从一个综合商业电子健康记录系统迁移至另一个：一线临床医生和工作人员的看法
Migrating from One Comprehensive Commercial EHR to Another: Perceptions of Front-line Clinicians and Staff.
作者信息
Reynolds Tera L, Clay Brian, Rudkin Scott E, Beckham Sara, Karimi Danielle Perret, Glandorf Joshua, Patton Pat, Longhurst Christopher, Zheng Kai
机构信息
University of California, Irvine, Irvine, CA.
University of California San Diego Health System, San Diego, CA.
出版信息
AMIA Annu Symp Proc. 2020 Mar 4;2019:765-773. eCollection 2019.
As healthcare organizations continue to grow and evolve, migrations from one commercial electronic health record (EHR) system to another are likely to become more common. However, little is known about front-line clinicians' and staff's perceptions of such changes. Our study addresses this gap through an organization-wide survey of employees immediately prior to the transition to a new commercial EHR. We found that almost all front-line clinicians and staff were aware of the upcoming migration, and that most felt positive or neutral about the change, with only about 11% indicating that they were uncomfortable with the migration. Reasons for discomfort included the beliefs that the new EHR will be more time consuming to use and that moving to a new EHR is too costly, as well as concerns about the migration process. Attitudes differed by demographic characteristics and satisfaction with the current EHR. We discuss the implications of these results.
随着医疗保健机构不断发展演变，从一个商业电子健康记录（EHR）系统迁移到另一个系统的情况可能会变得更加普遍。然而，对于一线临床医生和工作人员对这种变化的看法却知之甚少。我们的研究通过在向新的商业EHR过渡之前对全组织员工进行调查来填补这一空白。我们发现，几乎所有一线临床医生和工作人员都知晓即将进行的迁移，并且大多数人对这一变化持积极或中立态度，只有约11%的人表示他们对迁移感到不适。感到不适的原因包括认为新的EHR使用起来会更耗时、迁移到新的EHR成本过高，以及对迁移过程的担忧。态度因人口统计学特征和对当前EHR的满意度而有所不同。我们讨论了这些结果的影响。
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