A study of computerization in clinical practice of acupuncturists in Hong Kong

Moon Fai Chan PhD (Lecturer), Lorna K.P Suen PhD (Assistant Professor), T.F Tong MPH (Clinical Associate), Sonny H.M Tse BSc (Lecturer), Mary C Day BSc (Technical Writer)
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Abstract

Primary objectives: To explore the current level of computerization in clinical practice of acupuncturists in the Hong Kong Special Administrative Region.

Methods and procedures: A self-completed, one-page two-sided, questionnaire was sent to the sample via mail, and a second mailing was sent to those who had not replied after 14 days. The Sample consisted of 367 listed acupuncturists registered with the Chinese Medicine Council of Hong Kong in 2002.

Main outcomes and results: We received 162 questionnaires from this mailed survey. After deducting those who had moved (n=37), we calculated a response rate of 49.1%. Male respondents accounted for 72.2% (n=117) of replies, and 46 respondents (28.9%) had used computer in their practices. The present analyses provide evidence that acupuncturists’ current overall level of knowledge and use of computers in clinical practice is far from optimal. At best, only about 5.3% and 2.9% of acupuncturists in the study sample had computerized 5–8 clinical and 5–8 administrative functions, respectively.

Conclusions: In Hong Kong primary health care systems place much emphasis on quality outcomes and cost reduction. In order to achieve these goals, apparatus that allows greater accountability represents a means by which healthcare providers and policy makers can exercise greater control over healthcare services. Thus, implementation of computer systems in clinical practice can be seen as a prominent part of this overall philosophy. The present study has systematically documented the extent of clinical computer use in HK, identified areas for improvement, as well as specific groups of acupuncturists who might benefit from targeted efforts to promote computerization in the practice.

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香港针灸师临床实践电脑化的研究
主要目的:探讨香港特别行政区针灸师临床工作的电脑化水平。方法和步骤:将一份自行填写的单页双面问卷邮寄给被试,14天后未回复的被试再邮寄一次。样本包括367名于2002年在香港中医药管理委员会注册的表列针灸师。主要结果和结果:本次邮寄调查共收到162份问卷。在扣除搬家的人(n=37)后,我们计算出的回复率为49.1%。男性受访者占72.2% (n=117), 46名受访者(28.9%)曾在执业中使用电脑。目前的分析提供的证据表明,针灸师目前的总体知识水平和计算机在临床实践中的使用远未达到最佳水平。在研究样本中,最多只有5.3%的针灸师和2.9%的针灸师分别拥有计算机化的5-8个临床功能和5-8个管理功能。结论:在香港,初级卫生保健系统非常重视质量结果和降低成本。为了实现这些目标,允许更大问责制的机构是医疗保健提供者和决策者能够对医疗保健服务实施更大控制的一种手段。因此,在临床实践中实施计算机系统可以被视为这一整体理念的重要组成部分。本研究系统地记录了香港临床电脑使用的程度,确定了需要改进的领域,以及针灸师的特定群体,他们可能会从有针对性的努力中受益,以促进计算机化的实践。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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