Jelovsek F R, Rittwage J, Pearse W H, Visscher H C
Department of Obstetrics and Gynecology, University of Arkansas for Medical Sciences, Little Rock.
Obstet Gynecol. 1989 Mar;73(3 Pt 1):395-9.
A random sample survey of members of The American College of Obstetricians and Gynecologists (ACOG) was conducted to ascertain the extent to which computer technology was being used by the members, and what further computer services and applications were needed. Computers were used by 38% of the members, with an additional 13% planning on getting a computer within the year. An average of 48% of the members had no plans for computerization, although this number was lower (29%) for physicians 36-45 years of age. There was no significant variation of use by physician sex or type of practice (office- versus non-office-based). Word processing and financial management were the most frequently used computer applications; clinical patient care tasks were used much less frequently and were presumably less available, because software for these tasks was also highly desirable. The most desired information services were uniform coding and terminology, high-risk patient management, electronic access to full-text obstetric and gynecologic data bases, and online clinical management protocols. Prescription writing, patient recall by drug, and drug inventory computer applications were among the least requested. Several educational, project development, communication, and member service strategies have been formulated to integrate medical information management activities for ACOG members.
对美国妇产科医师学会（ACOG）的成员进行了一项随机抽样调查，以确定成员使用计算机技术的程度，以及还需要哪些进一步的计算机服务和应用程序。38%的成员使用计算机，另有13%计划在年内购置计算机。平均有48%的成员没有计算机化计划，不过36至45岁的医生这一比例较低（29%）。医生的性别或执业类型（基于办公室与非基于办公室）对计算机使用情况没有显著差异。文字处理和财务管理是最常用的计算机应用程序；临床患者护理任务的使用频率要低得多，而且可能不太容易获得，因为用于这些任务的软件也非常需要。最需要的信息服务是统一编码和术语、高危患者管理、电子访问妇产科全文数据库以及在线临床管理方案。处方书写、按药物召回患者以及药物库存计算机应用程序是需求最少的。已经制定了若干教育、项目开发、沟通和会员服务策略，以整合ACOG成员的医疗信息管理活动。
