Assessing medical residents' usage and perceived needs for personal digital assistants

Assessing medical residents' usage and perceived needs for personal digital assistants
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DOI:
10.1016/j.ijmedinf.2003.12.005
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发表时间:
2004-02-01
影响因子:
4.9
通讯作者:
Schubart, JR
Schubart, JR
中科院分区:
医学2区
文献类型:
--
作者:
Barrett, JR;Strayer, SM;Schubart, JR

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病人护理的重点。个人数字助理(PDA)或手持设备显示出作为护理点信息设备的巨大前景。关于PDA在护理点的使用的早期研究[星座项目:个人数字助理在临床环境中的体验和评价,在:第19届计算机应用于医疗保健年度研讨会的论文集,1995,678]中发现,诸如存储能力的硬件限制限制了它们的有用性,然而,它们被频繁地用于访问医学参考文献和药物信息[星座项目:个人数字助理在临床环境中的体验和评价,在:第19届计算机应用于医疗保健的年度研讨会论文集,1995,678中]。自1995年完成这项研究以来,手持计算机技术发展迅速,目前有26%至50%的医生使用PDA[医生使用手持设备的比例从1999年的15%增加到2001年的26%:哈里斯互动民意调查结果,哈里斯民意调查。2002年8月24日(电子引文);ACP-ASIM调查发现近一半的美国成员使用手持计算机:ACP-ASIM新闻稿,美国医师学会,2002年9月3日(电子引文)]。这种使用在住院医生中表现得更高,最近的一项研究发现,超过三分之二的家庭实习住院医生在他们的培训计划中使用手持计算机[J.Am地中海医院。通知我。阿索克。9(1)(2002)80]在这项研究中,我们采用定量和定性的方法,系统地评估了本机构居民对PDA的使用情况。我们的评估包括对七个住院医生项目中的88名居民进行的简短在线调查,其中包括初级保健和专科实践。调查是在2001年10月26日至2002年4月30日期间完成的。随后,在2002年4月24日至2002年5月13日期间对15名接受调查的居民进行了后续访谈。这项研究的原创性贡献是对初级和专科项目中的住院医生进行评估,并对医疗应用软件和传统的个人组织软件(如日历和待办事项列表)进行评估。与以前的研究相比,这次评估也使用了非常先进的硬件和软件(星座项目:临床环境中个人数字助理的体验和评估,见:第19届计算机应用于医疗的年度研讨会,1995,678]。
the point of patient care. Personal digital assistants (PDAs), or hand-held devices demonstrate great promise as point of care information devices. An earlier study [The Constellation Project: experience and evaluation of personal digital assistants in the clinical environment, in: Proceedings of the 19th Annual Symposium on Computer Applications in Medical Care, 1995, 678] on the use of PDAs at the point of care found that hardware constraints, such as memory capability limited their usefulness, however, they were used frequently for accessing medical references and drug information [The Constellation Project: experience and evaluation of personal digital assistants in the clinical environment, in: Proceedings of the 19th Annual Symposium on Computer Applications in Medical Care, 1995, 678]. Since this study was completed in 1995, hand-held computer technology has advanced rapidly, and between 26 and 50% of physicians currently use PDAs [Physician's use of hand-helds increases from 15% in 1999 to 26% in 2001: Harris interactive poll results, Harris Poll. 8-24-2002 (electronic citation); ACP-ASIM survey finds nearly half of U.S. members use hand-held computers: ACP-ASIM press release, American College of Physicians, 9-3-2002 (electronic citation)]. This use appears higher among residents, with one recent study finding that over two-thirds of family practice residencies use hand-held computers in their training programs [J. Am. Med. Inform. Assoc. 9 (1) (2002) 80].In this study, we systematically evaluate PDA usage by residents in our institution using quantitative and qualitative methods. Our evaluation included a brief on-line survey of 88 residents in seven residency programs including primary care and specialty practices. The surveys were completed between 26 October 2001 and 30 April 2002. Follow-up interviews with 15 of the surveyed residents were then conducted between 24 April 2002 and 13 May 2002. The original contributions of this study are the evaluation of residents in primary and specialty programs and evaluation of both medical application software and the conventional personal organizational software (such as calendars and to-do lists). This evaluation was also conducted using significantly advanced hardware and software compared with previous studies (The Constellation Project: experience and evaluation of personal digital assistants in the clinical environment, in: Proceedings of the 19th Annual Symposium on Computer Applications in Medical Care, 1995, 678].