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在资源有限的环境下,医疗保健专业人员对电子个人健康记录系统的知识、态度及其相关因素:一项横断面研究。

Healthcare professionals' knowledge, attitude and its associated factors toward electronic personal health record system in a resource-limited setting: A cross-sectional study.

机构信息

Department of Health Informatics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

North Shewa Zonal Health Department, Department of Monitoring and Evaluation, Shewa, Ethiopia.

出版信息

Front Public Health. 2023 Mar 15;11:1114456. doi: 10.3389/fpubh.2023.1114456. eCollection 2023.

Abstract

INTRODUCTION

Electronic personal health record (e-PHR) system enables individuals to access their health information and manage it themselves. It helps patient engagement management of health information that is accessed and shared with their healthcare providers using the platform. This improves individual healthcare through the exchange of health information between patients and healthcare providers. However, less is known about e-PHRs among healthcare professionals.

OBJECTIVE

Therefore, this study aimed to assess Health professionals' Knowledge and attitude and its associated factors toward e-PHR at the teaching hospital in northwest Ethiopia.

METHODS

An institution-based cross-sectional study design was used to determine healthcare professionals' knowledge and attitude and their associated factors toward e-PHR systems in teaching hospitals of Amhara regional state, Ethiopia, from 20 July to 20 August 2022. Pretested structured self-administered questionnaires were used to collect the data. Descriptive statistic was computed based on sociodemographic and other variables presented in the form of table graphs and texts. Bivariable and multivariable logistic analyses were performed with an adjusted odds ratio (AOR) and 95% CI to identify predictor variables.

RESULT

Of the total study participants, 57% were males and nearly half of the respondents had a bachelor's degree. Out of 402 participants, ~65.7% [61-70%] and 55.5% [50-60%] had good knowledge and favorable attitude toward e-PHR systems, respectively. Having a social media account 4.3 [AOR = 4.3, 95% CI (2.3-7.9)], having a smartphone 4.4 [AOR = 4.4, 95% CI (2.2-8.6)], digital literacy 8.8 [(AOR = 8.8, 95% CI (4.6-15.9)], being male 2.7 [AOR = 2.7, 95% CI (1.4-5.0)], and perceived usefulness 4.5 [(AOR = 4.5, 95% CI (2.5-8.5)] were positively associated with knowledge toward e-PHR systems. Similarly, having a personal computer 1.9 [AOR = 1.9, 95% CI (1.1-3.5)], computer training 3.9 [AOR = 3.9, 95% CI (1.8-8.3)], computer skill 19.8 [AOR = 19.8, 95% CI (10.7-36.9)], and Internet access 6.0 [AOR = 6.0, 95% CI (3.0-12.0)] were predictors for attitude toward e-PHR systems.

CONCLUSION

The findings from the study showed that healthcare professionals have good knowledge and a favorable attitude toward e-PHRs. Providing comprehensive basic computer training to improve healthcare professionals' expectation on the usefulness of e-PHR systems has a paramount contribution to the advancement of their knowledge and attitude toward successfully implementing e-PHRs.

摘要

简介

电子个人健康记录(e-PHR)系统使个人能够访问自己的健康信息并自行管理。它有助于患者参与管理他们使用该平台访问和与医疗保健提供者共享的健康信息。这通过患者和医疗保健提供者之间的健康信息交流来改善个人的医疗保健。然而,人们对医疗保健专业人员的 e-PHR 知之甚少。

目的

因此,本研究旨在评估埃塞俄比亚西北部教学医院的医疗保健专业人员对电子个人健康记录系统的知识和态度及其相关因素。

方法

采用基于机构的横断面研究设计,于 2022 年 7 月 20 日至 8 月 20 日在阿姆哈拉州的教学医院确定医疗保健专业人员对电子个人健康记录系统的知识和态度及其相关因素。使用经过预测试的结构化自我管理问卷收集数据。基于社会人口统计学和其他变量的描述性统计数据以表格、图表和文本的形式呈现。进行单变量和多变量逻辑分析,以确定预测变量。

结果

在总共的研究参与者中,有 57%是男性,近一半的受访者拥有学士学位。在 402 名参与者中,分别有~65.7%(61-70%)和 55.5%(50-60%)对电子个人健康记录系统有良好的知识和有利的态度。拥有社交媒体账户 4.3(AOR = 4.3,95%CI(2.3-7.9))、拥有智能手机 4.4(AOR = 4.4,95%CI(2.2-8.6))、数字扫盲 8.8(AOR = 8.8,95%CI(4.6-15.9))、男性 2.7(AOR = 2.7,95%CI(1.4-5.0))和感知有用性 4.5(AOR = 4.5,95%CI(2.5-8.5))与对电子个人健康记录系统的知识呈正相关。同样,拥有个人电脑 1.9(AOR = 1.9,95%CI(1.1-3.5))、计算机培训 3.9(AOR = 3.9,95%CI(1.8-8.3))、计算机技能 19.8(AOR = 19.8,95%CI(10.7-36.9))和互联网接入 6.0(AOR = 6.0,95%CI(3.0-12.0))是对电子个人健康记录系统态度的预测因素。

结论

研究结果表明,医疗保健专业人员对电子个人健康记录系统有良好的知识和有利的态度。提供全面的基本计算机培训,以提高医疗保健专业人员对电子个人健康记录系统有用性的期望,这对提高他们对电子个人健康记录系统的知识和态度,成功实施电子个人健康记录系统有重要贡献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0d3/10050470/4ae34a19e65c/fpubh-11-1114456-g0001.jpg

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