3. POBLACIÓN Y MUESTRA
5.1. Instrumentos de evaluación
163
Hierarchical Task Analysis: Family Physician Three Main Task Structure Chart: Physician examining patient
(Sub tasks of main task- Breakdown of subtasks-…) 1. Enters examination room-opens door-walks into room
2. References patient’s medical record-reviews chief complaint in electronic medical record
3. Communicates with patient-greets patient-asks about chief complaint-discusses medical history-discusses online health information patient presents
4. Examines patient-examines area of concern-examines other areas if needed
5. Communicates with patient-discusses diagnosis-discusses treatment options-asks if there are more questions from patient-discusses and/or develops a treatment plan
164
Hierarchical Task Analysis: Family Physician Four Main Task Structure Chart: Physician examining patient
(Sub tasks of main task- Breakdown of subtasks-…) 1. Enters examination room-opens door-walks into room
2. Communicates with patient-greets patient-asks a few questions about the patient in general-asks questions/interviews patient to determine the reason they are there today-discusses online health information patient presents
3. Examines patient-examines area of concern-examines other areas needed asks more questions
4. References patient’s medical record-manually records medical history onto paper medical record
5. Communicates with patient-discusses diagnosis-discusses lab results and/or
diagnostic tests if applicable-discusses treatment options-answers patient’s questions 6. Leaves examination room-opens door to exam room-walks out-closes door
165
Hierarchical Task Analysis: Family Physician Five Main Task Structure Chart: Physician examining patient
(Sub tasks of main task- Breakdown of subtasks-…) 1. Enters examination room-opens door-walks into room
2. Communicates with patient-greets patient-engages in small talk-asks them why they are here today and lets patient tell their story-asks patients questions for clarification- discusses preliminary diagnosis-discusses online health information patient presents 3. Examines patient-examines area of concern-examines other areas if needed 4. Communicates with patient-explains treatment to patient-explains instructions for
more lab tests if needed-explains medications if needed-tells patient they will contact them for any follow-up needed
5. Reference patient’s medical record-inputs medications into chart electronically and sends to pharmacy-inputs lab test orders into chart electronically
166
Hierarchical Task Analysis: Family Physician Six Main Task Structure Chart: Physician examining patient
(Sub tasks of main task- Breakdown of subtasks-…)
1. Enters examination room-opens door-walks into room-brings laptop cart into room 2. Communicates with patient-greets patient-asks them why they are there-asks if
patient has any questions-answers questions from patient-reviews chronic conditions- reviews medications and any changes to medication-reviews lab results-discusses online health information patient presents
3. References patient’s medical record-reviews electronic medical record-inputs medical history into electronic medical record
4. Examines patient-examines area of concern-examines other areas needed asks more questions
5. Communicates with patient-explains treatment to patient-educates patient about chronic condition management-discusses and/or develops patient’s plan of
treatment/management
167
Hierarchical Task Analysis: Family Physician Seven Main Task Structure Chart: Physician examining patient
(Sub tasks of main task- Breakdown of subtasks-…) 1. Enters examination room-opens door-walks into room
2. Communicates with patient-greets patient-asks about health concern today-listens to patient’s story-discusses online health information patient presents
3. References patient’s medical record-reviews electronic medical record and/or lab results with patient
4. Examines patient-examines area of concern-examines other areas if needed 5. Communicates with patient-discusses diagnosis-discusses treatment options 6. Leaves examination room-opens door to exam room-walks out-closes door
168
Hierarchical Task Analysis: Family Physician Eight Main Task Structure Chart: Physician examining patient
(Sub tasks of main task- Breakdown of subtasks-…) 1. Enters examination room-opens door-walks into room
2. Communicates with patient-greets patient-asks patient to tell them about their medical problem-asks more questions-answers questions from patient-discusses preliminary diagnosis-discusses online health information patient presents
3. Examines patient-examines area of concern-examines other areas needed asks more questions
4. References patient’s medical record-inputs data into electronic medical record with keyboard-submits prescriptions electronically to electronic medical record
5. Communicates with patient-discusses treatment and medications-discusses and/or develops plan of treatment
169
Hierarchical Task Analysis: Family Physician Nine Main Task Structure Chart: Physician examining patient
(Sub tasks of main task- Breakdown of subtasks-…)
1. Enters examination room-opens door-walks into the room with tablet computer 2. Communicates with patient-greets patient-asks about health concern today-
comments on medical history in electronic medical record-asks questions about medications-listens to patient tell their story-asks clarifying questions-discusses online health information patient presents
3. References patient’s medical record-reviews electronic medical record-inputs data into electronic medical record with stylus-submits prescriptions to electronic medical record
4. Examines patient-examines area of concern-examines other areas if needed 5. Communicates with patient-discusses treatment and/or therapy-discusses
medications and expectations-discusses appropriate follow-up
6. Leaves examination room-opens door to exam room-walks out of the room with