于主要假设），可用性之间没有显着关联(β = 7.9；90%置信区间（CI） [-4.6；20.4])或治疗病例数或服务量（β = 505.4;90% CI[-226.5; 1,237.7]）。然而，在低于该模式的实践中，更高的可用性与更高的服务量显著相关（β = 530.1;90% CI[13.9; 1046.8]），即使经过敏感性分析，调整了实践和区域结构的患者水平因素（β = 518.1;90% CI[9.6; 1027.3]）。结论：该研究强调了PMS提高效率的潜力，特别是在能力未得到充分利用的情况下。这些发现可能会鼓励开发人员进一步提高PMS的可用性，并更好地根据日常实践需求定制系统。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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