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Adherence factors to paperless primary healthcare: a focus group study

Iljaz, Rade ; Meglič, Matic ; Petek, Davorina ; Kolšek, Marko ; Susič, Tonka Poplas

Zdravstveno varstvo, 2014-03, Vol.53 (1), p.42-54 [Periódico revisado por pares]

Ljubljana: Versita

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  • Título:
    Adherence factors to paperless primary healthcare: a focus group study
  • Autor: Iljaz, Rade ; Meglič, Matic ; Petek, Davorina ; Kolšek, Marko ; Susič, Tonka Poplas
  • Assuntos: brezpapirna zdravstvena oskrba ; Electronic health records ; Focus groups ; fokusne skupine ; informacijsko-komunikacijska tehnologija ; information and communication technology ; Information technology ; paperless health care ; primarno zdravstveno varstvo ; Primary care ; primary health care
  • É parte de: Zdravstveno varstvo, 2014-03, Vol.53 (1), p.42-54
  • Descrição: Background: Information and communication technology (ICT) and paperless practices have been shown to improve “existing processes in the workplace” “as well as being an important component of modern primary healthcare”. The aim of our study was to analyse the attitudes of health-care professionals and patients with regard to paperless practice and the most frequently used information and communication technology tools in Slovenian primary healthcare. Qualitative methodology using focus groups of 22 primary care physicians, 14 nurses and 18 patients. The areas recognised by all participants as important for further information and communication technology development were: computer-supported decision making, accessibility and completeness of personal e-health data, emergency cases, support for chronic disease management, ICT related time savings, e-prescriptions and e-discharge letters. The most important identified barriers impeding the use of ICT were: the heavy workload of primary care physicians and nurses, health insurance reimbursement rules and duplication of work using both paper and electronic health records. This study highlighted a number of strengths of ICT use in primary care as well as numerous areas where changes in procedures and improvement of ICT tools to support them are needed. Izhodišča: Informacijsko-komunikacijska tehnologija (IKT) in brezpapirno delo lahko izboljšata obstoječe delovne procese in so pomembna sestavina sodobnega osnovnega zdravstva. Namen študije je bil analizirati stališča zdravstvenega osebja in pacientov glede brezpapirne ambulante in najpogostejše uporabljene informacijskokomunikacijske tehnologije v slovenskem osnovnem zdravstvu. Kvalitativna metodologija fokusnih skupin z 22 zdravniki iz osnovnega zdravstva, s 14 ambulantnimi sestrami in z 18 bolniki. Področja, ki so jih vsi udeleženci prepoznali kot pomembna za nadaljnji razvoj IKT, so: računalniško podprto odločanje, dostopnost in popolnost osebnih zdravstvenih podatkov, nujni primeri, podpora pri obravnavi kroničnih bolezni, prihranki časa z uporabo IKT, e-recept in e-odpustno pismo. Najpomembnejše ovire za uporabo IKT so: velike delovne obremenitve zdravnikov in sester v osnovnem zdravstvu, pravila zdravstvene zavarovalnice, podvajanje dela z uporabo papirnatih in elektronskih zdravstvenih kartotek. Študija je poudarila številne prednosti uporabe IKT v osnovnem zdravstvu in tudi številna področja, na katerih so potrebni spremembe v procesih in izboljšanje podpornih orodij IKT.
  • Editor: Ljubljana: Versita
  • Idioma: Inglês;Esloveno
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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