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罗德岛医生和高级执业提供者对健康信息技术的使用,2019年。

Use of Health Information Technology by Rhode Island Physicians and Advanced Practice Providers, 2019.

作者信息

Mandeville Brittany, Cooper Emily, Haskell Jacqueline, Viner-Brown Samara, Gardner Rebekah L

机构信息

Research Assistant at Healthcentric Advisors and a Master of Public Health student at Brown University School of Public Health.

Program Administrator at Healthcentric Advisors.

出版信息

R I Med J (2013). 2020 Feb 3;103(1):21-24.

Abstract

BACKGROUND

The Rhode Island Department of Health (RIDOH) has administered the Health Information Technology (HIT) Survey since 2009 to report clinician-level process measures relating to HIT adoption and use.

METHODS

RIDOH administers the Rhode Island HIT Survey to all licensed independent practitioners. Descriptive analyses examined HIT adoption and the clinician experience working with HIT.

RESULTS

Most physician and Advanced Practice Provider (APP) respondents report using an EHR (92.5% and 94.3%) and e-prescribing medications (84.1% and 81.6%). Less than half of physicians (40.9% or n=565) and APPs (35.4% or n=195) who prescribe controlled substances currently submit controlled substance prescriptions electronically. A higher percentage of physicians, compared to APPs, reported experiencing HIT-related stress (80.9% and 66.6%). The overall prevalence of physicians reporting symptoms of burnout was 29.7% (n=539) but varied between specialties.

DISCUSSION

As of 2019, the majority of Rhode Island physicians have adopted EHRs and e-prescribing. Adoption plateaued after 2012, and challenges persist in integrating existing technology into practice.

摘要

背景

自2009年以来,罗德岛州卫生部(RIDOH)开展了健康信息技术(HIT)调查,以报告与HIT采用和使用相关的临床医生层面的过程指标。

方法

RIDOH对所有持牌独立从业者进行罗德岛州HIT调查。描述性分析考察了HIT的采用情况以及临床医生使用HIT的体验。

结果

大多数医生和高级实践提供者(APP)受访者报告使用电子健康记录(EHR)(分别为92.5%和94.3%)以及电子处方药物(分别为84.1%和81.6%)。目前,开具管制药品的医生中不到一半(40.9%,即n = 565)和APP中不到一半(35.4%,即n = 195)以电子方式提交管制药品处方。与APP相比,报告经历过HIT相关压力的医生比例更高(分别为80.9%和66.6%)。报告有职业倦怠症状的医生总体患病率为29.7%(n = 539),但各专科之间有所不同。

讨论

截至2019年,罗德岛州的大多数医生已采用EHR和电子处方。2012年后采用率趋于平稳,将现有技术融入实践仍存在挑战。

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