基层医疗中的电子病历：对满意度、工作效率和诊疗流程的影响。
An electronic medical record in primary care: impact on satisfaction, work efficiency and clinic processes.
作者信息
Joos David, Chen Qingxia, Jirjis James, Johnson Kevin B
机构信息
Department of Biomedical Informatics,Vanderbilt University, Nashville, TN, USA.
出版信息
AMIA Annu Symp Proc. 2006;2006:394-8.
User satisfaction with an electronic medical record (EMR) plays a decisive role in its implementation and subsequent use. We developed a survey tool to identify features of an EMR that contribute to user satisfaction and administered it in an adult primary care clinic. Most physician respondents were highly satisfied with the EMR and used all of its components. The EMR decreased the time to develop a synopsis of the patient and improved communication efficiency. Most respondents valued remote access to the EMR. Electronic messaging was an important component of improved care delivery according to 80% of the respondents. Access to online references within the EMR was not valued over web-based access for most respondents. Our results demonstrate acceptance of an EMR in adult primary care. Features such as remote access and electronic messaging were surprisingly useful and successful for primary care practice.
用户对电子病历（EMR）的满意度在其实施及后续使用中起着决定性作用。我们开发了一种调查工具，以确定有助于提高用户满意度的电子病历功能，并在一家成人初级保健诊所进行了调查。大多数医生受访者对电子病历非常满意，并使用了其所有组件。电子病历缩短了生成患者摘要的时间，提高了沟通效率。大多数受访者重视对电子病历的远程访问。80%的受访者认为电子消息传递是改善医疗服务的重要组成部分。对于大多数受访者来说，电子病历内的在线参考文献访问并不比基于网络的访问更受重视。我们的结果表明成人初级保健领域对电子病历的接受程度。远程访问和电子消息传递等功能对于初级保健实践来说出奇地有用且成功。
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