尼日利亚拉各斯大学教学医院医生对使用电子病历的态度及意愿
Doctors' Attitude and Willingness to Use Electronic Medical Records at the Lagos University Teaching Hospital, Lagos, Nigeria.
出版信息
Online J Public Health Inform. 2018 Sep 21;10(2):e211. doi: 10.5210/ojphi.v10i2.8416. eCollection 2018.
BACKGROUND
There have been few studies conducted on Electronic Medical Records (EMR) among medical doctors who practice in resource limited settings. This study aimed to assess the attitude to and willingness of medical doctors at the Lagos University Teaching Hospital to use EMR and to identify the factors that are associated with the willingness to use EMR.
METHODS
A stratified sampling method was used to select medical doctors to participate in the study according to their experience and professional cadre. A pretested self-administered questionnaire was used to collect data which were entered and analyzed using the Epi-info version 7 software. Statistically significant associations were tested using the chi-square and fishers exact tests.
RESULTS
There were 202 participants in the study. All (100%) had good attitude towards EMR. Nearly all of them (96.54%) were willing to use EMR. There was no significant association between age, gender and willingness to use EMR. However, there was a statistically significant association with work duration and IT skills (p< 0.05).
CONCLUSION
Work duration and IT skills are significant factors in determining the willingness to use EMR. There is therefore a need to include IT skills acquisition in medical training so as to increase the chance of use of EMR.
背景
在资源有限环境中执业的医生中，针对电子病历（EMR）开展的研究较少。本研究旨在评估拉各斯大学教学医院医生对使用电子病历的态度和意愿，并确定与使用电子病历意愿相关的因素。
方法
采用分层抽样方法，根据经验和专业职称选择医生参与研究。使用预先测试的自填式问卷收集数据，并用Epi-info 7软件录入和分析数据。使用卡方检验和费舍尔精确检验来检验具有统计学意义的关联。
结果
该研究有202名参与者。所有人（100%）对电子病历持良好态度。几乎所有人（96.54%）都愿意使用电子病历。年龄、性别与使用电子病历的意愿之间无显著关联。然而，工作时长和信息技术技能与之存在统计学意义的关联（p<0.05）。
结论
工作时长和信息技术技能是决定使用电子病历意愿的重要因素。因此，有必要在医学培训中纳入信息技术技能的获取，以增加使用电子病历的机会。
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