一对一熟练程度培训：利用临床信息系统对满意度和有效性的评估
One-on-one proficiency training: an evaluation of satisfaction and effectiveness using clinical information systems.
作者信息
Kirshner Michael, Salomon Herbert, Chin Homer
机构信息
Kaiser Permanente Center for Health Research, Portland OR, USA.
出版信息
AMIA Annu Symp Proc. 2003;2003:366-70.
OBJECTIVE
To examine the effectiveness of a one-on-one training method for advanced proficiency in the use of clinical information systems (CIS) by clinicians (physicians, physician assistants, and nurse practitioners) in a large HMO.
DESIGN
A cross-sectional survey of 129 clinicians.
MEASUREMENTS
Satisfaction was measured using a multi-item satisfaction index. Perceived effectiveness of the training was measured by assessing self-reported improvements in efficiency in CIS.
RESULTS
Response rate of 80%. The one-on-one method was significantly preferred over any other teaching methods (p<.0001). Improvement in use of the electronic medical record was greatest following one-on-one training when compared to other CIS components. Major improvements (i.e., >3 on 5 point Likert scale) in use of the electronic medical record were reported by 61.4% of the clinicians. Overall satisfaction was significantly higher among women (p<.05).
CONCLUSION
The findings support the assumption that one-on-one training is of value to clinicians and that this training modality is valued above other methods.
目的
考察在大型健康维护组织（HMO）中，一对一培训方法对于临床医生（医师、医师助理和执业护士）熟练使用临床信息系统（CIS）的有效性。
设计
对129名临床医生进行横断面调查。
测量
使用多项目满意度指数测量满意度。通过评估自我报告的CIS效率提高情况来测量培训的感知有效性。
结果
回复率为80%。一对一方法比任何其他教学方法更受青睐（p<0.0001）。与其他CIS组件相比，一对一培训后电子病历的使用改善最大。61.4%的临床医生报告电子病历使用有重大改善（即5分制李克特量表上>3分）。女性的总体满意度显著更高（p<0.05）。
结论
研究结果支持以下假设，即一对一培训对临床医生有价值，且这种培训方式比其他方法更受重视。
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