A Narrative Review of Medical Secretaries' Coordination of Laboratory Results and Follow-up for Psoriasis and Atopic Dermatitis in Primary Care Workflows

Ahmed Mohammed Shtefi (1) , Yasir Ibrahim Yahya Kariri (2) , Mousa Wasili , Fahad Mousa Wasili (3) , Amani Ali Madkhali (4) , Wejdan Mohammed Abkar Khalil (5) , Lolah Ali Essa Alageeli (6) , Fatimah Hamad Mohammed Shajri (5)
(1) Abuareash General Hospital,Ministry of Health, Saudi Arabia,
(2) Abu Arish General Hospital,Ministry of Health, Saudi Arabia,
(3) King Fahad Hospital,Ministry of Health, Saudi Arabia,
(4) Abu Arish General Hospital, Jazan Region,Ministry of Health, Saudi Arabia,
(5) Jazan Health Cluster, Ministry of Health, Saudi Arabia,
(6) King Khalid Hospital in Hail,Ministry of Health, Saudi Arabia

Abstract

Background: The effective management of chronic dermatological conditions like psoriasis and atopic dermatitis (AD) in primary care hinges on a seamless cycle of laboratory monitoring and consistent follow-up. Medical secretaries are pivotal yet understudied actors in this workflow, responsible for the critical coordination of lab results and patient recall.


Aim: This narrative review synthesizes literature to examine the role, impact, and challenges faced by medical secretaries in coordinating laboratory results and follow-up for psoriasis and AD in primary care settings.


Methods: A systematic search of five databases (PubMed, Scopus, CINAHL, Web of Science, PsycINFO) was conducted for literature published between 2010-2024, combining terms related to medical secretaries, care coordination, laboratory results, and the specified dermatological conditions.


Results: The review identifies key administrative protocols, communication barriers, and technological facilitators. It highlights how secretarial coordination directly influences timeliness of care, patient safety, and clinician efficiency, but is often hampered by fragmented systems and ambiguous role definitions.


Conclusion: Optimizing the secretarial role through defined protocols, integrated technology, and interprofessional recognition is essential for improving the quality and safety of chronic dermatology management in primary care.

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References

Aaronson, E. L., Quinn, G. R., Wong, C. I., Murray, A. M., Petty, C. R., Einbinder, J., & Schiff, G. D. (2019). Missed diagnosis of cancer in primary care: insights from malpractice claims data. Journal of Healthcare Risk Management, 39(2), 19-29. https://doi.org/10.1002/jhrm.21385

Arndt, B. G., Beasley, J. W., Watkinson, M. D., Temte, J. L., Tuan, W. J., Sinsky, C. A., & Gilchrist, V. J. (2017). Tethered to the EHR: primary care physician workload assessment using EHR event log data and time-motion observations. The Annals of Family Medicine, 15(5), 419-426. https://doi.org/10.1370/afm.2121

Armstrong, A. W., & Read, C. (2020). Pathophysiology, clinical presentation, and treatment of psoriasis: a review. Jama, 323(19), 1945-1960. doi:10.1001/jama.2020.4006

Bell, S. K., Bourgeois, F., DesRoches, C. M., Dong, J., Harcourt, K., Liu, S. K., ... & Thomas, E. J. (2022). Filling a gap in safety metrics: development of a patient-centred framework to identify and categorise patient-reported breakdowns related to the diagnostic process in ambulatory care. BMJ Quality & Safety, 31(7), 526-540. https://doi.org/10.1136/bmjqs-2021-013672

Bodenheimer, T. S., & Smith, M. D. (2013). Primary care: proposed solutions to the physician shortage without training more physicians. Health Affairs, 32(11), 1881-1886. https://doi.org/10.1377/hlthaff.2013.0234

Casalino, L. P., Dunham, D., Chin, M. H., Bielang, R., Kistner, E. O., Karrison, T. G., ... & Meltzer, D. O. (2009). Frequency of failure to inform patients of clinically significant outpatient test results. Archives of internal medicine, 169(12), 1123-1129. doi:10.1001/archinternmed.2009.130

Chatur, S., Vaduganathan, M., Claggett, B. L., Cunningham, J. W., Docherty, K. F., Desai, A. S., ... & Solomon, S. D. (2023). Outpatient worsening among patients with mildly reduced and preserved ejection fraction heart failure in the DELIVER trial. Circulation, 148(22), 1735-1745. https://doi.org/10.1161/CIRCULATIONAHA.123.066506

Fabre, J. C., Andresen, P. A., & Wiltz, G. M. (2020). Closing the loop on electronic referrals: a quality improvement initiative using the care coordination model. The Journal of Ambulatory Care Management, 43(1), 71-80. DOI: 10.1097/JAC.0000000000000315

Freise, L., Neves, A. L., Flott, K., Harrison, P., Kelly, J., Darzi, A., & Mayer, E. K. (2021). Assessment of patients’ ability to review electronic health record information to identify potential errors: cross-sectional web-based survey. JMIR formative research, 5(2), e19074. https://doi.org/10.2196/19074

Greenhalgh, T., Thorne, S., & Malterud, K. (2018). Time to challenge the spurious hierarchy of systematic over narrative reviews?. European journal of clinical investigation, 48(6), e12931. https://doi.org/10.1111/eci.12931

Gupta, A., Snyder, A., Kachalia, A., Flanders, S., Saint, S., & Chopra, V. (2018). Malpractice claims related to diagnostic errors in the hospital. BMJ Quality & Safety, 27(1), 53-60. https://doi.org/10.1136/bmjqs-2017-006774

Hughes, D., Hanson, M. N., Alseidi, A., Romanelli, J., Vassiliou, M., Feldman, L. S., & Asbun, H. (2023). Factors influencing surgeon well-being: qualitatively exploring the joy of surgery. Surgical endoscopy, 37(8), 6464-6475. https://doi.org/10.1007/s00464-023-10135-5

Hysong, S. J., Giardina, T. D., Freytag, J., SoRelle, R., Murphy, D. R., Cully, J. A., ... & Amspoker, A. B. (2023). Study protocol: maintaining preventive care during public health emergencies through effective coordination. Implementation Science Communications, 4(1), 150. https://doi.org/10.1186/s43058-023-00507-2

Kuecker, C. M., Kashyap, A., & Seckel, E. (2020). Implementation of a protocol to manage patients at risk for hospitalization due to an ambulatory care sensitive condition. Federal Practitioner, 37(8), 380. https://doi.org/10.12788/fp.0030

Langan, S. M., & Williams, H. C. (2019). Clinical features and diagnostic criteria of atopic dermatitis. Harper's Textbook of Pediatric Dermatology, 193-211. https://doi.org/10.1002/9781119142812.ch15

Lee, H. J., & Kim, M. (2023). Challenges and future trends in the treatment of psoriasis. International journal of molecular sciences, 24(17), 13313. https://doi.org/10.3390/ijms241713313

Litchfield, I. J., Bentham, L. M., Lilford, R. J., McManus, R. J., Hill, A., & Greenfield, S. (2017). Adaption, implementation and evaluation of collaborative service improvements in the testing and result communication process in primary care from patient and staff perspectives: a qualitative study. BMC Health Services Research, 17(1), 615. https://doi.org/10.1186/s12913-017-2566-8

Menter, A., Gelfand, J. M., Connor, C., Armstrong, A. W., Cordoro, K. M., Davis, D. M., ... & Elmets, C. A. (2020). Joint AAD-NPF guidelines of care for the management of psoriasis with systemic non-biological therapies. Journal of the American Academy of Dermatology.

Murphy, D. R., Meyer, A. N., Russo, E., Sittig, D. F., Wei, L., & Singh, H. (2016). The burden of inbox notifications in commercial electronic health records. JAMA internal medicine, 176(4), 559-560. doi:10.1001/jamainternmed.2016.0209

Nankervis, H., Huntley, A., Whiting, P., Hamilton, W., Singh, H., Dawson, S., ... & Watson, J. (2023). Blood test result communication in primary care: mixed-methods systematic review protocol. BJGP open, 7(4). https://doi.org/10.3399/BJGPO.2023.0105

National Center for Health Statistics. (2017). National Ambulatory Medical Care Survey: 2015 state and national summary tables. Hyattsville (MD): NCHS.

North, F., Crane, S. J., Stroebel, R. J., Cha, S. S., Edell, E. S., & Tulledge-Scheitel, S. M. (2013). Patient-generated secure messages and eVisits on a patient portal: are patients at risk?. Journal of the American Medical Informatics Association, 20(6), 1143-1149. https://doi.org/10.1136/amiajnl-2012-001208

O'Connor, A. W., Helfrich, C. D., Nelson, K. M., & Sears, J. M. (2023). Changes in electronic notification volume and primary care provider burnout. American Journal of Managed Care, (1).

O'Malley, A. S., Reschovsky, J. D., & Saiontz-Martinez, C. (2015). Interspecialty communication supported by health information technology associated with lower hospitalization rates for ambulatory care–sensitive conditions. The Journal of the American Board of Family Medicine, 28(3), 404-417. https://doi.org/10.3122/jabfm.2015.03.130325

Singh, H., Spitzmueller, C., Petersen, N. J., Sawhney, M. K., & Sittig, D. F. (2013). Information overload and missed test results in electronic health record–based settings. JAMA internal medicine, 173(8), 702-704. doi:10.1001/2013.jamainternmed.61

Sinsky, C. A., Willard-Grace, R., Schutzbank, A. M., Sinsky, T. A., Margolius, D., & Bodenheimer, T. (2013). In search of joy in practice: a report of 23 high-functioning primary care practices. The Annals of Family Medicine, 11(3), 272-278. https://doi.org/10.1370/afm.1531

Smith, C. H., Yiu, Z. Z. N., Bale, T., Burden, A. D., Coates, L. C., Edwards, W., ... & British Association of Dermatologists’ Clinical Standards Unit. (2020). British Association of Dermatologists guidelines for biologic therapy for psoriasis 2020: a rapid update. British Journal of Dermatology, 183(4), 628-637. https://doi.org/10.1111/bjd.19039

Stefanovic, N., Irvine, A. D., & Flohr, C. (2021). The role of the environment and exposome in atopic dermatitis. Current Treatment Options in Allergy, 8(3), 222-241. https://doi.org/10.1007/s40521-021-00289-9

Suen, L. W., Makam, A. N., Snyder, H. R., Repplinger, D., Kushel, M. B., Martin, M., & Nguyen, O. K. (2022). National prevalence of alcohol and other substance use disorders among emergency department visits and hospitalizations: NHAMCS 2014–2018. Journal of general internal medicine, 37(10), 2420-2428. https://doi.org/10.1007/s11606-021-07069-w

Wollenberg, A., Kinberger, M., Arents, B., Aszodi, N., Avila Valle, G., Barbarot, S., ... & Flohr, C. (2022). European guideline (EuroGuiDerm) on atopic eczema: part I–systemic therapy. Journal of the European Academy of Dermatology and Venereology, 36(9), 1409-1431. https://doi.org/10.1111/jdv.18345

Wang, B., Kristiansen, E., Fagerlund, A. J., Zanaboni, P., Hägglund, M., Bärkås, A., ... & Johansen, M. A. (2023). Users’ experiences with online access to electronic health records in mental and somatic health care: cross-sectional study. Journal of Medical Internet Research, 25, e47840. https://doi.org/10.2196/47840

Wright, A., Hickman, T. T. T., McEvoy, D., Aaron, S., Ai, A., Andersen, J. M., ... & Bates, D. W. (2016). Analysis of clinical decision support system malfunctions: a case series and survey. Journal of the American Medical Informatics Association, 23(6), 1068-1076. https://doi.org/10.1093/jamia/ocw005

Authors

Ahmed Mohammed Shtefi
A.m.shtefi@gmail.com (Primary Contact)
Yasir Ibrahim Yahya Kariri
Mousa Wasili
Fahad Mousa Wasili
Amani Ali Madkhali
Wejdan Mohammed Abkar Khalil
Lolah Ali Essa Alageeli
Fatimah Hamad Mohammed Shajri
Shtefi, A. M., Yasir Ibrahim Yahya Kariri, Mousa Wasili, Fahad Mousa Wasili, Amani Ali Madkhali, Wejdan Mohammed Abkar Khalil, … Fatimah Hamad Mohammed Shajri. (2024). A Narrative Review of Medical Secretaries’ Coordination of Laboratory Results and Follow-up for Psoriasis and Atopic Dermatitis in Primary Care Workflows. Saudi Journal of Medicine and Public Health, 1(2), 1115–1122. https://doi.org/10.64483/202412301

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