University of Macau, Macao, Macao.
J Med Syst. 2013 Aug;37(4):9960. doi: 10.1007/s10916-013-9960-5. Epub 2013 Jul 13.
Electronic health record system (EHRS) is an important healthcare innovation associated with many controversies about the benefits and challenges to different stakeholders. The aim of this study was to investigate the utility of EHRS by outpatient physicians in Macao and to identify, in their opinions, the significance of EHRS on health institutes, patients, and physicians. Semi-structured interviews were conducted with 32 physicians who worked in the outpatient department. The interview data showed that 78% physicians interviewed used EHRS frequently during their daily practice despite individual preferences of documentation methods. They agreed that systemic health record offered by EHRS allowing smooth communication was beneficial to the health institutes, patients and physicians. However, privacy and confidentiality concerned both the health institutes and patients. Inefficiency of the EHRS that only allowed retrieval of limited medical information of the patients hindered physicians' acceptability of EHRS. It was also suggested that the health institutes should take into consideration interests of different stakeholders when designing and implementing EHRS.
电子健康记录系统 (EHRS) 是一项重要的医疗保健创新，它与不同利益相关者对其效益和挑战存在许多争议有关。本研究旨在调查澳门门诊医生对 EHRS 的实用性，并在他们的意见中确定 EHRS 对医疗机构、患者和医生的重要性。我们对 32 名在门诊工作的医生进行了半结构化访谈。访谈数据显示，78%的受访医生在日常工作中经常使用 EHRS，尽管他们个人对记录方法有偏好。他们一致认为，EHRS 提供的系统健康记录允许顺畅的沟通，有利于医疗机构、患者和医生。然而，隐私和保密性是医疗机构和患者共同关注的问题。EHRS 的效率低下，只能检索到患者有限的医疗信息，这也影响了医生对 EHRS 的接受程度。研究还建议，医疗机构在设计和实施 EHRS 时，应考虑到不同利益相关者的利益。
