Quant Cara, Altieri Lisa, Torres Juan, Craft Noah
Department of Medicine, Cedars Sinai Medical Center, Los Angeles, CA, USA.
Kaiser Permanente, Los Angeles Medical Center, Los Angeles, CA, USA.
Int J Telemed Appl. 2016;2016:3929741. doi: 10.1155/2016/3929741. Epub 2016 Sep 5.
Background. Mobile medical software applications (apps) are used for clinical decision-making at the point of care. Objectives. To determine (1) the usage, reliability, and popularity of mobile medical apps and (2) medical students' perceptions of app usage effect on the quality of patient-provider interaction in healthcare settings. Methods. An anonymous web-based survey was distributed to medical students. Frequency of use, type of app used, and perceptions of reliability were assessed via univariate analysis. Results. Seven hundred thirty-one medical students responded, equating to a response rate of 29%. The majority (90%) of participants thought that medical apps enhance clinical knowledge, and 61% said that medical apps are as reliable as textbooks. While students thought that medical apps save time, improve the care of their patients, and improve diagnostic accuracy, 53% of participants believed that mobile device use in front of colleagues and patients makes one appear less competent. Conclusion. While medical students believe in the utility and reliability of medical apps, they were hesitant to use them out of fear of appearing less engaged. Higher levels of training correlated with a greater degree of comfort when using medical apps in front of patients.
背景。移动医疗软件应用程序（应用）被用于医疗点的临床决策。目的。确定（1）移动医疗应用的使用情况、可靠性和受欢迎程度，以及（2）医学生对应用使用对医疗环境中患者与医疗服务提供者互动质量影响的看法。方法。向医学生发放了一份基于网络的匿名调查问卷。通过单变量分析评估使用频率、使用的应用类型以及对可靠性的看法。结果。731名医学生做出了回应，回应率为29%。大多数（90%）参与者认为医疗应用能增强临床知识，61%的人表示医疗应用与教科书一样可靠。虽然学生们认为医疗应用节省时间、改善对患者的护理并提高诊断准确性，但53%的参与者认为在同事和患者面前使用移动设备会让人显得能力较差。结论。虽然医学生相信医疗应用的实用性和可靠性，但出于担心显得不够专注，他们对使用这些应用犹豫不决。更高水平的培训与在患者面前使用医疗应用时更高程度的舒适度相关。
