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Attitudes of Jewish and Bedouin responders toward family physicians' use of electronic medical records during the medical encounter

机译：犹太人和贝都因人对医疗过程中家庭医生使用电子病历的态度

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Objective: Culture is known to impact expectations from medical treatments. The effects of cultural differences on attitudes toward Electronic Medical Records (EMR) have not been investigated. We compared the attitudes of Jewish and Bedouin responders toward EMR's use by family physicians during the medical encounter, and examined the contribution of background variables to these attitudes. Methods: 86 Jewish and 89 Bedouin visitors of patients in a regional Israeli University Medical Center responded to a self-reporting questionnaire with Hebrew and Arabic versions. Results: T-tests and a linear regression analysis found that culture did not predict attitudes. Respondents' self-reported health status, Internet and e-mail use, and estimates of their physician's typing speed explained a total of 18.6% of the variance in attitudes (p< 0.001). Conclusion: Bedouins respondents' attitudes toward EMR use were better than expected and similar to those of their Jewish counterparts. The most significant factor influencing respondents' attitudes was the physician's typing speed. Practice implications: (1) Further studies should consider the possible impact of cultural differences between the family physician and the healthcare client on attitudes. (2) Interventions to improve physicians' skill in operating EMRs and typing will potentially have a positive impact on patients' satisfaction with physicians' EMR use.
机译：目标：众所周知，文化会影响药物治疗的期望。尚未研究文化差异对对待电子病历（EMR）态度的影响。我们比较了犹太人和贝都因人对医疗过程中家庭医生使用EMR的态度，并研究了背景变量对这些态度的影响。方法：以色列某地区大学医学中心的86位犹太人和89位贝都因人患者对希伯来语和阿拉伯语版本的自我报告问卷进行了回复。结果：T检验和线性回归分析发现，文化不能预测态度。受访者的自我报告的健康状况，互联网和电子邮件使用情况以及对他们医生打字速度的估计总共解释了态度差异的18.6％（p <0.001）。结论：贝都因人对使用EMR的态度好于预期，与犹太人的态度相似。影响受访者态度的最重要因素是医师的打字速度。实践意义：（1）进一步的研究应考虑家庭医生和医疗服务对象之间文化差异对态度的可能影响。 （2）提高医师操作电子病历和打字技能的干预措施可能会对患者对使用电子病历的满意度产生积极影响。

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