de Lusignan Simon, Pearce Christopher, Munro Neil
Primary Care and Clinical Informatics, Department of Health Care Management and Policy, University of Surrey GUILDFORD Surrey GU2 7XH, UK.
Monash University, Director of Research, Inner East Melbourne Medicare Local, 250 Mont Albert Road, Surrey Hills 3127, Australia.
Inform Prim Care. 2013;21(1):i-iii. doi: 10.14236/jhi.v21i1.61.
Job satisfaction in primary care is associated with getting on with your computer. Many primary care professionals spend longer interacting with their computer than anything else in their day. However, the computer often makes demands rather than be an aid or supporter that has learned its user's preferences. The use of electronic patient record (EPR) systems is underrepresented in the assessment of entrants to primary care, and in definitions of the core competencies of a family physician/general practitioner. We call for this to be put right: for the use of the EPR to support direct patient care and clinical governance to be given greater prominence in training and assessment. In parallel, policy makers should ensure that the EPR system use is orientated to ensuring patients receive evidence-based care, and EPR system suppliers should explore how their systems might better support their clinician users, in particular learning their preferences.
基层医疗中的工作满意度与和电脑打交道的情况相关。许多基层医疗专业人员在一天中与电脑交互的时间比做其他任何事情的时间都长。然而，电脑往往是提出要求，而不是成为了解用户偏好的辅助工具或支持者。在对基层医疗从业者的评估以及家庭医生/全科医生核心能力的定义中，电子病历（EPR）系统的使用未得到充分体现。我们呼吁纠正这种情况：在培训和评估中，应更加突出电子病历在支持直接患者护理和临床管理方面的作用。与此同时，政策制定者应确保电子病历系统的使用旨在确保患者获得循证护理，电子病历系统供应商应探索其系统如何能更好地支持临床医生用户，特别是了解他们的偏好。
