Zhang Xiaojun, Yu Ping, Yan Jun, Hu Hongxiang, Goureia Niraj
School of Information System & Technology, University of Wollongong, Australia.
Stud Health Technol Inform. 2012;178:242-9.
This paper presents the preliminary findings of a case study of patients' acceptance and usage of web self-service - online appointment system - in a primary health care centre in a regional area in Australia. After two months of implementation, structured interviews were undertaken over three months to ascertain patients' perceptions of the web self-service application. The findings indicates that patients' acceptance of the web self-service application maybe hindered by their relative lower computer ownership or inadequate computer skills and access to the internet, their preference for flexible personal communication for appointment making and inadequate flexibility of the appointment system compared to phone call. Our preliminary findings may suggest that more than half of the healthcare consumers in this area are likely to accept the PCEHR initiative, however the decision makers of the PCEHR system need to carefully design the strategies and practice for the introduction of the innovation to overcome the substantial barriers to consumers' ability to access the internet-based e-health solutions.
本文介绍了一项针对澳大利亚某地区初级卫生保健中心患者对网络自助服务（在线预约系统）的接受度和使用情况的案例研究的初步结果。在实施两个月后，在三个月的时间里进行了结构化访谈，以确定患者对网络自助服务应用程序的看法。研究结果表明，患者对网络自助服务应用程序的接受度可能会受到以下因素的阻碍：他们相对较低的计算机拥有率、不足的计算机技能和互联网接入条件；他们在预约时对灵活的人际沟通方式的偏好；以及与电话预约相比，预约系统灵活性不足。我们的初步研究结果可能表明，该地区超过一半的医疗消费者可能会接受个人控制的电子健康记录（PCEHR）倡议，然而，PCEHR系统的决策者需要精心设计引入这一创新的策略和实践，以克服消费者在获取基于互联网的电子健康解决方案方面的重大障碍。
