Psychometric validation of a new measurement instrument for time-oriented patient information in electronic medical records: A questionnaire survey of physicians.
Psychometric validation of a new measurement instrument for time-oriented patient information in electronic medical records: A questionnaire survey of physicians.
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电子病历中面向时间的患者信息的新型测量仪器的心理测量验证：医生问卷调查。
DOI：
10.1111/jep.12824
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发表时间：
2017
期刊：
影响因子：
--
通讯作者：
Kondo Y.
中科院分区：
文献类型：
--
作者：
Shibuya A;Misawa J;Maeda Y;Ichikawa R;Kamata M;Inoue R;Morimoto T;Nakayama M;Hishiki T;Kondo Y.
基本原理、目的和目标时间是医学数据的重要元素。医生在电子病历（EMR）中记录和存储有关患者疾病进展和治疗反应的信息。由于电子病历使用时间戳，医生可以识别患者疾病和治疗随时间变化的模式（例如，实验室值和药物）。然而，对医生使用电子病历和满意度的分析主要集中在功能、存储和系统操作上，而不是使用面向时间的信息。本研究旨在了解医生的需求，时间为导向的病人信息在临床practice.MethodsThe问卷中的项目的信度和效度进行了评估，在87名医生在国立大学医院的EMR。内部一致性是令人满意的（Cronbach α系数，0.87。4个维度之间的相关性支持了项目的结构效度。4个维度的时间导向患者病史评分与医生年龄显著相关。基于验证性因素分析，关联是显著的和积极的（P< .001）。在时间导向的病人信息在EMR的医生的需求方面，两个时间导向的治疗结果，其次是时间导向的团队information.ConclusionOur研究表明，4个具体的时间导向的病人信息因素在EMR是需要医生。探索医生对患者特定时间导向信息的需求可以更好地了解采用和使用EMR所面临的障碍（例如，决策和实践安全问题），并在医生的临床实践中更好地接受EMR。
Rationale, aims, and objectivesTime is an important element in medical data. Physicians record and store information about patients' disease progress and treatment response in electronic medical records (EMRs). Because EMRs use timestamps, physicians can identify patterns over time regarding a patient's disease and treatment (eg, laboratory values and medications).However, analyses of physicians' use and satisfaction with EMRs have focused on functionality, storage, and system operation rather than the use of time‐oriented information. This study aimed to understand physicians' needs regarding time‐oriented patient information in EMRs in clinical practice.MethodsThe reliability and validity of the items in the questionnaire were evaluated in 87 physicians at a national university hospital. Internal consistency was satisfactory (Cronbach alpha coefficient, 0.87).ResultsFour dimensions were identified in exploratory factor analysis. Correlations between the 4 dimensions supported the construct validity of the items. Scores of time‐oriented patients' medical history in the 4 dimensions showed a significant association with physician age. Based on confirmatory factor analysis, associations were significant and positive (P< .001). In terms of the needs of physicians regarding time‐oriented patient information in EMRs, both time‐oriented treatment results followed by time‐oriented team information had significant positive associations.ConclusionOur study suggests that 4 specific time‐oriented patient information factors in EMRs are needed by physicians. Exploring physicians' needs regarding patient‐specific time‐oriented information may provide a better understanding of the barriers facing the adoption and use of EMRs (eg, decision‐making and practice safety concerns) and lead to better acceptance of EMRs in physicians' clinical practices.