Sands D Z, Safran C, Slack W V, Bleich H L
Center for Clinical Computing, Harvard Medical School, Boston.
Proc Annu Symp Comput Appl Med Care. 1993:306-10.
Electronic mail has been in use for almost 20 years at Boston's Beth Israel Hospital and is an integral part of the clinical information system. Through a study of usage patterns during a one-week period, we found that 1247 persons sent 7482 messages to 1302 different recipients. Each category of user (attending physician, house officer, nurse, etc.) sent the most e-mail to others of the same user category. Through an electronically administered questionnaire, we found that self-reported usage patterns had a high correlation (r = 0.6) with measured use. Sixty-six percent of respondents used e-mail daily or weekly, and 58% used it for issues of patient care; nearly all users found this useful for communicating about patient care issues. Ninety percent of respondents felt e-mail made their lives easier and 61% felt it had a humanizing influence on their lives. We conclude that the e-mail system is well-utilized by clinical personnel and felt to be useful in both patient care and nonpatient care situations.
电子邮件在波士顿的贝斯以色列医院已使用了近20年，是临床信息系统不可或缺的一部分。通过对一周内使用模式的研究，我们发现1247人向1302个不同收件人发送了7482条信息。每类用户（主治医生、住院医生、护士等）发送给同一类用户的电子邮件最多。通过电子管理的问卷调查，我们发现自我报告的使用模式与实测使用情况高度相关（r = 0.6）。66%的受访者每天或每周使用电子邮件，58%的人将其用于患者护理问题；几乎所有用户都认为这对交流患者护理问题很有用。90%的受访者认为电子邮件让他们的生活更轻松，61%的人觉得它对他们的生活有人性化影响。我们得出结论，临床人员对电子邮件系统的利用率很高，并且认为它在患者护理和非患者护理情况下都很有用。
