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计算机化病历介绍。对基层医生的一项调查。

Introduction of computerized medical records. A survey of primary physicians.

作者信息

Urkin Jacob, Goldfarb Dan, Weintraub Denis

机构信息

Clalit Health Services, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer-Sheva, Israel.

出版信息

Int J Adolesc Med Health. 2003 Apr-Jun;15(2):153-60. doi: 10.1515/ijamh.2003.15.2.153.

Abstract

UNLABELLED

The purpose of the study was to survey primary physicians about the possible impact of computerized medical records on clinical practice.

METHODS AND DESIGN

236 primary care physicians from the Negev health district in Israel, attending a course prior to installation of computerized record keeping, were given two open-ended questions together with a twenty-four statement attitude questionnaire using a five point Likert scale.

RESULTS

The beliefs of physicians highlighted the potential that computerized charts can help with office work, prevent loss of information, and facilitate communication between medical staff. On the other hand, the survey indicated that physicians felt its application was not universal and were uncomfortable with the fact that its use is mandatory. There were major concerns relating to how the medical record was displayed, anticipated increase in workload, and presumed extra time needed for data entry.

CONCLUSIONS

Most of the physicians surveyed were positive regarding the help that computerized medical records could provide. They were, nevertheless, concerned with the burden of change and adaptation of new technology and software design to clinical practice and its affect on communication.

摘要

未标注

本研究的目的是就计算机化病历对临床实践可能产生的影响对基层医生进行调查。

方法与设计

来自以色列内盖夫健康区的236名基层医疗医生,在安装计算机化记录系统之前参加了一门课程,他们被给予两个开放式问题以及一份使用五点李克特量表的包含24条陈述的态度问卷。

结果

医生们的看法突出了计算机化图表在协助办公室工作、防止信息丢失以及促进医护人员之间沟通方面的潜力。另一方面,调查表明医生们觉得其应用并不普遍,并且对其强制使用这一事实感到不满。对于病历的显示方式、预计工作量的增加以及假定的数据录入所需额外时间存在重大担忧。

结论

大多数接受调查的医生对计算机化病历所能提供的帮助持积极态度。然而,他们担心新技术和软件设计适应临床实践的变革负担及其对沟通的影响。

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