Detmer W M, Friedman C P
Section on Medical Informatics, Stanford University School of Medicine.
Proc Annu Symp Comput Appl Med Care. 1994:558-62.
We assessed the attitudes of academic physicians towards computers in health care at two academic medical centers that are in the early stages of clinical information-system deployment. We distributed a 4-page questionnaire to 470 subjects, and a total of 272 physicians (58%) responded. Our results show that respondents use computers frequently, primarily to perform academic-oriented tasks as opposed to clinical tasks. Overall, respondents viewed computers as being slightly beneficial to health care. They perceive self-education and access to up-to-date information as the most beneficial aspects of computers and are most concerned about privacy issues and the effect of computers on the doctor-patient relationship. Physicians with prior computer training and greater knowledge of informatics concepts had more favorable attitudes towards computers in health care. We suggest that negative attitudes towards computers can be addressed by careful system design as well as targeted educational activities.
我们在两个处于临床信息系统部署早期阶段的学术医疗中心，评估了学术医生对医疗保健中计算机的态度。我们向470名受试者发放了一份4页的问卷，共有272名医生（58%）做出了回应。我们的结果表明，受访者经常使用计算机，主要是为了执行学术导向的任务，而非临床任务。总体而言，受访者认为计算机对医疗保健略有裨益。他们将自我教育和获取最新信息视为计算机最有益的方面，并且最担心隐私问题以及计算机对医患关系的影响。有过计算机培训经历且对信息学概念了解更多的医生，对医疗保健中计算机的态度更为积极。我们建议，可以通过精心的系统设计以及有针对性的教育活动来消除对计算机的负面态度。
