Cernadas Ramos Andrés, Bouzas-Lorenzo Ramón, Mesa Del Olmo Adela, Barral Buceta Bran
Departamento de Ciencia Política y Sociología, Universidad de Santiago de Compostela, Santiago de Compostela, A Coruña, España.
Departamento de Ciencia Política y Sociología, Universidad de Santiago de Compostela, Santiago de Compostela, A Coruña, España.
Aten Primaria. 2020 Jun-Jul;52(6):389-399. doi: 10.1016/j.aprim.2019.05.008. Epub 2019 Jun 29.
To find out the opinions of users and primary care doctors on the progress of e-health in primary care.
Focus groups set up between 1st May and 25th September 2018.
Primary care level in regional online health services.
A total of 29 users and 33 primary care doctors linked to primary care that were contacted, through user associations and regional public health services, respectively.
Inductive analysis of transcripts from focus groups about the following issues: accessibility and security; efficiency; information and technical problems; potentialities.
Online health services are positively valued in terms of cost savings both by users and doctors of primary care. Nevertheless, face-to-face interaction is still considered a key factor in the quality of service. When it comes to the access and provision of e-health services, there is shared concern for the security of the data and for the training deficiencies of users and doctors. An adequate design of the applications becomes a condition for the acceptance and diffusion of technologies that support online health.
Health authorities should intensify the use of new technologies oriented towards easing the work of doctors, simplifying bureaucratic tasks, providing diagnostic and prescription security, and protecting data. As long as systems generate failures and mistrust, new technologies will remain to be perceived as a complement, but not as an alternative to the traditional care model.
了解用户和基层医疗医生对基层医疗中电子健康进展的看法。
于2018年5月1日至9月25日期间设立焦点小组。
区域在线健康服务中的基层医疗层面。
通过用户协会和区域公共卫生服务机构分别联系到的29名用户和33名与基层医疗相关的基层医疗医生。
对焦点小组关于以下问题的记录进行归纳分析：可及性与安全性；效率；信息与技术问题；潜力。
基层医疗的用户和医生都对在线健康服务在节省成本方面给予了积极评价。然而，面对面互动仍被视为服务质量的关键因素。在电子健康服务的获取和提供方面，人们对数据安全以及用户和医生的培训不足存在共同担忧。应用程序的合理设计成为支持在线健康的技术被接受和推广的一个条件。
卫生当局应加强使用旨在减轻医生工作负担、简化官僚任务、提供诊断和处方安全性以及保护数据的新技术。只要系统产生故障和不信任，新技术将仍被视为传统护理模式的补充，而非替代。
