Chan Moon Fai, Sonny Tse, Day Mary, Tong T F, Suen Lorna
School of Nursing, The Hong Kong Polytechnic University, Kowloon.
Med Inform Internet Med. 2003 Mar;28(1):43-57. doi: 10.1080/1463923031000124029.
To explore the current level of computerization in clinical practice in the Hong Kong Special Administrative Region through a population-based, Chinese medicine practitioner (CMP).
A self-completed, one-page two-sided, questionnaire were sent to the sample via mail, and a second mailing was sent to those who had not replied after 14 days. The sample consisted of 3335 listed CMPs registered with the Chinese Medicine Council of Hong Kong in 2002.
We received 1036 questionnaires from this mailed survey. After deducting those who had moved (n = 60), we calculated a response rate of 31.6%. Male respondents accounted for 81.8% (n = 847) of replies, and 279 respondents (26.9%) had used computer in their practices. The present analyses provide evidence that CMPs' current overall level of knowledge and use of computers in clinical practice is far from optimal. At best, only about 6.5% and 8.4% of CMPs in the study sample had computerized 4 - 8 clinical and 3 - 6 administrative functions, respectively.
In Hong Kong primary health care systems place much emphasis on quality outcomes and cost reduction. In order to achieve these goals, apparatus that allows greater accountability represents a means by which healthcare providers and policy makers can exercise greater control over healthcare services. Thus, implementation of computer systems in clinical practice can be seen as a prominent part of this overall philosophy. The present study has systematically documented the extent of clinical computer use in HK, identified areas for improvement, as well as specific groups of CMPs who might benefit from targeted efforts to promote computerization in practice for CMPs.
通过一项基于人群的中医师调查，探究香港特别行政区临床实践中的计算机化现状。
通过邮件向样本发送一份自行填写的、单面两页的问卷，对于14天后未回复的人再发送一次邮件。样本包括2002年在香港中医药管理委员会注册的3335名在册中医师。
我们从此次邮寄调查中收到了1036份问卷。扣除那些已搬家的人（n = 60）后，我们计算出回复率为31.6%。男性受访者占回复者的81.8%（n = 847），279名受访者（26.9%）在其临床实践中使用过计算机。目前的分析表明，中医师在临床实践中对计算机的知识掌握和使用的总体水平远非最佳。在研究样本中，充其量只有约6.5%和8.4%的中医师分别将4 - 8项临床功能和3 - 6项管理功能计算机化。
在香港，基层医疗系统非常重视质量成果和成本降低。为了实现这些目标，能够提高问责制的工具是医疗服务提供者和政策制定者对医疗服务实施更大控制的一种手段。因此，临床实践中计算机系统的实施可被视为这一总体理念的一个重要部分。本研究系统记录了香港临床计算机使用的程度，确定了改进领域，以及可能从有针对性地推动中医师临床实践计算机化的努力中受益的特定中医师群体。
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