Patient reactions to doctors' computer use in general practice consultations.
Patient reactions to doctors' computer use in general practice consultations.
复制标题
患者对医生在全科咨询中使用计算机的反应。
DOI：
10.1016/0277-9536(85)90310-7
复制
发表时间：
1985
影响因子：
5.4
通讯作者：
T. Wall
中科院分区：
文献类型：
--
作者：
G. Brownbridge;G. Herzmark;T. Wall
本文描述了一项关于患者在全科会诊期间对医生使用计算机的反应的试验性现场研究。该计算机系统提供了审查病历和输入个人遭遇记录的设施。对127名刚刚咨询过使用计算机的医生的患者和216名保留常规程序的对照组患者进行了患者反应的问卷评估。与许多医生的担忧相反，没有记录患者反应的总体负面影响。在实验和对照条件下，患者对医生的专注度和融洽程度的感知、患者对所接受信息的满意度、对所接受治疗的信心、他们预期的依从性或会诊后的压力等方面没有差异。然而，会诊后的压力和对医生在诊室使用计算机的态度之间存在明显的关系，在这种情况下，不利的态度与更高的压力报告相关，反之亦然。结果表明，患者对咨询的反应更多地受到他们看哪位医生的影响，而不是医生是否在使用电脑。然而，这些发现只涉及在实验环境中使用计算机的短时间，更多地使用计算机的影响仍有待进一步调查。
This paper describes an experimental field study of patient reactions to computer use by doctors during general practice consultations. The computer system offered facilities for the review of medical histories and the entry of individual encounter notes. Questionnaire assessments of patient reactions were obtained from 127 patients who had just consulted a doctor who was using the computer and from 216 control patients for whom conventional procedures had been retained.Contrary to many doctors' concerns no overall negative effects were recorded for patient reactions. There were no differences between the experimental and control conditions with respect to patients' perceptions of the doctors' attentiveness and rapport, patients' satisfaction with information received, their confidence in the treatment received, their expected compliance or post-consultation stress. A relation was however apparent between post-consultation stress and attitudes to the idea of doctors using computers in the consulting room, in which unfavourable attitudes were associated with reports of higher stress, and conversely. The results suggest that patient reactions to the consultation are more affected by which doctor they see than by whether or not the doctor is using a computer. However, the findings relate to only a short period of computer use in an experimental context and the effects of more established computer use remain a matter for further enquiry.