Pratiques et organisation des soins最新文献

英文中文

[Individual determinants of the Quebec electronic health record adoption]. [魁北克电子健康记录采用的个人决定因素]。

Pratiques et organisation des soins

Pub Date : 2009-01-01 DOI: 10.3917/pos.402.0125

H Mezni, Gagnon M-P, J Duplantie

Aim: The potential of electronic health records to improve effectiveness, safety and quality of health care has been shown in several previous studies. However healthcare professionals remain reticent as for its use, which limits its potential effect on the health care system. The present study aimed to evaluate physicians' perceptions towards the electronic health record of Quebec.

Methods: Based on a literature review of the factors affecting the adoption of information and communication technologies in general, and e-health in particular, questionnaire was developed. A total of 12 doctors who represent potential users of the Quebec electronic health record completed and returned the questionnaire. Afterwards we performed a thematic analysis of content which was followed by a theorisation of emerging concepts.

Results: Physicians' intention to adopt the Quebec electronic health record is positively influenced by perceived usefulness, perceived ease of use, demonstrability of the results, system's compatibility with practice, and computer self-efficacy. Conversely, resistance to change negatively influences physicians' adoption of the electronic health record.

Conclusion: It is crucial to understand factors that influence the acceptance of the Quebec electronic health records to inform decision makers. This will allow identifying potential users' expectations and to adjust implementation strategies accordingly in order to favour a better integration of this technology into medical practices.

目的：电子健康记录在提高医疗保健的有效性、安全性和质量方面的潜力已经在以前的几项研究中得到了证明。然而，医疗保健专业人员对其使用保持沉默，这限制了其对医疗保健系统的潜在影响。本研究旨在评估医生对魁北克电子健康记录的看法。方法：在对影响信息和通信技术（尤其是电子健康）采用的因素进行文献综述的基础上，编制问卷。共有12名医生代表魁北克电子健康记录的潜在用户填写并返回了问卷。之后，我们对内容进行了主题分析，然后对新兴概念进行了理论化。结果：医生采用魁北克电子健康记录的意愿受到感知的有用性、感知的易用性、结果的可证明性、系统与实践的兼容性和计算机自我效能的积极影响。相反，抗拒改变会对医生采用电子健康记录产生负面影响。结论：了解影响魁北克省电子健康记录接受度的因素，为决策者提供信息至关重要。这将有助于确定潜在用户的期望，并相应地调整实施策略，以便更好地将这项技术融入医疗实践。

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引用次数: 7

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全部化学•材料生命科学医学物理工程技术环境•农林材料科学地球科学法学管理学化学环境科学与生态学计算机科学教育学经济学农林科学人文科学生物学数学物理与天体物理心理学综合性期刊其他工业工程理学历史学农学文学信息工程

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