Who's using PDAs? Estimates of PDA use by health care providers: a systematic review of surveys.

Who's using PDAs? Estimates of PDA use by health care providers: a systematic review of surveys.
复制标题

谁在使用 PDA?医疗保健提供者使用 PDA 的估计:调查的系统回顾。

DOI:
10.2196/jmir.8.2.e7
复制
发表时间:
2006-05-12
影响因子:
7.4
通讯作者:
El Emam K
El Emam K
中科院分区:
医学2区
文献类型:
--
作者:
Garritty C;El Emam K

文献摘要

参考文献

被引文献

相似文献

个人数字助理(PDA)在医疗保健中有许多用途。了解卫生保健提供者集体使用PDA的比率是进一步了解最适合PDA使用的卫生保健环境以及PDA是否能改善健康结果的重要指导步骤。 本研究的目的是估计目前和未来的PDA使用的医疗保健提供者,并讨论可能的影响,在临床实践和研究中的技术选择。 本研究是对PDA使用情况调查的系统回顾。调查被确定为对手持设备使用进行的持续系统审查的一部分。根据不同的资格标准筛选了涵盖生物医学科学和工程学的八个数据库(1993-2006年)的报告。从纳入的调查中提取数据,以标准化方式进行核实,并进行后续评估。 我们确定了23项相关调查,其中15项来自同行评审期刊。这组调查是在2000年至2005年期间发表的。总体而言,自1999年以来,有明显证据表明PDA的使用呈上升趋势。目前个人专业使用的总体采用率在45%到85%之间,这表明采用率很高,但有些变化,主要是在医生中。 年轻的医生和住院医生以及在大型医院工作的人更有可能使用PDA。根据普遍接受的创新扩散模型,采用率目前正处于最高增长率。评价信息技术的一个常见问题是,使用往往先于研究。这里的情况就是这样,PDA的采用率已经很高,预测在短期内会快速增长。一般来说,在医疗保健环境中使用PDA的专业人员比患者护理人员涉及更多的管理和组织任务,这可能表明采用PDA的增长最有可能发生。我们的结论是,医生很可能习惯于使用PDA,因此,技术专业知识可能不会成为实施PDA应用程序的障碍。然而,迫切需要评估使用手持技术的具体任务的有效性和效率,以告知那些开发和使用PDA应用程序的人。
Personal digital assistants (PDAs) find many uses in health care. Knowing rates of collective PDA use among health care providers is an important guiding step to further understanding those health care contexts that are most suited to PDA use and whether PDAs provide improved health outcomes. The objectives of this study were to estimate current and future PDA use among health care providers and to discuss possible implications of that use on choice of technology in clinical practice and research. This study was a systematic review of PDA usage surveys. Surveys were identified as part of an ongoing systematic review on the use of handheld devices. Reports from eight databases covering both biomedical sciences and engineering (1993-2006) were screened against distinct eligibility criteria. Data from included surveys were extracted and verified in a standardized way and were assessed descriptively. We identified 23 relevant surveys, 15 of which were derived from peer-reviewed journals. This cohort of surveys was published between 2000 and 2005. Overall, since 1999, there is clear evidence of an increasing trend in PDA use. The current overall adoption rate for individual professional use ranges between 45% and 85%, indicating high but somewhat variable adoption, primarily among physicians. Younger physicians and residents and those working in large and hospital-based practices are more likely to use a PDA. The adoption rate is now at its highest rate of increase according to a commonly accepted diffusion of innovations model. A common problem with the evaluation of information technology is that use frequently precedes research. This is the case here, in which PDA adoption rates are already high and projections are for rapid growth in the short term. In general, it appears that professional PDA use in health care settings involves more administrative and organizational tasks than those related to patient care, perhaps signaling where the growth in adoption is most likely to occur. We conclude that physicians are likely accustomed to using a PDA, and, therefore, technology expertise will probably not be a barrier to implementing PDA applications. However, there is an urgent need to evaluate the effectiveness and efficiency of specific tasks using handheld technology to inform those developing and those using PDA applications.
DOI: 10.2196/jmir.6.1.e11
发表时间: 2004-01-01
影响因子: 7.4
作者:
Balen, RM;Jewesson, PJ
通讯作者: Jewesson, PJ
DOI: 10.1542/peds.113.2.238
发表时间: 2004-02-01
期刊: PEDIATRICS
影响因子: 8
作者:
Carroll, AE;Christakis, DA
通讯作者: Christakis, DA
DOI: 10.1186/cc1028
发表时间: 2001-01-01
期刊: CRITICAL CARE
影响因子: 15.1
作者:
Lapinsky, SE;Weshler, J;Stewart, TE
通讯作者: Stewart, TE
DOI: 10.1016/j.ijmedinf.2003.12.005
发表时间: 2004-02-01
影响因子: 4.9
作者:
Barrett, JR;Strayer, SM;Schubart, JR
通讯作者: Schubart, JR
DOI: 10.1136/jamia.2002.0090080
发表时间: 2002-01-01
影响因子: 6.4
作者:
Criswell, DF;Parchman, ML
通讯作者: Parchman, ML