Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Fakulti Perubatan UKM, Cheras, Kuala Lumpur, Malaysia.
Family Health Development Division, Seremban District Health Office, Ministry of Health, Seremban, Negeri Sembilan, Malaysia.
Medicine (Baltimore). 2022 Jul 29;101(30):e29627. doi: 10.1097/MD.0000000000029627.
The Teleprimary Care-Oral Health Clinical Information System (TPC-OHCIS) is an updated electronic medical record (EMR) that has been applied in Malaysian primary healthcare. Recognizing the level of patient satisfaction following EMR implementation is crucial for assessing the performance of health care services. Hence, the main objective of this study was to compare the level of patient satisfaction between EMR-based clinics and paper-based clinics. The study was a quasi-experimental design that used a control group and was conducted among patients in 14 public primary healthcare facilities in the Seremban district of Malaysia from May 10, to June 30, 2021. Patient satisfaction was assessed using the validated Short-Form Patient Satisfaction Questionnaire, which consisted of 7 subscales. All data were analyzed using the IBM Statistical Package for Social Sciences version 21. A total of 321 patients consented to participate in this study, and 48.9% of them were from EMR clinics. The mean score for the communication subscale was the highest at 4.08 and 3.96 at EMR-adopted clinics and paper-based record clinics. There were significant differences in general satisfaction and communication subscales, with higher patient satisfaction found in clinics using EMR. With the utilization of EMR, patient satisfaction and communication in delivering healthcare services have improved.
远程初级保健-口腔健康临床信息系统（TPC-OHCIS）是一个经过更新的电子病历（EMR），已在马来西亚初级保健中得到应用。评估医疗保健服务的绩效，了解患者对 EMR 实施后的满意度至关重要。因此，本研究的主要目的是比较基于 EMR 的诊所和基于纸质的诊所的患者满意度水平。本研究采用准实验设计，使用对照组，于 2021 年 5 月 10 日至 6 月 30 日在马来西亚芙蓉区的 14 家公立初级保健设施中进行。使用经过验证的简短患者满意度问卷评估患者满意度，该问卷由 7 个分量表组成。所有数据均使用 IBM 统计软件包 21 版进行分析。共有 321 名患者同意参加这项研究，其中 48.9%的患者来自 EMR 诊所。在 EMR 采用诊所和纸质记录诊所，沟通分量表的平均得分最高，分别为 4.08 和 3.96。在一般满意度和沟通分量表方面存在显著差异，使用 EMR 的诊所患者满意度更高。通过使用 EMR，在提供医疗保健服务方面提高了患者满意度和沟通。
