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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