Clinical computing in general dentistry
Clinical computing in general dentistry
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DOI：
10.1197/jamia.m1990
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发表时间：
2006-05-01
影响因子：
6.4
通讯作者：
Yuhaniak, Jeannie
中科院分区：
文献类型：
--
作者：
Schleyer, Titus K. L.;Thyvalikakath, Thankam P.;Yuhaniak, Jeannie
目的：测量的采用和利用，意见，对临床计算的态度之间的一般dentist in the UnitedStates.Design：电话调查随机抽样的256名一般牙医在积极的做法，在UnitedStates.Measurements：一个39个项目的电话采访测量的做法特点和信息技术基础设施，临床信息存储，数据输入和访问，对临床计算的态度和看法（实践管理系统的特征、障碍、优点、缺点和潜在的改进）;临床互联网使用;以及对国家卫生信息基础设施的态度。作者成功地筛选了1，159名随机抽样的美国普通牙医中的1，039名（回复率为89.6%）。二百五十六（24.6%）的受访者有电脑在椅子边，因此有资格进行这项研究。作者成功地采访了102名受访者（39.8%）。与管理和计费相关的临床信息，如预约和治疗计划，主要存储在计算机上;其他信息，如病史和进展记录，主要存在于纸张上。19名受访者（占所有普通牙医的1.8%）完全无纸化。辅助人员，如牙医助理和牙医，输入了大部分数据。受访者采用临床计算来提高办公效率和运营，支持诊断和治疗，并增强患者的沟通和感知。障碍包括操作可靠性不足，程序的限制，陡峭的学习曲线，成本和感染控制issues.Conclusion：临床计算越来越多地采用一般牙科。然而，未来的研究必须解决有用性和易用性，工作流程支持，感染控制，集成和实施问题。
Objective: Measure the adoption and utilization of, opinions about, and attitudes toward clinical computing among general dentists in the United States.Design: Telephone survey of a random sample of 256 general dentists in active practice in the United States.Measurements: A 39-item telephone interview measuring practice characteristics and information technology infrastructure; clinical information storage; data entry and access; attitudes toward and opinions about clinical computing (features of practice management systems, barriers, advantages, disadvantages, and potential improvements); clinical Internet use; and attitudes toward the National Health Information Infrastructure.Results: The authors successfully screened 1,039 of 1,159 randomly sampled U.S. general dentists in active practice (89.6% response rate). Two hundred fifty-six (24.6%) respondents had computers at chairside and thus were eligible for this study The authors successfully interviewed 102 respondents (39.8%). Clinical information associated with administration and billing, such as appointments and treatment plans, was stored predominantly on the computer; other information, such as the medical history and progress notes, primarily resided on paper. Nineteen respondents, or 1.8% of all general dentists, were completely paperless. Auxiliary personnel, such as dental assistants and hygienists, entered most data. Respondents adopted clinical computing to improve office efficiency and operations, support diagnosis and treatment, and enhance patient communication and perception. Barriers included insufficient operational reliability, program limitations, a steep learning curve, cost, and infection control issues.Conclusion: Clinical computing is being increasingly adopted in general dentistry. However, future research must address usefulness and ease of use, workflow support, infection control, integration, and implementation issues.