ATTITUDES OF HEALTH PROFESSIONALS AND USERS OF HEALTH SERVICES TOWARD USING COMPUTERS IN PRIMARY HEALTH CENTRE OF BREŽICE

  • Rade Iljaž Zdravstveni dom Brežice Černelčeva 8 8250 Brežice
Keywords: electronic record, satisfaction, quality, health services

Abstract

Background. The number of Slovenian physicians in primary health care who have been using personal computers and electronic medical records in surgeries is increasing. Because of legal regulation in which standardpaper medical record are obligatory, using of computers have prolonged the consultation time consequently. On the other hand, contemporary computing technology brings numerous advantages both to health professionals or to users of health services.

Methods. In the cross-sectional study made among the health professionals employed in the Primary Health Centre of Brežice and random chosen visitors in three outpatients’ departments of the same Health Centre, author tried to assess a satisfaction level of both interviewed groups after a ten years’ period of using electronic medical record. The attitudes were assessed by a 5-item questionnaire and 5-point Likert scale.

Results. Analysis of attitudes indicated statistically significant differences in answers on four of five questions, between health professionals and users of health services. The differences in attitudes between subgroups of physicians and nurses were not significantly different in any of questions. Differences were tested for significance by a Z test having proportions (p < 0.05).

Conclusions. Results of the study proved that there are significant differences between the health professionals and users of health services regarding the use/usage of computers in primary care. Further studies with larger samples and more questions are needed in Slovenia so that attitudes and opinions of both relevant groups can be determined.

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References

McDonald CJ. The barriers to electronic medical record systems and how to overcome them. J Am Med Inform Assoc 1997; 4: 213–21.

Zrimšek D. Medicina v informatiki. In: Zrimšek D. Družinska medicina z deontologijo in medicina v informatiki. Radovljica: Didakta, 1993: 121–46.

Wager KA, Lee FW, White AW, Ward DM, Ornstein SM. Impact of an electronic medical record system on community-based primary care practices. J Am Board Fam Pract 2000; 13: 338–48.

Wager KA, Ornstein SM, Jenkins RG. Perceived value of computer-based patient records among clinician users. MD Comput 1997; 14: 334–6, 338, 340.

Ornstein SM. Electronic medical records in family practice: The time is now. J Fam Pract 1997; 44: 45–8.

Powsner SM, Wyatt JC, Wright P. Opportunities for and challenges of computerisation. Lancet 1998; 352: 1617–22.

Musham C, Ornstein SM, Jenkins RG. Family practice educators’ perceptions of computer-based patient records. Fam Med 1995; 27: 571–5.

Lenhart JG, Honess K, Covington D, Johnson KE. An analysis of trends, perceptions, and use patterns of electronic medical records among US family practice residency programs. Fam Med 2000; 32: 109–14.

Bernstein RM, Hollingworth GR, Viner G, Lemelin J. Family practice informatics: research issues in computerized medical records. Proc Annu Symp Comput Appl Med Care 1993: 93–7.

Kligman EW, Frank AH. Clinical prevention. In: Taylor RB. Family Medicine, 4th ed. New York: Springer-Verlag, 1993: 50–1.

Emery J, Walton R, Coulson A, Glasspool D, Ziebland S, Fox J. Computer support for recording and interpreting family histories of breast and ovarian cancer in primary care (RAGs): qualitative evaluation with simulated patients. BMJ 1999; 319: 32–6.

Kersnik J. Zdravstveni karton. In: Švab I, Rotar-Pavlič D eds. Družinska medicina. Ljubljana: Združenje zdravnikov družinske medicine SZD, 2002: 582–93.

Sullivan F, Mitchell E. Has general practitioner computing made a difference to patient care? A systematic review of published reports. General Practice 1995; 311: 848–52.

Jerant AF, Hill DB. Does the use of electronic medical records improve surrogate patient outcomes in outpatient settings? J Fam Pract 2000; 49 (4): 349–57.

Taylor P. Medicine and books: Rationalizing medical work: Decisionsupport techniques and medical practices. BMJ 1997; 315: 891–1.

Wager KA, Heda S, Austin CJ. Developing a health information network within an integrated delivery system: a case study. Top Health Inf Manage 1997; 17: 20–31.

Tang CP, LaRosa MP, Gorden MS. Use of computer-based records, completeness of documentation, and appropriateness of documented clinical decisions. Journal of the American Medical Informatics Association 1999; 6: 245–51.

Smith WR, Zastrow R. User requirements for the computerized patient record: physician opinions. Proc Annu Symp Comput Appl Med Care, 1994: 994–4.

Balas EA, Boren SA, Griffing G. Computerized management of diabetes: a synthesis of controlled trials. Proceedings/AMIA Annual Symposium, 1998: 295–9.

Montgomery AA, Fahey T. A systematic review of the use of computers in the management of hypertension, Journal of Epidemiology and Community Health 1998; 52: 520–5.

Makela M, Lappalainen M, Orre S. Separate health care registers: a study of national and regional patient registers in Finland. FinOHTA Report No. 3. Finnish Office for Health Care Technology Assessment (FinOHTA), 1997:

Kaushal R, Bates DW. Information technology and medication safety: what is the benefit? Qual Saf Health Care 2002; 11: 261–5.

Wise J. Computer prescribing scheme gets green light. BMJ 1996; 313: 250–0.

Walton R, Dovey S, Harvey E, Freemantle N. Computer support for determining drug dose: systematic review and meta-analysis. BMJ 1999; 318: 984–90.

Loomis GA, Ries JS, Saywell RM, Thakker NR. If electronic medical records are so great, why aren’t family physicians using them? J Fam Prac 2002; 51: 636–41.

Dansky KH, Gamm LD, Vasey JJ, Barsukiewicz CK. Electronic medical records: are physicians ready? J Healthc Manag 1999; 44 (6): 440–55.

Strasberg HR, Tudiver F, Holbrook AM, Geiger G, Keshavjee KK, Troyan S. Moving towards an electronic patient record: a survey to assess the needs of community family physicians. Proc AMIA Symp 1998: 230–4.

Kersnik J. Mjerenje zadovoljstva. In: Kersnik J. Kakovost v splošni medicini. Ljubljana: Sekcija za splošno medicino SZD, 1998: 245–52.

Makoul G, Curry HR, Tang PC. The use of electronic medical records communication patterns in outpatient encounters. Journal of the American Medical Informatics Association 2001; 8: 610–15.

How to Cite
1.
Iljaž R. ATTITUDES OF HEALTH PROFESSIONALS AND USERS OF HEALTH SERVICES TOWARD USING COMPUTERS IN PRIMARY HEALTH CENTRE OF BREŽICE. TEST ZdravVestn [Internet]. 1 [cited 5Aug.2024];72(6). Available from: http://vestnik-dev.szd.si/index.php/ZdravVest/article/view/1844
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Professional Article