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Patient, staff, and clinician perspectives on implementing electronic communications in an interdisciplinary rural family health practice

机译：患者，员工和临床医生在跨学科农村健康实践中实施电子通信的观点

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Aim: To conduct an environmental scan of a rural primary care clinic to assess the feasibility of implementing an e-communications system between patients and clinic staff. Background: Increasing demands on healthcare require greater efficiencies in communications and services, particularly in rural areas. E-communications may improve clinic efficiency and delivery of healthcare but raises concerns about patient privacy and data security. Methods: We conducted an environmental scan at one family health team clinic, a high-volume interdisciplinary primary care practice in rural southwestern Ontario, Canada, to determine the feasibility of implementing an e-communications system between its patients and staff. A total of 28 qualitative interviews were conducted (with six physicians, four phone nurses, four physicians' nurses, five receptionists, one business office attendant, five patients, and three pharmacists who provide care to the clinic's patients) along with quantitative surveys of 131 clinic patients. Findings: Patients reported using the internet regularly for multiple purposes. Patients indicated they would use email to communicate with their family doctor for prescription refills (65% of respondents), appointment booking (63%), obtaining lab results (60%), and education (50%). Clinic staff expressed concerns about patient confidentiality and data security, the timeliness, complexity and responsibility of responses, and increased workload. Conclusion: Clinic staff members are willing to use an e-communications system but clear guidelines are needed for successful adoption and to maintain privacy of patient health data. E-communications might improve access to and quality of care in rural primary care practices.
机译：目的：进行农村初级保健诊所的环境扫描，以评估患者与诊所工作人员之间实施电子通信系统的可行性。背景：对医疗保健的越来越大需要更大的通信和服务，特别是在农村地区的效率。电子通信可以提高医疗保健的临床效率和交付，但提高了对患者隐私和数据安全的担忧。方法：我们在加拿大安大略省农村西南部的大量跨学科小组诊所进行了一项环境扫描，批量跨学科初级保健实践，以确定在其患者和工作人员之间实施电子通信系统的可行性。共有28个定性访谈（有六名医生，四名手机护士，四名医生护士，五名接待员，一个商务办公室服务员，五名患者和三名药剂师，以及为诊所的患者提供护理的药剂师）以及131的定量调查临床患者。调查结果：患者报告的互联网定期用于多种目的。患者表示，他们将使用电子邮件与他们的家庭医生进行处方补充（65％的受访者），预约预约（63％），获得实验室结果（60％）和教育（50％）。诊所的工作人员对患者的机密性和数据安全，响应的及时性，复杂性和责任表示担忧，以及增加工作量。结论：诊所工作人员愿意使用电子通信系统，但需要明确的指导方针，以便成功采用，并保持患者健康数据的隐私。电子通信可能会改善农村初级保健实践的获取和护理质量。

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