A Two-Year Longitudinal Assessment of Ophthalmologists' Perceptions after Implementing an Electronic Health Record System
A Two-Year Longitudinal Assessment of Ophthalmologists' Perceptions after Implementing an Electronic Health Record System
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DOI：
10.4338/aci-2016-05-ra-0075
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发表时间：
2016-01-01
影响因子：
2.9
通讯作者：
Weizer, Jennifer S.
中科院分区：
文献类型：
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作者：
Ehrlich, Joshua R.;Michelotti, Monica;Weizer, Jennifer S.
目的：了解眼科医生对电子健康档案（EHR）系统的态度和看法，之前和之后，其临床implementation.Methods：眼科医生在一个单一的大型学术眼科部门进行了纵向调查之前和之后，实施了一个新的EHR系统。这项调查测量了眼科医生对实施新的EHR的态度。问题集中在满意度、效率和文档方面。密歇根大学眼科和视觉科学系的所有主治医生（不同时间点的56至61名）都接受了调查。我们绘制了对调查问题的积极回应，并评估了感知是否遵循J曲线，即最初的下降，然后超过实施前的水平。结果：实施前收到32名（52%）眼科医生的调查答复，3个月时收到28名（46%），7个月时收到35名（57%），实施后13个月时40例（71%）和24个月时39例（67%）。在EHR实施后，受访者更有可能对他们创建高质量文档的能力表示担忧（p
Objectives: To understand the attitudes and perceptions of ophthalmologists toward an electronic health record (EHR) system, before and after its clinical implementation.Methods: Ophthalmologists at a single large academic ophthalmology department were surveyed longitudinally before and after implementation of a new EHR system. The survey measured ophthalmologists' attitudes toward implementation of a new EHR. Questions focused on satisfaction, efficiency, and documentation. All attending physicians (between 56 and 61 at various time points) in the University of Michigan Department of Ophthalmology and Visual Sciences were surveyed. We plotted positive responses to survey questions and assessed whether perceptions followed a J-curve with an initial decrease followed by an increase surpassing pre-implementation levels.Results: Survey responses were received from 32 (52%) ophthalmologists pre-implementation, and 28 (46%) at 3 months, 35 (57%) at 7 months, 40 (71%) at 13 months and 39 (67%) at 24 months post-implementation. After EHR implementation respondents were more likely to express concerns about their ability to create high-quality documentation (p