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促进还是阻碍:医生对电子健康记录系统中最佳实践警报(BPA)使用的看法。

Facilitation or Hindrance: Physicians' Perception on Best Practice Alerts (BPA) Usage in an Electronic Health Record System.

机构信息

a Department of Advertising, College of Journalism and Communications , University of Florida.

b College of Journalism and Communications , University of Florida.

出版信息

Health Commun. 2019 Aug;34(9):942-948. doi: 10.1080/10410236.2018.1443263. Epub 2018 Feb 27.

DOI:10.1080/10410236.2018.1443263
PMID:29485296
Abstract

A qualitative study was conducted to examine physicians' perception on best practice alerts (BPAs) usage under the theoretical framework of technology acceptance model (TAM). In particular, 20 face-to-face in-depth interviews were conducted from September 2016 to February 2017 to collect data. Four themes emerged from the current set of data: support, de-escalation, management, and enhancement are physicians' perceived motivations of using BPAs; interactivity, timing, and interface design are key factors that influence physicians' perceived experiences of using BPAs; alert fatigue and inaccurate alters are major challenges and issues faced by physicians when using BPAs; and, control and team approach are physicians' perceptions on the future improvement of BPAs. This study not only offers a detailed description of physicians' perception of BPAs, revealing the rich meanings associated with this phenomenon, but also enriches our understanding of the TAM in the context of BPAs by uncovering the key dimensions of abstract constructs in the model.

摘要

一项定性研究旨在在技术接受模型(TAM)的理论框架下,考察医生对最佳实践警报(BPA)使用的看法。具体而言,本研究于 2016 年 9 月至 2017 年 2 月期间进行了 20 次面对面的深入访谈,以收集数据。从当前的数据集中得出了四个主题:支持、降级、管理和增强是医生使用 BPA 的感知动机;交互性、时机和界面设计是影响医生使用 BPA 的感知体验的关键因素;警报疲劳和不准确的警报是医生在使用 BPA 时面临的主要挑战和问题;控制和团队方法是医生对未来 BPA 改进的看法。本研究不仅详细描述了医生对 BPA 的看法,揭示了与这一现象相关的丰富含义,还通过揭示模型中抽象构念的关键维度,丰富了我们对 TAM 在 BPA 背景下的理解。

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