Menachemi Nir, Lee Stephanie Cruz, Shepherd Janet E, Brooks Robert G
Florida State University College of Medicine, Tallahassee, FL 32312, USA.
Qual Manag Health Care. 2006 Jul-Sep;15(3):150-6.
To examine the current use of electronic health records (EHRs) and their key subfunctions among obstetrician-gynecologists and compare this trend with other doctors.
In this study, we examined responses to a large statewide study of EHR use among Florida physicians practicing in the ambulatory setting. For assessment purposes, we compared obstetrician-gynecologists with other primary care physicians (PCPs) and surgeons with respect to EHR utilization, the availability of key EHR functions, and time since adoption. In addition, we examined adoption intentions among non-EHR users. To compare differences among groups, the chi-square test was utilized with significance level set at P < .05.
A total of 2428 responses (28.4% response rate), of which 454 were from obstetrician-gynecologists, were available for the current study. EHR use among obstetrician-gynecologists (18.3%) was significantly less (P < .001) than among PCPs (25.7%) and surgeons (20.5%). Among EHR users, obstetrician-gynecologists were significantly less likely than PCPs to have the following desirable EHR functions: problem lists (P < .001), medication lists (P < .001), allergy information (P = .014), electronic prescribing of medications (P = .001), electronic order entry (P = .009), electronically available laboratory results (P = .002), electronic connection to pharmacy information (P = .008), preventative service reminders (P < .001), and patient education material (P = .004). Moreover, obstetrician-gynecologists were significantly more likely to have adopted their system within the last 2 years. However, among nonusers, they were not more likely to indicate the intention to adopt EHR.
Compared with peers, obstetrician-gynecologists are less likely to be using EHR in their practice. In addition, their systems tend to have fewer medical error preventing functions and fewer basic functions.
研究妇产科医生目前对电子健康记录（EHRs）的使用情况及其关键子功能，并将这一趋势与其他医生进行比较。
在本研究中，我们调查了佛罗里达州从事门诊工作的医生对一项全州范围的EHR使用大型研究的回应。为了进行评估，我们比较了妇产科医生与其他初级保健医生（PCP）以及外科医生在EHR使用情况、关键EHR功能的可用性以及采用后的时间方面的差异。此外，我们还调查了非EHR用户的采用意向。为了比较组间差异，采用卡方检验，显著性水平设定为P <.05。
本研究共获得2428份回复（回复率为28.4%），其中454份来自妇产科医生。妇产科医生中EHR的使用率（18.3%）显著低于初级保健医生（25.7%）和外科医生（20.5%）（P <.001）。在EHR用户中，妇产科医生拥有以下理想EHR功能的可能性显著低于初级保健医生：问题列表（P <.001）、用药列表（P <.001）、过敏信息（P =.014）、药物电子处方（P =.001）、电子医嘱录入（P =.009）、可电子获取的实验室结果（P =.002）、与药房信息的电子连接（P =.008）、预防服务提醒（P <.001）以及患者教育材料（P =.004）。此外，妇产科医生在过去2年内采用其系统的可能性显著更高。然而，在非用户中，他们表示采用EHR意向的可能性并不更高。
与同行相比，妇产科医生在实践中使用EHR的可能性较小。此外，他们的系统往往具有较少的预防医疗差错功能和较少的基本功能。
