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医生对电子病历系统的态度:未来实施者的参考。

Physicians' Attitude towards Electronic Medical Record Systems: An Input for Future Implementers.

机构信息

Department of Health Informatics, Institute of Public Health, University of Gondar, Ethiopia.

出版信息

Biomed Res Int. 2021 Aug 28;2021:5523787. doi: 10.1155/2021/5523787. eCollection 2021.

Abstract

BACKGROUND

Electronic medical record (EMR) systems offer the potential to improve health care quality by allowing physicians real-time access to patient healthcare information. The endorsement and usage of EMRs by physicians have a significant influence on other user groups in the healthcare system. As a result, the purpose of this study was to examine physicians' attitudes regarding EMRs and identify the elements that may influence their attitudes.

METHOD

An institutional-based cross-sectional study design supplemented with a qualitative study was conducted from March 1 to April 30, 2018, among a total of 403 physicians. A self-administered questionnaire was used to collect quantitative data. The validity of the prediction bounds for the dependent variable and the validity of the confidence intervals and values for the parameters were measured with a value of less than 0.05 and 95 percent of confidence interval. For the supplementary qualitative study, data were collected using semistructured in-depth interviews from 11 key informants, and the data were analyzed using thematic analysis.

RESULT

Physicians' computer literacy (CI: 0.264, 0.713; : 0001) and computer access at work (CI: 0.141, 0.533, : 0.001) were shown to be favorable predictors of their attitude towards EMR system adoption. Another conclusion from this study was the inverse relationship between physicians' prior EMR experience and their attitude about the system (CI: -0.517, -0.121; : 0.002).

CONCLUSION

According to the findings of this study, physicians' attitudes regarding EMR were found moderate in the studied region. There was a favorable relationship between computer ownership, computer literacy, lack of EMR experience, participation in EMR training, and attitude towards EMR. Improving the aforementioned elements is critical to improving physicians' attitudes regarding EMR.

摘要

背景

电子病历(EMR)系统通过允许医生实时访问患者的医疗保健信息,为改善医疗质量提供了潜力。医生对 EMR 的认可和使用对医疗系统中的其他用户群体有重大影响。因此,本研究旨在调查医生对 EMR 的态度,并确定可能影响其态度的因素。

方法

2018 年 3 月 1 日至 4 月 30 日,采用基于机构的横断面研究设计,结合定性研究,对总共 403 名医生进行了研究。使用自填式问卷收集定量数据。通过 值小于 0.05 和 95%置信区间来测量因变量预测边界、置信区间和参数 值的有效性。对于补充的定性研究,使用半结构化深入访谈从 11 名关键信息提供者收集数据,并使用主题分析进行数据分析。

结果

医生的计算机素养(CI:0.264,0.713;:0001)和工作时的计算机访问(CI:0.141,0.533,:0.001)被证明是其对 EMR 系统采用态度的有利预测因素。本研究的另一个结论是医生先前的 EMR 经验与他们对系统的态度呈反比关系(CI:-0.517,-0.121;:0.002)。

结论

根据本研究的结果,在所研究的地区,医生对 EMR 的态度被认为是中等的。计算机拥有、计算机素养、缺乏 EMR 经验、参与 EMR 培训与对 EMR 的态度之间存在有利关系。改善上述因素对于改善医生对 EMR 的态度至关重要。

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