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基层医疗医生更喜欢口述还是计算机生成的出院小结?

Do primary care physicians prefer dictated or computer-generated discharge summaries?

作者信息

Brazy J E, Langkamp D L, Brazy N D, De Luna R F

机构信息

Department of Pediatrics, University of Wisconsin, Madison.

出版信息

Am J Dis Child. 1993 Sep;147(9):986-8. doi: 10.1001/archpedi.1993.02160330076024.

DOI:10.1001/archpedi.1993.02160330076024
PMID:8362819
Abstract

OBJECTIVE

To determine the preference of primary care physicians for computer-generated vs dictated discharge summaries from a neonatal intensive care unit.

DESIGN

Survey mailed to primary care physicians.

SETTING

Regional referral area of a level III neonatal intensive care unit.

PARTICIPANTS

Pediatricians and family medicine physicians caring for infants discharged from the neonatal intensive care unit.

RESULTS

Of 58 questionnaires sent, 45 (78%) were returned. Overall, 33 physicians (73%) either strongly or mildly preferred the computer-generated discharge summary; eight (18%) had no preference; and four (9%) preferred the dictated discharge summary (P < .001). The category of strongest preference was relevance of information for continued patient care. Preference for type of discharge summary was not significantly influenced by time in practice, type of practice, preference to read or scan summaries, or frequency of computer use.

CONCLUSION

Primary care physicians prefer computed-generated discharge summaries to dictated discharge summaries.

摘要

目的

确定基层医疗医生对于新生儿重症监护病房计算机生成的出院小结与口述出院小结的偏好。

设计

向基层医疗医生邮寄调查问卷。

地点

一家三级新生儿重症监护病房的区域转诊地区。

参与者

负责照料从新生儿重症监护病房出院婴儿的儿科医生和家庭医学医生。

结果

共邮寄58份问卷,45份(78%)被返还。总体而言,33名医生(73%)强烈或略微倾向于计算机生成的出院小结;8名(18%)无偏好;4名(9%)倾向于口述出院小结(P <.001)。最强烈偏好的类别是信息与持续的患者护理的相关性。出院小结类型的偏好不受执业时间、执业类型、阅读或浏览小结的偏好或计算机使用频率的显著影响。

结论

基层医疗医生更喜欢计算机生成的出院小结而非口述出院小结。

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