电子转诊：我们为何仍在传真？
eReferrals: Why are we still faxing?
机构信息
FRACGP, FARGP, MBBS, BMedSc, General Practitioner, Saunders Street Clinic, Wynyard, Tas; Clinical Lecturer, University of Tasmania; Medical Educator, General Practice Training Tasmania. @.
BA (Hons), MPH, PhD, Senior Research Fellow, Rural Clinical School, University of Tasmania @.
出版信息
Aust J Gen Pract. 2018 Jan-Feb;47(1-2):50-57. doi: 10.31128/AFP-07-17-4285.
BACKGROUND AND OBJECTIVES
eReferrals have the potential to be a transformative technology in the healthcare space. This study explored attitudes, behaviours and barriers to eReferral use and electronic communication in general.
METHODS
A survey of doctors and allied health staff was undertaken in north-west Tasmania. Data were analysed using descriptive statistics and thematic analysis.
RESULTS
The response rate was 57% (n = 204). For 80% (n = 164) of respondents, fax or post was the main method of sending letters to other healthcare professionals, and 72% (n = 147) wanted to increase the number of letters sent and received electronically. Barriers and enablers to eReferral use included peer behaviour, software factors, security issues and workplace culture.
DISCUSSION
Somewhat ironically, the key barrier to eReferral use was peers not using eReferrals. A greater emphasis on software usability and interoperability is required. Despite eReferrals being promoted as the more secure alternative, security remains a key concern. Workplaces could influence adoption by encouraging eReferral use.
背景与目的
电子转诊在医疗保健领域具有变革性技术的潜力。本研究旨在探讨电子转诊和电子通信的使用态度、行为和障碍。
方法
在塔斯马尼亚州西北部对医生和辅助医疗人员进行了一项调查。使用描述性统计和主题分析对数据进行了分析。
结果
响应率为 57%（n=204）。对于 80%（n=164）的受访者来说，传真或邮寄是向其他医疗保健专业人员发送信件的主要方式，而 72%（n=147）希望增加电子信件的发送和接收数量。电子转诊使用的障碍和促成因素包括同行行为、软件因素、安全问题和工作场所文化。
讨论
具有讽刺意味的是，电子转诊使用的主要障碍是同行不使用电子转诊。需要更加重视软件的可用性和互操作性。尽管电子转诊被宣传为更安全的选择，但安全性仍然是一个关键问题。工作场所可以通过鼓励电子转诊的使用来影响采用。
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