BMC Med Inform Decis Mak - A study of general practitioners' perspectives on electronic medical records systems in NHSScotland.

Tópicos

{ record(1888) medic(1808) patient(1693) }
{ import(1318) role(1303) understand(862) }
{ system(1976) rule(880) can(841) }
{ patient(1821) servic(1111) care(1106) }
{ cost(1906) reduc(1198) effect(832) }
{ patient(2837) hospit(1953) medic(668) }
{ health(3367) inform(1360) care(1135) }
{ studi(1119) effect(1106) posit(819) }
{ use(2086) technolog(871) perceiv(783) }
{ implement(1333) system(1263) develop(1122) }
{ care(1570) inform(1187) nurs(1089) }
{ howev(809) still(633) remain(590) }
{ risk(3053) factor(974) diseas(938) }
{ research(1085) discuss(1038) issu(1018) }
{ monitor(1329) mobil(1314) devic(1160) }
{ gene(2352) biolog(1181) express(1162) }
{ treatment(1704) effect(941) patient(846) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ chang(1828) time(1643) increas(1301) }
{ concept(1167) ontolog(924) domain(897) }
{ perform(1367) use(1326) method(1137) }
{ model(2656) set(1616) predict(1553) }
{ can(981) present(881) function(850) }
{ drug(1928) target(777) effect(648) }
{ inform(2794) health(2639) internet(1427) }
{ featur(3375) classif(2383) classifi(1994) }
{ assess(1506) score(1403) qualiti(1306) }
{ framework(1458) process(801) describ(734) }
{ problem(2511) optim(1539) algorithm(950) }
{ method(1557) propos(1049) approach(1037) }
{ data(1714) softwar(1251) tool(1186) }
{ design(1359) user(1324) use(1319) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ perform(999) metric(946) measur(919) }
{ visual(1396) interact(850) tool(830) }
{ age(1611) year(1155) adult(843) }
{ survey(1388) particip(1329) question(1065) }
{ decis(3086) make(1611) patient(1517) }
{ activ(1452) weight(1219) physic(1104) }
{ model(3404) distribut(989) bayesian(671) }
{ can(774) often(719) complex(702) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ measur(2081) correl(1212) valu(896) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ patient(2315) diseas(1263) diabet(1191) }
{ take(945) account(800) differ(722) }
{ studi(2440) review(1878) systemat(933) }
{ motion(1329) object(1292) video(1091) }
{ error(1145) method(1030) estim(1020) }
{ learn(2355) train(1041) set(1003) }
{ clinic(1479) use(1117) guidelin(835) }
{ algorithm(1844) comput(1787) effici(935) }
{ extract(1171) text(1153) clinic(932) }
{ control(1307) perform(991) simul(935) }
{ model(2220) cell(1177) simul(1124) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ data(3963) clinic(1234) research(1004) }
{ studi(1410) differ(1259) use(1210) }
{ system(1050) medic(1026) inform(1018) }
{ model(2341) predict(2261) use(1141) }
{ compound(1573) activ(1297) structur(1058) }
{ blood(1257) pressur(1144) flow(957) }
{ spatial(1525) area(1432) region(1030) }
{ model(3480) simul(1196) paramet(876) }
{ ehr(2073) health(1662) electron(1139) }
{ state(1844) use(1261) util(961) }
{ research(1218) medic(880) student(794) }
{ data(2317) use(1299) case(1017) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ data(3008) multipl(1320) sourc(1022) }
{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ time(1939) patient(1703) rate(768) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ use(1733) differ(960) four(931) }
{ result(1111) use(1088) new(759) }
{ estim(2440) model(1874) function(577) }
{ process(1125) use(805) approach(778) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

CKGROUND: Primary care doctors in NHSScotland have been using electronic medical records within their practices routinely for many years. The Scottish Health Executive eHealth strategy (2008-2011) has recently brought radical changes to the primary care computing landscape in Scotland: an information system (GPASS) which was provided free-of-charge by NHSScotland to a majority of GP practices has now been replaced by systems provided by two approved commercial providers. The transition to new electronic medical records had to be completed nationally across all health-boards by March 2012.METHODS: We carried out 25 in-depth semi-structured interviews with primary care doctors to elucidate GPs' perspectives on their practice information systems and collect more general information on management processes in the patient surgical pathway in NHSScotland. We undertook a thematic analysis of interviewees' responses, using Normalisation Process Theory as the underpinning conceptual framework.RESULTS: The majority of GPs' interviewed considered that electronic medical records are an integral and essential element of their work during the consultation, playing a key role in facilitating integrated and continuity of care for patients and making clinical information more accessible. However, GPs expressed a number of reservations about various system functionalities - for example: in relation to usability, system navigation and information visualisation.CONCLUSION: Our study highlights that while electronic information systems are perceived as having important benefits, there remains substantial scope to improve GPs' interaction and overall satisfaction with these systems. Iterative user-centred improvements combined with additional training in the use of technology would promote an increased understanding, familiarity and command of the range of functionalities of electronic medical records among primary care doctors.

Resumo Limpo

ckground primari care doctor nhsscotland use electron medic record within practic routin mani year scottish health execut ehealth strategi recent brought radic chang primari care comput landscap scotland inform system gpass provid freeofcharg nhsscotland major gp practic now replac system provid two approv commerci provid transit new electron medic record complet nation across healthboard march method carri indepth semistructur interview primari care doctor elucid gps perspect practic inform system collect general inform manag process patient surgic pathway nhsscotland undertook themat analysi interviewe respons use normalis process theori underpin conceptu frameworkresult major gps interview consid electron medic record integr essenti element work consult play key role facilit integr continu care patient make clinic inform access howev gps express number reserv various system function exampl relat usabl system navig inform visualisationconclus studi highlight electron inform system perceiv import benefit remain substanti scope improv gps interact overal satisfact system iter usercentr improv combin addit train use technolog promot increas understand familiar command rang function electron medic record among primari care doctor

Resumos Similares

Appl Clin Inform - Determining primary care physician information needs to inform ambulatory visit note display. ( 0,730117691806746 )
Health Informatics J - Clinical Document Architecture integration system to support patient referral and reply letters. ( 0,725114605116601 )
AMIA Annu Symp Proc - Role prediction using Electronic Medical Record system audits. ( 0,719002935085971 )
J Am Med Inform Assoc - Data from clinical notes: a perspective on the tension between structure and flexible documentation. ( 0,716848382796006 )
AMIA Annu Symp Proc - Use of simulated physician handoffs to study cross-cover chart biopsy in the electronic medical record. ( 0,71660021947613 )
J. Med. Internet Res. - Use of an electronic patient portal among the chronically ill: an observational study. ( 0,696198531072657 )
J Med Syst - A secure integrated medical information system. ( 0,693537547658736 )
AMIA Annu Symp Proc - Potential value of health information exchange for people with epilepsy: crossover patterns and missing clinical data. ( 0,692925980589547 )
AMIA Annu Symp Proc - You can lead a horse to water: physicians' responses to clinical reminders. ( 0,68986139551498 )
J Am Med Inform Assoc - Electronic medical record use in pediatric primary care. ( 0,685045959738105 )
Int J Med Inform - The perception of medical professionals and medical students on the usefulness of an emergency medical card and a continuity of care report in enhancing continuity of care. ( 0,683433480308111 )
J Med Syst - Study of the cost-benefit analysis of electronic medical record systems in general hospital in China. ( 0,682824116723082 )
Int J Med Inform - The electronic locum record for general practitioners: outcome of an evaluation study in the Netherlands. ( 0,682098968194778 )
AMIA Annu Symp Proc - Validation and enhancement of a computable medication indication resource (MEDI) using a large practice-based dataset. ( 0,681662146359218 )
AMIA Annu Symp Proc - Capture of osteoporosis and fracture information in an electronic medical record database from primary care. ( 0,680941765446379 )
Int J Med Inform - Concept and implementation of a computer-based reminder system to increase completeness in clinical documentation. ( 0,680507680137256 )
Appl Clin Inform - Rapid implementation of inpatient electronic physician documentation at an academic hospital. ( 0,680201330401301 )
J Am Med Inform Assoc - Data quality assessment in healthcare: a 365-day chart review of inpatients' health records at a Nigerian tertiary hospital. ( 0,678023525113651 )
AMIA Annu Symp Proc - Continuity of Care Document (CCD) Enables Delivery of Medication Histories to the Primary Care Clinician. ( 0,672657578963527 )
Int J Med Inform - Separate may not be equal: a preliminary investigation of clinical correlates of electronic psychiatric record accessibility in academic medical centers. ( 0,671466036109119 )
Comput Methods Programs Biomed - Comparison of documentation time between an electronic and a paper-based record system by optometrists at an eye hospital in south India: a time-motion study. ( 0,665752029895231 )
J. Med. Internet Res. - Parent satisfaction with the electronic medical record in an academic pediatric rheumatology practice. ( 0,663083477733615 )
Int J Med Inform - The effects of an electronic medical record on the completeness of documentation in the anesthesia record. ( 0,659369995313593 )
AMIA Annu Symp Proc - Lexical concept distribution reflects clinical practice. ( 0,65843040351381 )
Appl Clin Inform - Perceived frequency and impact of missing information at pediatric emergency and general ambulatory encounters. ( 0,657170191724022 )
AMIA Annu Symp Proc - A prototype knowledge base and SMART app to facilitate organization of patient medications by clinical problems. ( 0,656004530747478 )
Appl Clin Inform - An analysis of free-text alcohol use documentation in the electronic health record: early findings and implications. ( 0,655916188589477 )
J Am Med Inform Assoc - Use of electronic medical records differs by specialty and office settings. ( 0,652844838150604 )
J Med Syst - The meaningful use of EMR in Chinese hospitals: a case study on curbing antibiotic abuse. ( 0,652294264790626 )
J Am Med Inform Assoc - Clinical documentation: composition or synthesis? ( 0,651533439964392 )
J Am Med Inform Assoc - Handling anticipated exceptions in clinical care: investigating clinician use of 'exit strategies' in an electronic health records system. ( 0,651157871771378 )
Int J Med Inform - Description and comparison of documentation of nursing assessment between paper-based and electronic systems in Australian aged care homes. ( 0,650908920765095 )
J Am Med Inform Assoc - A framework for assessing patient crossover and health information exchange value. ( 0,650307917240221 )
J Med Syst - An approach to medical knowledge sharing in a hospital information system using MCLink. ( 0,644736995055525 )
J Am Med Inform Assoc - Design and evaluation of a wireless electronic health records system for field care in mass casualty settings. ( 0,64378286159108 )
Int J Med Inform - Structured electronic operative reporting: comparison with dictation in kidney cancer surgery. ( 0,641538116679938 )
Int J Med Inform - Views on health information sharing and privacy from primary care practices using electronic medical records. ( 0,641076895988511 )
J Am Med Inform Assoc - HARVEST, a longitudinal patient record summarizer. ( 0,640805965493078 )
Comput. Biol. Med. - Informatics can identify systemic sclerosis (SSc) patients at risk for scleroderma renal crisis. ( 0,638974856570753 )
Int J Med Inform - Preparing the ground for the 'paperless hospital': a case study of medical records management in a UK outpatient services department. ( 0,63888612717375 )
Artif Intell Med - Evaluating the effects of cognitive support on psychiatric clinical comprehension. ( 0,637643165144155 )
J Am Med Inform Assoc - Estimating the information gap between emergency department records of community medication compared to on-line access to the community-based pharmacy records. ( 0,637447423022719 )
AMIA Annu Symp Proc - The physical attractiveness of electronic physician notes. ( 0,637025426774747 )
AMIA Annu Symp Proc - Comparing content coverage in medical curriculum to trainee-authored clinical notes. ( 0,636704956478173 )
AMIA Annu Symp Proc - Information Requirements for Health Information Exchange Supported Communication between Emergency Departments and Poison Control Centers. ( 0,636186106526937 )
J Med Syst - Electronic hand-drafting and picture management system. ( 0,635797263114386 )
J Am Med Inform Assoc - Automating the medication regimen complexity index. ( 0,635618558390646 )
Int J Med Inform - Socio-technical considerations in epilepsy electronic patient record implementation. ( 0,635288594737918 )
BMC Med Inform Decis Mak - Impact of a computerized system for evidence-based diabetes care on completeness of records: a before-after study. ( 0,633679798584752 )
BMC Med Inform Decis Mak - Clinical decision support improves quality of telephone triage documentation--an analysis of triage documentation before and after computerized clinical decision support. ( 0,633002990044617 )
Comput. Biol. Med. - Clinicians' evaluation of computer-assisted medication summarization of electronic medical records. ( 0,63157378303245 )
J Med Syst - RBAC-Matrix-based EMR right management system to improve HIPAA compliance. ( 0,630509339810935 )
J Med Syst - An assessment of patient safety in acupuncture process under EMR support. ( 0,630495594884697 )
J Med Syst - Applied patent RFID systems for building reacting HEPA air ventilation system in hospital operation rooms. ( 0,62979733970741 )
Appl Clin Inform - Use of more than one electronic medical record system within a single health care organization. ( 0,629651936844974 )
BMC Med Inform Decis Mak - Determinants of frequency and longevity of hospital encounters' data use. ( 0,629549802108236 )
J Am Med Inform Assoc - VA OpenNotes: exploring the experiences of early patient adopters with access to clinical notes. ( 0,628870669847302 )
J Biomed Inform - A classification of errors in lay comprehension of medical documents. ( 0,624732788917387 )
J Am Med Inform Assoc - Effects of an online personal health record on medication accuracy and safety: a cluster-randomized trial. ( 0,622416648188235 )
J Am Med Inform Assoc - Presence of key findings in the medical record prior to a documented high-risk diagnosis. ( 0,62153713200899 )
Methods Inf Med - Survey on medical records and EHR in Asia-Pacific region: languages, purposes, IDs and regulations. ( 0,621489205576445 )
BMC Med Inform Decis Mak - Does electronic clinical microbiology results reporting influence medical decision making: a pre- and post-interview study of medical specialists. ( 0,617432039459225 )
J Med Syst - Evaluation of the medical records system in an upcoming teaching hospital-a project for improvisation. ( 0,616866462031542 )
Sci Data - Longitudinal recordings of the vocalizations of immature Gombe chimpanzees for developmental studies. ( 0,614217001408647 )
AMIA Annu Symp Proc - Physician Attitudes about Patient-Facing Information Displays at an Urban Emergency Department. ( 0,61404965158298 )
BMC Med Inform Decis Mak - SciReader enables reading of medical content with instantaneous definitions. ( 0,613952250134764 )
J Am Med Inform Assoc - Transforming consumer health informatics through a patient work framework: connecting patients to context. ( 0,612603098725889 )
Telemed J E Health - Internet-based medical visit and diagnosis for common medical problems: experience of first user cohort. ( 0,612527513710312 )
BMC Med Inform Decis Mak - Comparing virtual consults to traditional consults using an electronic health record: an observational case-control study. ( 0,611612790499356 )
AMIA Annu Symp Proc - Analysis of medication and indication occurrences in clinical notes. ( 0,608896565684077 )
Perspect Health Inf Manag - Electronic medical record systems in critical access hospitals: leadership perspectives on anticipated and realized benefits. ( 0,607293828721123 )
AMIA Annu Symp Proc - Testing the prospective evaluation of a new healthcare system. ( 0,60698298105981 )
Appl Clin Inform - What do physicians read (and ignore) in electronic progress notes? ( 0,603653573863567 )
Telemed J E Health - Tele-assistance Respiratory card: feasibility of self-reporting in patients with severe COPD. ( 0,602563577922818 )
J Am Med Inform Assoc - Implementation of the Department of Veterans Affairs' first point-of-care clinical trial. ( 0,602267580821255 )
J Am Med Inform Assoc - A taste of individualized medicine: physicians' reactions to automated genetic interpretations. ( 0,597726335728432 )
Int J Health Geogr - Identifying risk factors for healthcare-associated infections from electronic medical record home address data. ( 0,596916904200773 )
J Med Syst - Operational problems of Haniwa net as a form of social capital: interdependence between human networks of physicians and information networks. ( 0,596884762450146 )
Int J Med Inform - Implementation of an electronic medical record does not change delivery of preventive care for HIV-positive patients. ( 0,596342312138962 )
J Am Med Inform Assoc - The Mid-South clinical Data Research Network. ( 0,596330808954984 )
AMIA Annu Symp Proc - A study of transportability of an existing smoking status detection module across institutions. ( 0,596305378093705 )
J Am Med Inform Assoc - Electronic medical records and physician stress in primary care: results from the MEMO Study. ( 0,596237038876733 )
J Am Med Inform Assoc - Implementing an interface terminology for structured clinical documentation. ( 0,595710158643937 )
Int J Med Inform - Kenya's health workforce information system: a model of impact on strategic human resources policy, planning and management. ( 0,595493304479704 )
Int J Med Inform - The effects of EMR deployment on doctors' work practices: a qualitative study in the emergency department of a teaching hospital. ( 0,593409485372507 )
J Biomed Inform - Visual grids for managing data completeness in clinical research datasets. ( 0,593100942547552 )
BMC Med Inform Decis Mak - Architecture of a consent management suite and integration into IHE-based Regional Health Information Networks. ( 0,587304029169381 )
BMC Med Inform Decis Mak - How do medical doctors use a web-based oncology protocol system? A comparison of Australian doctors at different levels of medical training using logfile analysis and an online survey. ( 0,587111424770732 )
Int J Med Inform - The peace of paper: patient lists as work tools. ( 0,586510124349291 )
Perspect Health Inf Manag - Workflow and electronic health records in small medical practices. ( 0,584855377747481 )
Telemed J E Health - Real-time tele-echocardiography: diagnosis and management of a pericardial effusion secondary to pericarditis at an Antarctic research station. ( 0,583810321011354 )
Int J Comput Assist Radiol Surg - Design and evaluation of a multimedia electronic patient record oncoflow with clinical workflow assistance for head and neck tumor therapy. ( 0,582431903493295 )
BMC Med Inform Decis Mak - Evaluating the impact of patients' online access to doctors' visit notes: designing and executing the OpenNotes project. ( 0,582229510026794 )
J. Med. Internet Res. - Patients who share transparent visit notes with others: characteristics, risks, and benefits. ( 0,581812133344365 )
J. Med. Internet Res. - Aligning medication reconciliation and secure messaging: qualitative study of primary care providers' perspectives. ( 0,581300095190811 )
AMIA Annu Symp Proc - Prevalence and Clinical Significance of Discrepancies within Three Computerized Pre-Admission Medication Lists. ( 0,580225198808837 )
J Am Med Inform Assoc - Internet portal use in an academic multiple sclerosis center. ( 0,579456923997835 )
AMIA Annu Symp Proc - Using natural language processing on the free text of clinical documents to screen for evidence of homelessness among US veterans. ( 0,578824553276633 )
AMIA Annu Symp Proc - Extending the HL7/LOINC Document Ontology Settings of Care. ( 0,577019284147878 )
Int J Med Inform - The impact of electronic medical record systems on outpatient workflows: a longitudinal evaluation of its workflow effects. ( 0,576816108087379 )