Adoption of smart cards in the medical sector: the Canadian experience

Adoption of smart cards in the medical sector: the Canadian experience
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DOI:
10.1016/s0277-9536(00)00388-9
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发表时间:
2001-10-01
影响因子:
5.4
通讯作者:
Hamel, G
Hamel, G
中科院分区:
医学2区
文献类型:
--
作者:
Aubert, BA;Hamel, G

文献摘要

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这项研究评估了影响医疗部门采用智能卡的因素(智能卡有一个微处理器,其中包含有关患者的信息:身份识别,紧急数据(过敏,血型等),疫苗接种、使用的药物和一般医疗记录)。这项研究是在一项旨在评估这种智能卡使用情况的试点研究之后进行的。299名专业人士,沿着7248名客户,使用智能卡一年。目标人群主要包括老年人、婴儿和孕妇(保健服务的最密集用户)。在这项试点研究之后,进行了两次调查,并进行了多次访谈,以评估影响采用该技术的因素。总体情况表明,虽然新的身份证受到个人的好评,但必须提供切实的好处,以激励专业人员和客户采用这项技术。结果表明,在大规模扩散之前需要评估的基本维度是对专业人员的相对优势。该系统必须为用户提供直接利益。该系统对专业人员的相对优势与客户使用该卡的义务直接相关。只有当卡上的信息完整时,该系统才对专业人员有益。技术适当性是采用的必要条件,但不是充分条件。(C)2001爱思唯尔科技有限公司版权所有。
This research evaluates the factors influencing the adoption of smart cards in the medical sector (a smart card has a micro-processor containing information about the patient: identification, emergency data (allergies, blood type, etc.), vaccination, drugs used, and the general medical record). This research was conducted after a pilot study designed to evaluate the use of such smart cards. Two hundred and ninety-nine professionals, along with 7248 clients, used the smart card for a year. The targeted population included mostly elderly people, infants, and pregnant women (the most intensive users of health care services). Following this pilot study, two surveys were conducted, together with numerous interviews, to assess the factors influencing adoption of the technology. A general picture emerged, indicating that although the new card is well-perceived by individuals, tangible benefits must be available to motivate professionals and clients to adopt the technology. Results show that the fundamental dimension that needs to be assessed before massive diffusion is the relative advantage to the professional. The system must provide a direct benefit to its user. The relative advantage of the system for the professional is directly linked to the obligation for the client to use the card. The system is beneficial for the professional only if the information on the card is complete. Technical adequacy is a necessary but not sufficient condition for adoption. (C) 2001 Elsevier Science Ltd. All rights reserved.