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放射肿瘤学中的袖珍电子设备(PEDRO)项目:医疗决策中工具的使用正在如何改变?

The Pocketable Electronic Devices in Radiation Oncology (PEDRO) Project: How the Use of Tools in Medical Decision Making is Changing?

作者信息

De Bari Berardino, Franco Pierfrancesco, Niyazi Maximilian, Cornetto Andrea Peruzzo, Qvortrup Camilla, Martin Arturo Navarro, Cacicedo Jon, Fernandez Gonçalo, Louro Luís Vasco, Lestrade Laëtitia, Ciammella Patrizia, Greto Daniela, Checkrine Tarik, Youssef Elkholti, Filippi Andrea Riccardo, Poulsen Laurids Østergaard, Alongi Filippo

机构信息

Radiation Oncology Department, Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne, Switzerland.

Department of Oncology, Radiation Oncology, University of Torino, Turin, Italy.

出版信息

Technol Cancer Res Treat. 2016 Apr;15(2):365-76. doi: 10.1177/1533034615572287. Epub 2015 Mar 10.

DOI:10.1177/1533034615572287
PMID:25759425
Abstract

PURPOSE

To analyze the impact of mobile electronic devices (MEDs) and apps in the daily clinical activity of young radiation or clinical oncologists in 5 Western European countries (Italy, Germany, Spain, Portugal, and Denmark).

METHODS

A web-based questionnaire was sent to 462 young (≤40 years) members of the national radiation or clinical oncology associations of the countries involved in the study. The 15 items investigated diffusion of MEDs (smartphones and/or tablets), their impact on daily clinical activity, and the differences perceived by participants along time.

RESULTS

A total of 386 (83.5%) of the 462 correctly filled questionnaires were statistically evaluated. Up to 65% of respondents declared to use an electronic device during their clinical activity. Conversely, 72% considered low to moderate impact of smartphones/tables on their daily practice. The daily use significantly increased from 2009 to 2012: users reporting a use ≥6 times/d raised from 5% to 39.9%. Professional needs fulfillment was declared by less than 68% of respondents and compliance to apps indications by 66%. Significant differences were seen among the countries, in particular concerning the feeling of usefulness of MEDs in the daily clinical life. The perception of the need of a comprehensive Web site containing a variety of applications (apps) for clinical use significantly differed among countries in 2009, while it was comparable in 2012.

CONCLUSIONS

This survey showed a large diffusion of MEDs in young professionals working in radiation oncology. Looking at these data, it is important to verify the consistency of information found within apps, in order to avoid potential errors eventually detrimental for patients. "Quality assurance" criteria should be specifically developed for medical apps and a comprehensive Web site gathering all reliable applications and tools might be useful for daily clinical practice.

摘要

目的

分析移动电子设备(MEDs)及应用程序对西欧5国(意大利、德国、西班牙、葡萄牙和丹麦)年轻放射肿瘤学家或临床肿瘤学家日常临床工作的影响。

方法

向参与研究国家的全国放射或临床肿瘤学协会的462名年轻(≤40岁)成员发送了一份基于网络的调查问卷。所调查的15个项目涉及MEDs(智能手机和/或平板电脑)的普及情况、其对日常临床工作的影响以及参与者随时间感知到的差异。

结果

对462份正确填写的调查问卷中的386份(83.5%)进行了统计学评估。高达65%的受访者称在临床工作中使用电子设备。相反,72%的人认为智能手机/平板电脑对其日常工作的影响较小至中等。从2009年到2012年,日常使用率显著增加:报告每天使用≥6次的用户从5%升至39.9%。不到68%的受访者表示满足了专业需求,66%的人表示遵循了应用程序的指示。各国之间存在显著差异,尤其是在MEDs在日常临床工作中的有用性感受方面。2009年各国对包含各种临床应用程序(apps)的综合网站的需求感知存在显著差异,而在2012年则相当。

结论

这项调查显示MEDs在从事放射肿瘤学工作的年轻专业人员中广泛普及。鉴于这些数据,重要的是要核实应用程序中信息的一致性,以避免最终可能对患者有害的潜在错误。应为医疗应用程序专门制定“质量保证”标准,一个收集所有可靠应用程序和工具的综合网站可能对日常临床实践有用。

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