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Towards optimal electronic medical record use: perspectives of advanced users

机译：迈向最佳电子医疗记录使用：高级用户的透视

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Background. While primary health care electronic medical record (EMR) adoption has increased in Canada, the use of advanced EMR features is limited. Realizing the potential benefits of primary health care EMR use is dependent not only on EMR acquisition, but also on its comprehensive use and integration into practice; yet, little is known about the advanced use of EMRs in primary health care.Objective. To explore the views of advanced primary health care EMR users practising in a team-based environment.Methods. A descriptive qualitative approach was used to explore the views of primary health care practitioners who were identified as advanced EMR users.Twelve individual semi-structured interviews were held with primary health care practitioners in Southwestern Ontario, Canada. Field notes were created after each interview. Interviews were audio recorded and transcribed verbatim. Researchers independently coded the transcripts and then met to discuss the results of the coding. We used a thematic approach to data analysis.Results. Three themes emerged from the data analysis: advanced EMR users as individuals with signature characteristics, advanced EMR users as visionaries and advanced EMR users as agents of change. In any one participant, these elements could overlap, illuminating the important interplay between these themes. Taken together, these themes defined advanced use among this group of primary health care practitioners.Conclusions. To realize the potential benefits of EMR use in improved patient care and outcomes, we need to understand how to support EMR use.This study provides a necessary building block in furthering this understanding.
机译：背景。虽然加拿大的主要医疗电子医疗记录（EMR）采用增加，但使用先进的EMR功能有限。意识到初级医疗保健EMR使用的潜在益处不仅依赖于EMR收购，也依赖于其全面使用和融入实践;然而，关于EMRS在初级保健中的高级使用毫无疑问。目的。探讨基于团队的环境中高级初级医疗EMR用户的观点。方法。描述性定性方法用于探讨被确定为先进EMR用户的主要医疗医生的观点。在加拿大安大略省西南部的主要医疗医生举行了各个半结构化访谈。在每次面试后创建了现场票据。访谈是录制和转录逐字的音频。研究人员独立编码了成绩单，然后达到了编码的结果。我们使用了对数据分析的主题方法。结果。从数据分析中出现了三个主题：高级EMR用户作为具有签名特征的个人，高级EMR用户作为Visionaries和高级EMR用户作为变更的代理。在任何一个参与者中，这些元素都可以重叠，照亮这些主题之间的重要相互作用。携带这些主题在这组初级保健从业者中定义了高级使用.Conclusions。为了实现EMR在改进的患者护理和结果中使用的潜在益处，我们需要了解如何支持EMR使用。本研究提供了进一步的建筑块，进一步实现了这种理解。

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  • 来源
    《Family practice.》 |2018年第5期|共5页
  • 作者

    Ama L Terry;

  • 作者单位

    Centre for Studies in Family Medicine Department of Family Medicine Department of Epidemiology &

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 预防医学、卫生学;
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