Clinician attitudes toward and use of electronic problem lists: a thematic analysis.
Clinician attitudes toward and use of electronic problem lists: a thematic analysis.
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DOI：
10.1186/1472-6947-11-36
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发表时间：
2011-05-25
影响因子：
3.5
通讯作者：
Feblowitz JC
中科院分区：
文献类型：
--
作者：
Wright A;Maloney FL;Feblowitz JC
临床问题列表是临床决策、质量测量和临床决策支持的重要工具;然而，问题列表通常不完整，并且对问题列表的提供者态度知之甚少。2009年4月至2010年1月，在大波士顿地区的学术和社区门诊医疗实践中，对医疗服务提供者进行了一项人种学研究，涉及广泛的医疗和外科专业。对问题清单的态度，然后使用扎根理论的方法进行了分析。态度是可变的，和变量的尺寸适合九个主题：工作流程，所有权和责任，相关性，用途，内容，介绍，准确性，替代品，支持/教育和一个跨领域的文化主题。临床医生对电子患者问题列表的态度和使用情况存在显著差异。需要对问题清单的使用提供更明确的指导和最佳做法。
The clinical problem list is an important tool for clinical decision making, quality measurement and clinical decision support; however, problem lists are often incomplete and provider attitudes towards the problem list are poorly understood. An ethnographic study of healthcare providers conducted from April 2009 to January 2010 was carried out among academic and community outpatient medical practices in the Greater Boston area across a wide range of medical and surgical specialties. Attitudes towards the problem list were then analyzed using grounded theory methods. Attitudes were variable, and dimensions of variations fit into nine themes: workflow, ownership and responsibility, relevance, uses, content, presentation, accuracy, alternatives, support/education and one cross-cutting theme of culture. Significant variation was observed in clinician attitudes towards and use of the electronic patient problem list. Clearer guidance and best practices for problem list utilization are needed.
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影响因子：
158.5
作者：
WEED, LL
通讯作者：
WEED, LL
影响因子：
--
作者：
Pope, C;van Royen, P;Baker, R
通讯作者：
Baker, R
影响因子：
105.7
作者：
Kawamoto, K;Houlihan, CA;Lobach, DF
通讯作者：
Lobach, DF
影响因子：
5.7
作者：
Hartung, DM;Hunt, J;Touchette, DR
通讯作者：
Touchette, DR
DOI：
10.1197/jamia.m2334
发表时间：
2007-03-01
影响因子：
6.4
作者：
Osheroff, Jerome A.;Teich, Jonathan M.;Detmer, Don E.
通讯作者：
Detmer, Don E.