In the Netherlands it is estimated that care providers, both doctors and nurses, both in primary care and in homecare spent 1/3 of their time to administration. It thereby contributes to high costs, low job satisfaction and depersonalised care. Mistakes or omissions in the complex administration lead to quality and safety-issues and to higher accountability for caregivers.
Their is a wide quest for reducing administration. Attempts so far by the professionals, by the scientific committees, by the institutions and by the government have failed to do so.
The problem is that all administration, whether for documenting the given care, for financial reporting, for quality control, for transparency, etc, has been installed for a given reason. In most cases doctors and nurses themselves or their scientific committees impose this need for data on themselves by issuing regulations, guidelines etc. Not reporting certain information quickly conflicts with improving efficiency, being transparant, reporting necessary data to regulatory boards, insurance companies etc.
The opposite is true. We increasingly fast need even more information te be documented for improving the efficiency of our operations, to improve the care by assessing critical performance indicators, to compare ourselves to others, etc
How do we escape from this cycle or do we have to embrace the accumulating need for data, and how can we do so?