Document Detail


Norwegians GPs' use of electronic patient record systems.
MedLine Citation:
PMID:  19828365     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate GPs use of three major electronic patient record systems with emphasis on the ability of the systems to support important clinical tasks and to compare the findings with results from a study of the three major hospital-wide systems. METHODS: A national, cross-sectional questionnaire survey was conducted in Norwegian primary care. 247 (73%) of 338 GPs responded. Proportions of the respondents who reported to use the EPR system to conduct 23 central clinical tasks, differences in the proportions of users of different EPR systems and user satisfaction and perceived usefulness of the EPR system were measured. RESULTS: The GPs reported extensive use of their EPR systems to support clinical tasks. There were no significant differences in functionality between the systems, but there were differences in reported software and hardware dysfunction and user satisfaction. The respondents reported high scores in computer literacy and there was no correlation between computer usage and respondent age or gender. A comparison with hospital physicians' use of three hospital-wide EPR systems revealed that GPs had higher usage than the hospital-based MDs. Primary care EPR systems support clinical tasks far better than hospital systems with better overall user satisfaction and reported impact on the overall quality of the work. CONCLUSION: EPR systems in Norwegian primary care that have been developed in accordance with the principles of user-centered design have achieved widespread adoption and highly integrated use. The quality and efficiency of the clinical work has increased in contrast to the situation of their hospital colleagues, who report more modest use and benefits of EPR systems.
Authors:
Tom Christensen; Arild Faxvaag; Hallvard Loerum; Anders Grimsmo
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-10-13
Journal Detail:
Title:  International journal of medical informatics     Volume:  78     ISSN:  1872-8243     ISO Abbreviation:  Int J Med Inform     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-11-05     Completed Date:  2010-01-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9711057     Medline TA:  Int J Med Inform     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  808-14     Citation Subset:  IM    
Affiliation:
Norwegian EHR Research Centre, Faculty of Medicine, Norwegian University of Science and Technology in Trondheim, Trondheim, Norway. tom.christensen@ntnu.no
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MeSH Terms
Descriptor/Qualifier:
Adult
Cross-Sectional Studies
Female
Hospital Records
Humans
Male
Medical Records Systems, Computerized / utilization*
Middle Aged
Norway
Physicians / statistics & numerical data*
Primary Health Care*
Questionnaires

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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