Cawdron R, Calder J, Issenman R M
Children's Hospital, Hamilton Health Sciences Centre.
Paediatr Child Health. 2001 Dec;6(10):762-6. doi: 10.1093/pch/6.10.762.
Increased interest in implementing evidence-based medicine in paediatric practice has led to the development of a variety of electronic clinical and decision-making support tools. Electronic medical records and information resources have the potential to improve both the clinical and cost effectiveness of paediatric community practice at the point of care. Barriers to the successful implementation of clinical information Intranet resources include physician attitudes, as well as system and practitioner capabilities.
To examine Ontario's community care paediatricians' electronic information resource needs and interest in accessing the proposed Central West Ontario Pediatric Information Network (CWPIN).
Cross-sectional, interviewer-facilitated, structured survey.
Paediatricians providing community care in the Central West Ontario Health Region.
Three-quarters of regional community paediatricians responded to the survey. Of those surveyed, 98% expressed interest in gaining access to the CWPIN. Computer literacy, suggested by home computer and Internet use rates (88% and 81%, respectively), did not differ significantly by age or sex. Other factors that may affect network use, such as workplace computer use and allied personnel role assignment, differed by sex, indicating potentially greater CWPIN use among male practitioners.
Physicians reported an overwhelming interest in gaining access to and using the CWPIN. Disparities in current workplace but not home-based computer use by sex indicate that workplace role allocation, rather than computer literacy, may explain sex differences in CWPIN use rates. Attitudinal and computer proficiency issues did not appear to be obstacles to implementing the clinical information Intranet resource in the region.
在儿科实践中实施循证医学的兴趣日益浓厚，促使各种电子临床和决策支持工具得以开发。电子病历和信息资源有潜力在医疗现场提高儿科社区实践的临床效果和成本效益。临床信息内联网资源成功实施的障碍包括医生态度以及系统和从业者能力。
调查安大略省社区儿科医生对电子信息资源的需求以及对访问拟议的安大略省中西部儿科信息网络（CWPIN）的兴趣。
横断面、由访谈者协助的结构化调查。
在安大略省中西部健康区域提供社区护理的儿科医生。
四分之三的区域社区儿科医生回复了调查。在接受调查的医生中，98%表示有兴趣访问CWPIN。家庭电脑和互联网使用率（分别为88%和81%）表明的计算机素养在年龄或性别上没有显著差异。其他可能影响网络使用的因素，如工作场所电脑使用情况和辅助人员角色分配，在性别上存在差异，这表明男性从业者使用CWPIN的可能性可能更大。
医生表示对访问和使用CWPIN有着浓厚兴趣。当前工作场所而非家庭电脑使用情况在性别上的差异表明，工作场所角色分配而非计算机素养可能解释了CWPIN使用率的性别差异。态度和计算机熟练程度问题似乎并不是该地区实施临床信息内联网资源的障碍。
