Boiselle Phillip M, Mainiero Martha B
Department of Radiology, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA.
J Am Coll Radiol. 2006 Oct;3(10):807-11. doi: 10.1016/j.jacr.2006.02.032.
To determine the impact of electronic resident evaluation systems on the timeliness, rate, and quality of responses.
Surveys were mailed electronically to the membership of the Association of Program Directors in Radiology, which included the directors of 158 residency programs. Respondents were instructed to send 1 response from each program. Information gathered included the use of electronic compared with paper-based evaluation systems and the overall level of satisfaction with such systems (rated on a 5-point scale with 1 = dissatisfied and 5 = satisfied). Questions were asked regarding the impact of electronic systems on the timeliness, rate, and quality of responses.
Seventy-seven responses were received, for an estimated response rate of 49% on a per-program basis. Of these 77 respondents, 45 (58%) used electronic systems and 32 (42%) used paper-based systems. The median level of satisfaction was equivalent (4 = somewhat satisfied) for both groups. Of the 45 respondents using electronic systems, 26 (58%) reported increased response rates, 16 (36%) reported no change, and 3 (7%) reported decreased response rates compared with paper-based systems. Regarding the timeliness of responses, 31 (69%) reported faster response rates, 10 (22%) reported no change, and 4 (9%) reported slower rates compared with paper-based systems. Regarding the quality of responses, 25 (56%) reported no change, 12 (27%) reported improved quality, and 8 (18%) reported worse quality compared with paper-based systems.
Electronic systems are generally associated with an improved response rate and enhanced timeliness of responses in comparison with paper-based systems, without adversely affecting the quality of responses.
确定电子住院医师评估系统对回复及时性、回复率及回复质量的影响。
通过电子邮件向放射学项目主任协会的成员发送调查问卷,该协会包括158个住院医师培训项目的主任。要求受访者从每个项目发送1份回复。收集的信息包括电子评估系统与纸质评估系统的使用情况,以及对此类系统的总体满意度(按5分制评分,1分=不满意,5分=满意)。询问了有关电子系统对回复及时性、回复率及回复质量影响的问题。
共收到77份回复,按每个项目计算,估计回复率为49%。在这77名受访者中,45名(58%)使用电子系统,32名(42%)使用纸质系统。两组的满意度中位数相当(4分=有点满意)。在45名使用电子系统的受访者中,26名(58%)报告回复率提高,16名(36%)报告无变化,3名(7%)报告回复率低于纸质系统。关于回复的及时性,31名(69%)报告回复率更快,10名(22%)报告无变化,4名(9%)报告回复率比纸质系统慢。关于回复质量,25名(56%)报告无变化,12名(27%)报告质量提高,8名(18%)报告质量比纸质系统差。
与纸质系统相比,电子系统通常与更高的回复率和更快的回复及时性相关,且不会对回复质量产生不利影响。