精神科医生在临床实践中使用数字技术的调查。
Survey of psychiatrist use of digital technology in clinical practice.
作者信息
Bauer Rita, Glenn Tasha, Monteith Scott, Whybrow Peter C, Bauer Michael
机构信息
Department of Psychiatry and Psychotherapy, University Hospital Carl Gustav Carus Medical Faculty, Technische Universität Dresden, Dresden, Germany.
ChronoRecord Association, Fullerton, CA, USA.
出版信息
Int J Bipolar Disord. 2020 Oct 3;8(1):29. doi: 10.1186/s40345-020-00194-1.
BACKGROUND
Psychiatrists were surveyed to obtain an overview of how they currently use technology in clinical practice, with a focus on psychiatrists who treat patients with bipolar disorder.
METHODS
Data were obtained using an online-only survey containing 46 questions, completed by a convenience sample of 209 psychiatrists in 19 countries. Descriptive statistics, and analyses of linear associations and to remove country heterogeneity were calculated.
RESULTS
Virtually all psychiatrists seek information online with many benefits, but some experience information overload. 75.2% of psychiatrists use an EMR/EHR at work, and 64.6% communicate with patients using a new technology, primarily email (48.8%). 66.0% do not ask patients if they use the Internet in relation to bipolar disorder. 67.3% of psychiatrists feel it is too early to tell if patient online information seeking about bipolar disorder is improving the quality of care. 66.3% of psychiatrists think technology-based treatments will improve the quality of care for some or many patients. However, 60.0% of psychiatrists do not recommend technology-based treatments to patients, and those who recommend select a variety of treatments. Psychiatrists use technology more frequently when the patients live in urban rather than rural or suburban areas. Only 23.9% of psychiatrists have any formal training in technology.
CONCLUSIONS
Digital technology is routinely used by psychiatrists in clinical practice. There is near unanimous agreement about the benefits of psychiatrist online information-seeking, but research on information overload is needed. There is less agreement about the appropriate use of other clinical technologies, especially those involving patients. It is too early to tell if technology-based treatments or patient Internet activities will improve the quality of care. The digital divide remains between use of technology for psychiatrists with patients living in urban and rural or suburban areas. Psychiatrists need more formal training in technology to understand risks, benefits and limitations of clinical products.
背景
对精神科医生进行了调查，以全面了解他们目前在临床实践中如何使用技术，重点是治疗双相情感障碍患者的精神科医生。
方法
通过一项仅在线的调查获取数据，该调查包含46个问题，由来自19个国家的209名精神科医生的便利样本完成。计算了描述性统计数据、线性关联分析以及消除国家异质性的分析。
结果
几乎所有精神科医生都在网上寻求信息，这带来了许多好处，但有些人会经历信息过载。75.2%的精神科医生在工作中使用电子病历/电子健康记录，64.6%的精神科医生使用新技术与患者沟通，主要是电子邮件（48.8%）。66.0%的精神科医生在双相情感障碍方面不会询问患者是否使用互联网。67.3%的精神科医生认为现在判断患者在线寻求双相情感障碍信息是否正在改善护理质量还为时过早。66.3%的精神科医生认为基于技术的治疗将改善部分或许多患者的护理质量。然而，60.0%的精神科医生不向患者推荐基于技术的治疗，而那些推荐的人会选择多种治疗方法。当患者生活在城市地区而非农村或郊区时，精神科医生更频繁地使用技术。只有23.9%的精神科医生接受过任何形式的技术培训。
结论
精神科医生在临床实践中经常使用数字技术。对于精神科医生在线寻求信息的好处几乎达成了一致意见，但需要对信息过载进行研究。对于其他临床技术的适当使用，尤其是涉及患者的技术，意见较少一致。现在判断基于技术的治疗或患者的互联网活动是否会改善护理质量还为时过早。在城市与农村或郊区居住的患者的精神科医生使用技术方面，数字鸿沟仍然存在。精神科医生需要更多的技术正规培训，以了解临床产品的风险、益处和局限性。
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