Kirshner Michael, Salomon Herbert, Chin Homer
Kaiser Permanente Center for Health Research, Portland OR, USA.
AMIA Annu Symp Proc. 2003;2003:366-70.
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.
A cross-sectional survey of 129 clinicians.
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.
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).
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.
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。
对129名临床医生进行横断面调查。
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。
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）。
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。
