Pediatricians' use of and attitudes about personal digital assistants
Pediatricians' use of and attitudes about personal digital assistants
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DOI：
10.1542/peds.113.2.238
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发表时间：
2004-02-01
期刊：
影响因子：
8
通讯作者：
Christakis, DA
中科院分区：
文献类型：
--
作者：
Carroll, AE;Christakis, DA
背景。个人数字助理（pda）在医疗实践中的应用越来越多。尽管它们被吹捧为具有提高效率和安全性的能力，但关于儿科医生对pda的使用和态度知之甚少。我们的目标是1)确定儿科医生使用pda和电脑的百分比，2)确定pda的优势和劣势，3)探索与信念和使用相关的特征。儿科医生（2130名）从美国医学协会医师档案中随机抽取。所有的参与者都邮寄了一份调查问卷，并附上了一个预付的信封和1美元的奖励。每位参与者最多可发送3封邮件。在符合条件的参与者中，63.2%的人回复了调查。调查对象和非调查对象在性别、实践类型和当前就业方面没有显著差异。35%的受访者目前在工作中使用pda， 40%的受访者目前将pda用于个人用途。在使用pda的人中，最常用的应用是药物参考（80%）、个人日程安排（67%）和医疗计算（61%）。目前很少有儿科医生使用pda开处方（8%）或开账单（4%）。pda使用者多为男性（调整优势比[AOR]: 2.29； 95%可信区间[CI]: 1.64 - 3.19）、城市社区（AOR: 1.81; 95% CI: 1.30 - 2.55）、培训人员（AOR: 2.64; 95% CI: 1.58 - 4.42）、非私人执业人员（AOR: 1.47; 95% CI: 1.03 - 2.11）和刚毕业的医学院毕业生（AOR: 1.04 /年；95% CI: 1.02 - 1.06）。当控制协变量时，使用pda的患者更倾向于认为pda可以减少医疗差错（AOR: 2.22; 95% CI: 1.46 3.38）和提高效率（AOR: 2.40; 95% CI: 1.56 3.71）。与非用户相比，用户不太可能将小屏幕尺寸（AOR: 0.53; 95% CI: 0.37 - 0.77）或系统速度（AOR: 0.47; 95% CI: 0.26 - 0.84）视为问题，但更有可能将内存视为问题（AOR: 3.48; 95% CI: 2.30 - 5.25）。超过三分之一的儿科医生在临床实践中使用pda。使用者之间似乎有一个普遍的共识，即它们有可能改善患者的安全和简化护理。未来的研究应探索利用其潜力的方法。
Background. Personal digital assistants (PDAs) are being increasingly used in medical practice. Although they have been touted as having the ability to improve efficiency and safety, little is known about pediatricians' use of and attitudes about PDAs.Objective. Our goals were to 1) determine the percentage of pediatricians using PDAs and computers, 2) determine perceived strengths and weaknesses of PDAs, and 3) explore characteristics associated with beliefs and use.Design/Methods. Pediatricians ( 2130) were selected randomly from the American Medical Association Physician Masterfile of US-licensed physicians. All participants were mailed a survey along with a prepaid return envelope and a $1 incentive. Up to 3 mailings were sent per participant.Results. Of eligible participants, 63.2% returned a survey. There were no significant differences between respondents and nonrespondents with respect to sex, type of practice, and present employment. Thirty-five percent of respondents currently use PDAs at work, and 40% currently use PDAs for personal use. Of those using PDAs, the most commonly used applications were for drug reference (80%), personal scheduling (67%), and medical calculations (61%). Few pediatricians are currently using PDAs for prescription writing (8%) or billing (4%). Users of PDAs were more likely to be male ( adjusted odds ratio [AOR]: 2.29; 95% confidence interval [CI]: 1.64 - 3.19), in an urban community ( AOR: 1.81; 95% CI: 1.30 - 2.55), in training ( AOR: 2.64; 95% CI: 1.58 - 4.42), not in private practice ( AOR: 1.47; 95% CI: 1.03 - 2.11), and a more recent graduate of medical school ( AOR: 1.04 per year; 95% CI: 1.02 - 1.06). When controlling for covariates, those using PDAs were more likely to believe that PDAs can decrease medical errors ( AOR: 2.22; 95% CI: 1.46 3.38) and increase efficiency ( AOR: 2.40; 95% CI: 1.56 3.71). When compared with nonusers, users were less likely to view the small screen size ( AOR: 0.53; 95% CI: 0.37 - 0.77) or system speed ( AOR: 0.47; 95% CI: 0.26 - 0.84) as a problem but were significantly more likely to view memory as an issue ( AOR: 3.48; 95% CI: 2.30 - 5.25).Conclusions. More than one third of pediatricians are using PDAs in clinical practice. There seems to be a general consensus among users that they have the potential to improve patient safety and streamline care. Future studies should explore means to utilize their potential.