Nimjee Tasleem, Miller Ethan, Solomon Shirley
An emergency room physician, Chair of the Physician IT Advisory Committee (PITAC) and Director, Medical Innovation and Transformation at Humber River Hospital. She can be reached by email at
A research assistant at Humber River Hospital.
Healthc Q. 2020 May;23(SP):53-59. doi: 10.12927/hcq.2020.26172.
The development and advancement of information and communication technologies (ICTs), such as electronic libraries, electronic medical records and computerized physician order entry systems, have made learning and acquiring vast medical knowledge feasible. However, there are limited data pertaining to the navigation of such technologies among physicians of varying generational cohorts.
The aim of this study was to explore physician experiences and perspectives influencing the adoption of ICTs, with an emphasis on generational differences.
Semi-structured interviews with focus groups or individual physicians were conducted, recorded and transcribed to elicit key themes.
Across the generations, participants expressed several benefits to ICTs, such as accessibility, efficiency and use of current, evidence-based practice medicine. Common problems encountered included usability issues, downtimes, alarm fatigue, and administrative tasks. There were differences between generations regarding adaptability, perceived benefits and drawbacks and perceptions of other generations' ability to adapt.
Physicians from various generations recognized the overall benefits of implementing ICTs. Although some drawbacks were reported, all participants understood the necessity of ICTs. Furthermore, implementation should be tailored to physician working style and learning needs.
信息与通信技术(ICTs)的发展与进步,如电子图书馆、电子病历和计算机化医师医嘱录入系统,使得学习和获取大量医学知识成为可能。然而,关于不同代际的医生在使用此类技术时的相关数据有限。
本研究旨在探讨影响医生采用信息与通信技术的经历和观点,重点关注代际差异。
对焦点小组或个体医生进行半结构化访谈,进行录音和转录以引出关键主题。
不同代际的参与者都表达了信息与通信技术的诸多益处,如可及性、效率以及对当前循证医学实践的应用。遇到的常见问题包括可用性问题、停机时间、警报疲劳和行政任务。在适应性、感知到的益处和缺点以及对其他代际适应能力的看法方面,不同代际之间存在差异。
不同代际的医生都认识到实施信息与通信技术的总体益处。尽管报告了一些缺点,但所有参与者都理解信息与通信技术的必要性。此外,实施应根据医生的工作方式和学习需求进行调整。