Primary Care Physicians' Experience with Electronic Medical Records: Barriers to Implementation in a Fee-for-Service Environment.
Primary Care Physicians' Experience with Electronic Medical Records: Barriers to Implementation in a Fee-for-Service Environment.
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DOI：
10.1155/2009/853524
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发表时间：
2009
影响因子：
4.4
通讯作者：
Doucette J
中科院分区：
文献类型：
--
作者：
Ludwick DA;Doucette J
我们的人口老龄化加剧了卫生人力资源供求之间的强烈和分歧趋势。减轻未来不平等的一个方法是采用卫生信息技术。我们以前的研究表明，影响HIT实施成功的风险和缓解因素很多。我们通过与九个阿尔伯塔诊所的半结构化访谈证实了这些发现。社会技术因素显着影响医生的实施成功。医生报告说，时间限制限制了他们调查、采购和实施EMR的意愿。陈旧的检查室设计、复杂的HIT用户界面、医生计算机技能不足、按服务收费的薪酬模式和漫长的等待名单所引发的患者就诊的紧迫性，这些因素的结合损害了信息交换的数量（如果不是质量的话）。替代的薪酬和获得服务的计划可能会被认为是在医生办公室系统实施过程中推动谨慎的行为。
Our aging population has exacerbated strong and divergent trends between health human resource supply and demand. One way to mitigate future inequities is through the adoption of health information technology (HIT). Our previous research showed a number of risks and mitigating factors which affected HIT implementation success. We confirmed these findings through semistructured interviews with nine Alberta clinics. Sociotechnical factors significantly affected physicians' implementation success. Physicians reported that the time constraints limited their willingness to investigate, procure, and implement an EMR. The combination of antiquated exam room design, complex HIT user interfaces, insufficient physician computer skills, and the urgency in patient encounters precipitated by a fee-for-service remuneration model and long waitlists compromised the quantity, if not the quality, of the information exchange. Alternative remuneration and access to services plans might be considered to drive prudent behavior during physician office system implementation.
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