Telemed J E Health - Management of electronic patient record systems in primary healthcare in a Finnish county.

Tópicos

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Resumo

We investigated factors that could govern the use and user competence of electronic patient record (EPR) systems used in Finnish primary healthcare in the county of South Ostrobothnia. A structured questionnaire was sent to 400 health center (HC) staff (general practitioner, nurse, and clerical) from eight HCs. The questions dealt with Information Technology (IT) management, use, and potential problems with EPR and user EPR training within the HC. The response rate to the questionnaire was 79%. This study shows that there are large differences in working practices and in the way EPR systems are managed and utilized in the primary care organizations studied. A relatively high level of self-reported lack of competence in EPR use (21%) was indicated by the HC staff, clearly indicating that there is a need to improve user training. Results also indicate clear correlations between the incidence of user problems and whether there were routine procedures to disseminate best EPR user practices at the HC. If the HC had a clear IT development strategy, personnel were more likely to utilize the EPR system to develop the workflow and work practices of the HC. This study showed the importance of the EPR as a tool for a wide variety of tasks not restricted to patient data access. To improve and broaden the use of the EPR systems, more emphasis should be placed on IT management, support, training, and "best practices" dissemination.

Resumo Limpo

investig factor govern use user compet electron patient record epr system use finnish primari healthcar counti south ostrobothnia structur questionnair sent health center hc staff general practition nurs cleric eight hcs question dealt inform technolog manag use potenti problem epr user epr train within hc respons rate questionnair studi show larg differ work practic way epr system manag util primari care organ studi relat high level selfreport lack compet epr use indic hc staff clear indic need improv user train result also indic clear correl incid user problem whether routin procedur dissemin best epr user practic hc hc clear develop strategi personnel like util epr system develop workflow work practic hc studi show import epr tool wide varieti task restrict patient data access improv broaden use epr system emphasi place manag support train best practic dissemin

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