J Am Med Inform Assoc - Understanding the acceptability of a computer decision support system in pediatric primary care.

Tópicos

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

Resumo

JECTIVE: Individual users' attitudes and opinions help predict successful adoption of health information technology (HIT) into practice; however, little is known about pediatric users' acceptance of HIT for medical decision-making at the point of care.MATERIALS AND METHODS: We wished to examine the attitudes and opinions of pediatric users' toward the Child Health Improvement through Computer Automation (CHICA) system, a computer decision support system linked to an electronic health record in four community pediatric clinics. Surveys were administered in 2011 and 2012 to all users to measure CHICA's acceptability and users' satisfaction with it. Free text comments were analyzed for themes to understand areas of potential technical refinement.RESULTS: 70 participants completed the survey in 2011 (100% response rate) and 64 of 66 (97% response rate) in 2012. Initially, satisfaction with CHICA was mixed. In general, users felt the system held promise; however various critiques reflected difficulties understanding integrated technical aspects of how CHICA worked, as well as concern with the format and wording on generated forms for families and users. In the subsequent year, users' ratings reflected improved satisfaction and acceptance. Comments also reflected a deeper understanding of the system's logic, often accompanied by suggestions on potential refinements to make CHICA more useful at the point of care.CONCLUSIONS: Pediatric users appreciate the system's automation and enhancements that allow relevant and meaningful clinical data to be accessible at point of care. Understanding users' acceptability and satisfaction is critical for ongoing refinement of HIT to ensure successful adoption into practice.

Resumo Limpo

jectiv individu user attitud opinion help predict success adopt health inform technolog hit practic howev littl known pediatr user accept hit medic decisionmak point caremateri method wish examin attitud opinion pediatr user toward child health improv comput autom chica system comput decis support system link electron health record four communiti pediatr clinic survey administ user measur chica accept user satisfact free text comment analyz theme understand area potenti technic refinementresult particip complet survey respons rate respons rate initi satisfact chica mix general user felt system held promis howev various critiqu reflect difficulti understand integr technic aspect chica work well concern format word generat form famili user subsequ year user rate reflect improv satisfact accept comment also reflect deeper understand system logic often accompani suggest potenti refin make chica use point careconclus pediatr user appreci system autom enhanc allow relev meaning clinic data access point care understand user accept satisfact critic ongo refin hit ensur success adopt practic

Resumos Similares

Int J Med Inform - Determinants of physicians' technology acceptance for e-health in ambulatory care. ( 0,814853354589683 )
J. Med. Internet Res. - Online mental health resources in rural Australia: clinician perceptions of acceptability. ( 0,766632578568017 )
Telemed J E Health - The impact of user's perceived ability on online health information acceptance. ( 0,766161203216883 )
Int J Med Inform - Internet use for information seeking in clinical practice: a cross-sectional survey among French general practitioners. ( 0,764474329230583 )
Int J Med Inform - An investigation on physicians' acceptance of hospital information systems: a case study. ( 0,751695665351512 )
AMIA Annu Symp Proc - Clinical information system post-adoption evaluation at the georges pompidou university hospital. ( 0,744963640564405 )
BMC Med Inform Decis Mak - A socio-technical assessment of the success of Picture Archiving and Communication Systems: the radiology technologist's perspective. ( 0,742793256785869 )
Health Info Libr J - Cognitive factors predicting intentions to search for health information: an application of the theory of planned behaviour. ( 0,740261870297388 )
Int J Med Inform - The Australian general public's perceptions of having a personally controlled electronic health record (PCEHR). ( 0,734913097378403 )
J. Med. Internet Res. - Development of a health information technology acceptance model using consumers' health behavior intention. ( 0,7211725955546 )
Methods Inf Med - Information technology acceptance in health information management. ( 0,71444580893708 )
Int J Med Inform - Theorizing the health service usage behavior of family caregivers: a qualitative study of an internet-based intervention. ( 0,71237282375396 )
BMC Med Inform Decis Mak - Physicians reading and writing practices: a cross-sectional study from Civil Hospital, Karachi, Pakistan. ( 0,710263710748396 )
J. Med. Internet Res. - Factors associated with intention to use internet-based testing for sexually transmitted infections among men who have sex with men. ( 0,707467909148248 )
J. Med. Internet Res. - Health care professionals' beliefs about using wiki-based reminders to promote best practices in trauma care. ( 0,706106172690514 )
BMC Med Inform Decis Mak - Predictive modelling: parents' decision making to use online child health information to increase their understanding and/or diagnose or treat their child's health. ( 0,705612491474667 )
J Am Med Inform Assoc - Seeking health information online: does limited healthcare access matter? ( 0,700159815741543 )
Telemed J E Health - Health literacy and willingness to use online health information by teens with asthma and diabetes. ( 0,69454654412771 )
Int J Med Inform - A study on Singaporean women's acceptance of using mobile phones to seek health information. ( 0,690713159835837 )
J. Med. Internet Res. - What explains usage of mobile physician-rating apps? Results from a web-based questionnaire. ( 0,686595420088945 )
Int J Med Inform - Predictive factors of telemedicine service acceptance and behavioral intention of physicians. ( 0,686358022688069 )
J. Med. Internet Res. - Website quality, expectation, confirmation, and end user satisfaction: the knowledge-intensive website of the Korean National Cancer Information Center. ( 0,682666688833422 )
Health Info Libr J - An analysis of benefits and risk information on pharmaceutical web sites for the treatment of menopause. ( 0,682282099786972 )
AMIA Annu Symp Proc - Study of the factors that promoted the implementation of electronic medical record on iPads at two emergency departments. ( 0,681944978138875 )
Telemed J E Health - Predicting medical staff intention to use an online reporting system with modified unified theory of acceptance and use of technology. ( 0,677252840965425 )
Inform Health Soc Care - AmI in good care? Developing design principles for ambient intelligent domotics for elderly. ( 0,675066025289073 )
J. Med. Internet Res. - If we offer it, will they accept? Factors affecting patient use intentions of personal health records and secure messaging. ( 0,670390177363513 )
Telemed J E Health - Physicians' perceptions and use of a health information exchange: a pilot program in South Korea. ( 0,663779140344216 )
J Med Syst - Health information technology adoption in U.S. acute care hospitals. ( 0,66362698286205 )
Telemed J E Health - Analysis of health consumers' behavior using self-tracker for activity, sleep, and diet. ( 0,661457460766026 )
J Med Syst - Consumer support for health information exchange and personal health records: a regional health information organization survey. ( 0,661329099345232 )
J. Med. Internet Res. - Understanding determinants of consumer mobile health usage intentions, assimilation, and channel preferences. ( 0,661024292987484 )
BMC Med Inform Decis Mak - Adoption of telemedicine: from pilot stage to routine delivery. ( 0,656378863866696 )
BMC Med Inform Decis Mak - Stages of use: consideration, initiation, utilization, and outcomes of an internet-mediated intervention. ( 0,655759486186491 )
J Chem Inf Model - Creating context for the experiment record. User-defined metadata: investigations into metadata usage in the LabTrove ELN. ( 0,652327301816999 )
Int J Med Inform - Modeling factors explaining the acceptance, actual use and satisfaction of nurses using an Electronic Patient Record in acute care settings: an extension of the UTAUT. ( 0,651815243631502 )
Telemed J E Health - An empirical study of physicians' acceptance of hospital information systems in Taiwan. ( 0,651223078579553 )
Med Decis Making - Decision to adopt medical technology: case study of breast cancer radiotherapy techniques. ( 0,651089079009182 )
J. Med. Internet Res. - Internet skills performance tests: are people ready for eHealth? ( 0,649434231445103 )
Telemed J E Health - Self-reported communication technology usage in patients attending a cardiology outpatient clinic in a remote regional hospital. ( 0,647518760665742 )
Int J Med Inform - Do hospital physicians' attitudes change during PACS implementation? A cross-sectional acceptance study. ( 0,64473651553514 )
AMIA Annu Symp Proc - Social and behavioral history information in public health datasets. ( 0,644129497788014 )
J Med Syst - Engagement in E-learning opportunities: an empirical study on patient education using expectation confirmation theory. ( 0,640974799048265 )
J. Med. Internet Res. - WikiBuild: a new application to support patient and health care professional involvement in the development of patient support tools. ( 0,639650189892714 )
J. Med. Internet Res. - Internet-based HIV and sexually transmitted infection testing in British Columbia, Canada: opinions and expectations of prospective clients. ( 0,638732488837197 )
Perspect Health Inf Manag - Successes and challenges in the implementation and application of telemedicine in the eastern province of Saudi Arabia. ( 0,637435683256576 )
Telemed J E Health - Including men in prenatal health: the potential of e-health to improve birth outcomes. ( 0,636856637653243 )
J Med Syst - The adoption of mobile health management services: an empirical study. ( 0,634689014270903 )
Med Decis Making - Australian Public Preferences for the Funding of New Health Technologies: A Comparison of Discrete Choice and Profile Case Best-Worst Scaling Methods. ( 0,634682975420697 )
Perspect Health Inf Manag - The effects of innovation factors on smartphone adoption among nurses in community hospitals. ( 0,634655098666584 )
Int J Med Inform - Online health information seeking by people with physical disabilities due to neurological conditions. ( 0,633598914142739 )
AMIA Annu Symp Proc - Variation in information needs and quality: implications for public health surveillance and biomedical informatics. ( 0,632465343206511 )
Med Decis Making - Getting ahead of illness: using metaphors to influence medical decision making. ( 0,631008628851017 )
BMC Med Inform Decis Mak - Factors of accepting pain management decision support systems by nurse anesthetists. ( 0,630779251232303 )
BMC Med Inform Decis Mak - Healthcare professional acceptance of telemonitoring for chronic care patients in primary care. ( 0,629831664597272 )
J Am Med Inform Assoc - Factors affecting home care patients' acceptance of a web-based interactive self-management technology. ( 0,628859347879861 )
Inform Health Soc Care - Parental knowledge of coeliac disease. ( 0,62857535975091 )
J. Med. Internet Res. - A comparison of physician pre-adoption and adoption views on electronic health records in Canadian medical practices. ( 0,628200620075859 )
J. Med. Internet Res. - eHealth literacy 2.0: problems and opportunities with an evolving concept. ( 0,627933742776337 )
Int J Med Inform - Understanding physicians' acceptance of the Medline system for practicing evidence-based medicine: a decomposed TPB model. ( 0,625713429202814 )
Int J Med Inform - Information quality of a Nursing Information System depends on the nurses: a combined quantitative and qualitative evaluation. ( 0,624000835961485 )
Methods Inf Med - Evaluation of the USE IT-questionnaire for the evaluation of the adoption of electronic patient records by healthcare professionals. ( 0,62315903438769 )
BMC Med Inform Decis Mak - User acceptance of a picture archiving and communication system (PACS) in a Saudi Arabian hospital radiology department. ( 0,622365758017721 )
J. Med. Internet Res. - Understanding the factors that influence the adoption and meaningful use of social media by physicians to share medical information. ( 0,622031787626338 )
BMC Med Inform Decis Mak - Differentiating innovation priorities among stakeholder in hospital care. ( 0,621401361456102 )
Telemed J E Health - Support for e-health services among elderly primary care patients. ( 0,620528256933818 )
J. Med. Internet Res. - How patients with schizophrenia use the internet: qualitative study. ( 0,618180556718853 )
J Biomed Inform - The effects of organizational contextual factors on physicians' attitude toward adoption of Electronic Medical Records. ( 0,618078739255144 )
J. Med. Internet Res. - What do web-use skill differences imply for online health information searches? ( 0,617332188132646 )
J Am Med Inform Assoc - Modeling nurses' acceptance of bar coded medication administration technology at a pediatric hospital. ( 0,617219768853385 )
J. Med. Internet Res. - Patient perceptions of a personal health record: a test of the diffusion of innovation model. ( 0,616793366979458 )
Telemed J E Health - Older adults' perceptions of home telehealth services. ( 0,616097723806612 )
J. Med. Internet Res. - The characteristics and motivations of online health information seekers: cross-sectional survey and qualitative interview study. ( 0,613147742168093 )
AMIA Annu Symp Proc - An empirical study of opinion leader effects on mobile information technology adoption in healthcare. ( 0,613132525466276 )
Telemed J E Health - Attitudes and awareness of web-based self-care resources in the military: a preliminary survey study. ( 0,610895869841617 )
J Am Med Inform Assoc - From health search to healthcare: explorations of intention and utilization via query logs and user surveys. ( 0,610184043194295 )
J. Med. Internet Res. - Motivations for contributing to health-related articles on Wikipedia: an interview study. ( 0,610144115431063 )
J Med Syst - Barriers to physicians' adoption of healthcare information technology: an empirical study on multiple hospitals. ( 0,609950646974964 )
Telemed J E Health - Attitude of families of patients with genetic diseases to use m-health technologies. ( 0,608740228902212 )
Comput. Biol. Med. - Application of grey system theory in telecare. ( 0,60864343096029 )
Int J Med Inform - The impact of electronic medical record systems on outpatient workflows: a longitudinal evaluation of its workflow effects. ( 0,608120664780245 )
Int J Med Inform - Internet use by the public to search for health-related information. ( 0,607898264226243 )
AMIA Annu Symp Proc - Understanding the work of pediatric inpatient medicine teams: implications for information system requirements. ( 0,60784072154174 )
J. Med. Internet Res. - Information-seeking at a caregiving website: a qualitative analysis. ( 0,606516096417045 )
J Med Syst - Understanding the mediating effects of relationship quality on technology acceptance: an empirical study of e-appointment system. ( 0,606273514314803 )
Telemed J E Health - Understanding the online health information user profiles in Korea: from a psychological perspective. ( 0,605893583807997 )
Health Informatics J - Provider impressions of the use of a mobile crowdsourcing app in medical practice. ( 0,605690422706656 )
BMC Med Inform Decis Mak - Determinants of use and non-use of a web-based communication system in cerebral palsy care: evaluating the association between professionals' system use and their a priori expectancies and background. ( 0,603755328447577 )
J Innov Health Inform - Using the Internet as a source of information and support: a discussion paper on the risks and benefits for children and young people with long-term conditions. ( 0,602422396267024 )
J. Med. Internet Res. - Internet use for health-related information via personal computers and cell phones in Japan: a cross-sectional population-based survey. ( 0,601449364982224 )
Inform Health Soc Care - Pilot evaluation of web enabled symptom monitoring in cystic fibrosis. ( 0,600786672871936 )
Telemed J E Health - Telemedicine for children with developmental disabilities: a more effective clinical process than office-based care. ( 0,600015938766 )
J. Med. Internet Res. - Consumers' perceptions of patient-accessible electronic medical records. ( 0,599253471998437 )
BMC Med Inform Decis Mak - Perceived barriers of heart failure nurses and cardiologists in using clinical decision support systems in the treatment of heart failure patients. ( 0,598185022092443 )
BMC Med Inform Decis Mak - A cross-sectional pilot study assessing needs and attitudes to implementation of Information and Communication Technology for rational use of medicines among healthcare staff in rural Tanzania. ( 0,596351122373348 )
Health Informatics J - Developing mental health mobile apps: Exploring adolescents' perspectives. ( 0,596273059534896 )
J. Med. Internet Res. - Young men, mental health, and technology: implications for service design and delivery in the digital age. ( 0,596216898656946 )
Telemed J E Health - Consumer preferences for telemedicine devices and services in South Korea. ( 0,595401695806885 )
Int J Med Inform - Barriers to organizational adoption of EMR systems in family physician practices: a mixed-methods study in Canada. ( 0,594115753493664 )
J. Med. Internet Res. - Attitudes of patients toward adoption of 3D technology in pain assessment: qualitative perspective. ( 0,5929564860605 )