Jacobs Robin J, Iqbal Hassan, Rana Arif M, Rana Zaid, Kane Michael N
J Am Osteopath Assoc. 2017 Dec 1;117(12):773-781. doi: 10.7556/jaoa.2017.149.
The advent of health information technology (HIT) tools can affect the practice of modern medicine in many ways, ideally by improving quality of care and efficiency and reducing medical errors. Future physicians will play a key role in the successful implementation of HIT. However, osteopathic medical students' willingness to learn, adopt, and use technology in a health care setting is not well understood.
To understand osteopathic medical students' knowledge, attitudes, and behaviors regarding HIT and to identify factors that may be related to their readiness to use HIT.
Using a cross-sectional approach, quantitative surveys were collected from students attending a large osteopathic medical school. Multivariate regression modeling was used to determine whether knowledge, attitudes, behaviors, and personal characteristics were associated with students' readiness to use HIT in future clinical practice.
Six hundred four students responded to at least 70% of the survey and were included in the analysis. Multivariate modeling successfully explained the 26% of variance in predicting students' readiness to use HIT (F8,506=22.6, P<.001, R2=0.263). Greater self-efficacy, openness to change (in academic/work settings), favorable attitudes toward HIT use, mobile technology use, younger age, being male, and prior exposure to technology were associated with readiness to use HIT.
Understanding students' level of HIT readiness may help guide medical education intervention efforts to better prepare future osteopathic physicians for HIT engagement and use. Innovative approaches to HIT education in medical school curricula that include biomedical informatics may be necessary.
健康信息技术（HIT）工具的出现可以在很多方面影响现代医学实践，理想情况下可提高医疗质量和效率并减少医疗差错。未来的医生将在HIT的成功实施中发挥关键作用。然而，整骨医学专业学生在医疗环境中学习、采用和使用技术的意愿尚未得到充分了解。
了解整骨医学专业学生对HIT的知识、态度和行为，并确定可能与他们准备使用HIT相关的因素。
采用横断面研究方法，对一所大型整骨医学院的学生进行定量调查。使用多元回归模型来确定知识、态度、行为和个人特征是否与学生在未来临床实践中使用HIT的准备情况相关。
604名学生至少回答了70%的调查问卷并被纳入分析。多元模型成功解释了预测学生使用HIT准备情况的26%的方差（F8,506=22.6，P<.001，R2=0.263）。更强的自我效能感、对变化的开放性（在学术/工作环境中）、对使用HIT的积极态度、移动技术的使用、更年轻、男性以及先前接触过技术与使用HIT的准备情况相关。
了解学生对HIT的准备程度可能有助于指导医学教育干预措施，以便更好地让未来的整骨医生为参与和使用HIT做好准备。医学院课程中采用包括生物医学信息学在内的创新HIT教育方法可能是必要的。
