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首页> 外文期刊>International journal of health economics and management. >Rating the digital help: electronic medical records, software providers, and physicians
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Rating the digital help: electronic medical records, software providers, and physicians

机译：评估数字帮助：电子病历，软件提供商和医生

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摘要

To separate the effects of physicians' characteristics on the perceived productivity of EMRs from the effects of limitations on usability inherent in EMR design, a multivariate regression model is used to estimate the factors influencing physicians' rankings of five attributes of their EMRs, namely; ease of use and reliability; the EMRs effect on physician and staff productivity and the EMRs performance vs. vendor's promises. We divide the factors influencing the rankings into three groups: physician characteristics, EMR characteristics and practice characteristics (type of practice, size, and location). The data are from approximately 1800 practicing physicians in Arizona. Physician's characteristics influence perceived ease of use and physicians' productivity, but not staff productivity, reliability or vendors' promised performance. Practice type and EMR characteristics affect perceived productivity, reliability and performance versus vendors' promises. Vendor-specific effects are highly correlated across all five attributes and are always jointly significant. EMR characteristics are the most significant influence on physicians' perceptions of the EMRs effect on their productivity and that of their staff. Physicians' characteristics (particularly age) have a small but significant influence on perceived productivity.
机译：为了将医生的特征对EMR的感知生产力的影响与对EMR设计固有的可用性的限制的影响分开，使用多元回归模型来估计影响医生对其EMR的五个属性进行排名的因素，即：易用性和可靠性; EMR对医师和员工生产率的影响以及EMR绩效与供应商承诺的关系。我们将影响排名的因素分为三类：医师特征，EMR特征和执业特征（执业类型，规模和位置）。数据来自亚利桑那州约1800名执业医师。医师的特征会影响易用性和医师的工作效率，但不会影响员工的工作效率，可靠性或供应商承诺的性能。与供应商的承诺相比，实践类型和EMR特性会影响感知的生产率，可靠性和性能。供应商特定的影响在所有五个属性之间高度相关，并且始终共同显着。 EMR特性是最重要的影响因素，它们影响着医生对EMR对其工作效率和员工工作效率的影响。医师的特征（尤其是年龄）对感知的生产力影响很小，但影响很大。

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