Viitanen Johanna, Nieminen Marko, Hypponen Hannele, Laaveri Tinja
School of Science, Aalto University, Espoo, Finland.
Int J Electron Healthc. 2011;6(2-4):153-73. doi: 10.1504/IJEH.2011.044347.
Several researchers share the concern of healthcare information systems failing to support communication and collaboration in clinical practices. The objective of this paper is to investigate the current state of computer-supported patient information exchange and associated communication between clinicians. We report findings from a national survey on Finnish physicians? experiences with their currently used clinical information systems with regard to patient information documentation, retrieval, management and exchange-related tasks. The questionnaire study with 3929 physicians indicated the main concern being cross-organisational patient information delivery. In addition, physicians argued computer usage increasingly steals time and attention from caring activities and even disturbs physician?nurse collaboration. Problems in information management were particularly emphasised among those physicians working in hospitals and wards. The survey findings indicated that collaborative applications and mobile or wireless solutions have not been widely adapted in Finnish healthcare and suggested an urgent need for adopting appropriate information and communication technology applications to support information exchange and communication between physicians, and physicians and nurses.
几位研究人员都担心医疗保健信息系统无法支持临床实践中的沟通与协作。本文的目的是调查计算机支持的患者信息交换以及临床医生之间相关沟通的现状。我们报告了一项针对芬兰医生的全国性调查结果，该调查涉及他们目前使用的临床信息系统在患者信息记录、检索、管理以及与交换相关任务方面的体验。对3929名医生进行的问卷调查表明，主要担忧是跨组织的患者信息传递。此外，医生们认为使用计算机越来越多地占用了护理活动的时间和注意力，甚至干扰了医生与护士之间的协作。在医院和病房工作的医生中，信息管理问题尤其突出。调查结果表明，协作应用程序以及移动或无线解决方案在芬兰医疗保健领域尚未得到广泛应用，并建议迫切需要采用适当的信息和通信技术应用程序来支持医生之间以及医生与护士之间的信息交换和沟通。
