Initial Experience with Patient-Clinician Secure Messaging at a VA Medical Center
Initial Experience with Patient-Clinician Secure Messaging at a VA Medical Center
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DOI：
10.1197/jamia.m2835
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发表时间：
2009-03-01
影响因子：
6.4
通讯作者：
Firek, Anthony
中科院分区：
文献类型：
--
作者：
Bryne, John M.;Elliott, Shane;Firek, Anthony
作者实现了可能是VA医疗中心的第一个安全消息传递系统。由于安全消息的报销不是很重要，并且临床数据系统完全计算机化，因此使用了几种评价策略来评估临床采用。为了解决临床医生的已知问题，作者分析了安全消息的使用并进行了内容分析。信息量很小，内容分析表明信息是适当的。尽管如此，一项临床调查显示，临床采用受到几个因素的阻碍，包括向选定患者引入安全消息、工作量问题和临床医生沟通偏好。此外，作者认为，临床医生在高度计算机化的临床环境中经历了信息过载导致的临床采用惯性。作者了解到，为了促进临床医生的采用，他们必须证明安全消息传递的工作负载优势，并更全面地分析临床医生所经历的临床计算工作负载。
The authors implemented what is possibly the first secure messaging system in a VA Medical Center. Since reimbursement for secure messaging is not of great concern and clinical data systems are fully computerized, several evaluation strategies were used to assess clinical adoption. To address known concerns of clinicians, the authors analyzed secure messaging use and performed a content analysis. Message volumes were low and content analysis demonstrated that messages were appropriate. Despite this, a clinician survey showed that clinical adoption was impeded by several factors including the introduction of secure messaging to selected patients, workload concerns, and clinician communication preferences. In addition, the authors believe that clinicians experienced clinical adoption inertia resulting from the overload of information in a highly computerized clinical environment. The authors learned that to promote clinician adoption they must demonstrate workload benefits from secure messaging and more fully analyze the clinical computing workload that clinicians experience.