Fransen J, Daneel S, Langenegger T, Michel B A
Department of Rheumatology and Institute of Physical Medicine, University Hospital Zurich, Switzerland.
Rheumatology (Oxford). 2003 Aug;42(8):924-8. doi: 10.1093/rheumatology/keg249. Epub 2003 Apr 16.
To assess rheumatologists' opinions about the feasibility of a measurement feedback system in rheumatoid arthritis (RA) and to analyse if motivational aspects play a role in assessing the value of the system and in determining the extent to which it is used.
A survey sample (n=105) was randomly selected from participants of a measurement feedback system. A survey questionnaire assessed opinions on system outcome, structures and processes, motivation and overall satisfaction. Survey results are given descriptively and groups differing in motivation are compared.
The overall response rate was 62%. The system was generally perceived to fulfil its aims, but the effort required to use the system was rated less positive. Rheumatologists had as their motivation either 'science/obligation' or 'individual patient evaluation'. Rheumatologists with the latter motivation were more satisfied with the measurement feedback system, perceived its feasibility as better, and made more use of it.
Motivation for participating in a measurement feedback system has a significant impact on overall satisfaction with the system and the use of the system. Influencing motivation and reduction of the amount of effort required to use the system might increase overall acceptance.
评估风湿病学家对类风湿关节炎（RA）测量反馈系统可行性的看法，并分析动机因素在评估该系统价值及确定其使用程度方面是否发挥作用。
从测量反馈系统的参与者中随机抽取一个调查样本（n = 105）。一份调查问卷评估了对系统结果、结构和流程、动机及总体满意度的看法。调查结果采用描述性呈现，并对动机不同的组进行比较。
总体回复率为62%。该系统总体上被认为实现了其目标，但使用该系统所需的努力得到的评价不那么积极。风湿病学家的动机要么是“科学/义务”，要么是“个体患者评估”。具有后一种动机的风湿病学家对测量反馈系统更满意，认为其可行性更好，且更多地使用该系统。
参与测量反馈系统的动机对系统的总体满意度和系统的使用有重大影响。影响动机并减少使用系统所需的工作量可能会提高总体接受度。
