醫師面對老年病人時之電子病歷交換資訊需求與意願的初探研究
Journal
台灣公共衛生雜誌
Journal Volume
36
Journal Issue
3
Pages
288-300
Date Issued
2017
Author(s)
佘明玲
Abstract
Objectives: This study explored the information in Electronic Medical Records (EMR) exchange that physicians need when dealing with elderly patients, and the relationship between information needed and physicians' intention to use EMR exchange in clinical settings. Methods: A questionnaire containing items of EMR exchanges crucial in the treatment of elderly patients was constructed based on a literature review, revised by the Delphi method, and distributed to physicians in a medical care system. Factors underlying the items were revealed by factor analysis and subject to multiple regression analysis to determine their relationships with physicians' intention to use EMR exchange. Results: Four factors listed in a descending order of necessity for treating elderly patients were identified: Patient's Special History, Laboratory and Radiology Reports, Progress Notes, and Family Data and Healthcare Records. Patient's Special History could facilitate physicians' intention to use EMR exchange and the likelihood of adopting EMR exchange for in-patient and emergency care, while Family Data and Healthcare Records may enhance the possibility of using EMR exchange for preventive care. Conclusions: The information most needed in EMR exchange when treating elderly patients is not among the main retrieval items provided by the current EMR exchange platform. It is recommended that the information physicians need should be the major concern when designing an EMR exchange system. The items that physicians need the most can be retrieved automatically from National Health Insurance information systems or provided by physicians in order to enhance the clinical value of EMR exchange in the future.
Publisher
Publisher: 臺灣公共衛生學會
Type
journal article