Information communications technology in general practice:
cross-sectional survey in London

Keddie, Zöe; Jones, Roger

doi:10.14236/jhi.v13i2.588

Cited by 14 publications

(24 citation statements)

References 10 publications

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“…A large number of studies (n = 17, 32.7%) were conducted in European countries: United Kingdom (n = 10) [37,41,53,58,67,68,72,79,81,90], Norway (n = 5) [46,50,60,87,88], Sweden (n = 3) [36,51,52], Denmark (n = 3) [75,91,93], Greece (n = 1) [49] and Spain (n = 1) [74]. Two Australian (3.8%) [80,84] and two Japanese studies [43,44] were also included in this systematic review.…”

Section: Resultsmentioning

confidence: 99%

“…Seventeen studies (32.7%) nearly exclusively involved physicians [35,40,45,46,55,57,59,62,65,67,69,71,74,76,82,83,86,87,91-93] while another 17 studies concerned a variety of health care professionals, most notably a combination of physicians, nurses, and administrative staff, and less commonly pharmacists, midwives, and social workers [36,37,44,48-52,54,56,60,64,70,73,80,85,88,90]. Ten studies (19.2%) primarily involved participants in management positions, including health information managers, hospital directors, various clinicians, and representatives from EHR vendors and Information Technology (IT) consulting firms [34,39,42,43,47,53,58,61,63,78].…”

Section: Resultsmentioning

confidence: 99%

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Comparison of user groups' perspectives of barriers and facilitators to implementing electronic health records: a systematic review

McGinn

Grenier

Duplantie

et al. 2011

BMC Med

295

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BackgroundElectronic health record (EHR) implementation is currently underway in Canada, as in many other countries. These ambitious projects involve many stakeholders with unique perceptions of the implementation process. EHR users have an important role to play as they must integrate the EHR system into their work environments and use it in their everyday activities. Users hold valuable, first-hand knowledge of what can limit or contribute to the success of EHR implementation projects. A comprehensive synthesis of EHR users' perceptions is key to successful future implementation. This systematic literature review was aimed to synthesize current knowledge of the barriers and facilitators influencing shared EHR implementation among its various users.MethodsCovering a period from 1999 to 2009, a literature search was conducted on nine electronic databases. Studies were included if they reported on users' perceived barriers and facilitators to shared EHR implementation, in healthcare settings comparable to Canada. Studies in all languages with an empirical study design were included. Quality and relevance of the studies were assessed. Four EHR user groups were targeted: physicians, other health care professionals, managers, and patients/public. Content analysis was performed independently by two authors using a validated extraction grid with pre-established categorization of barriers and facilitators for each group of EHR users.ResultsOf a total of 5,695 potentially relevant publications identified, 117 full text publications were obtained after screening titles and abstracts. After review of the full articles, 60 publications, corresponding to 52 studies, met the inclusion criteria. The most frequent adoption factors common to all user groups were design and technical concerns, ease of use, interoperability, privacy and security, costs, productivity, familiarity and ability with EHR, motivation to use EHR, patient and health professional interaction, and lack of time and workload. Each user group also identified factors specific to their professional and individual priorities.ConclusionsThis systematic review presents innovative research on the barriers and facilitators to EHR implementation. While important similarities between user groups are highlighted, differences between them demonstrate that each user group also has a unique perspective of the implementation process that should be taken into account.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Comparison of user groups' perspectives of barriers and facilitators to implementing electronic health records: a systematic review

McGinn

Grenier

Duplantie

et al. 2011

BMC Med

295

View full text Add to dashboard Cite

show abstract

“…In fact, the use of teleconsultations succeeded in modifying the behaviour of the GPs [46], who are often reluctant to adopt ICT in their practice [47,48], leading to different types of collaborative work [49] with a consequent improvement in the quality of care with respect to the GP's responsibility.…”

Section: Discussionmentioning

confidence: 99%

Teleconsultation service to improve healthcare in rural areas: acceptance, organizational impact and appropriateness

Zanaboni

Scalvini

Bernocchi

et al. 2009

BMC Health Serv Res

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BackgroundNowadays, new organisational strategies should be indentified to improve primary care and its link with secondary care in terms of efficacy and timeliness of interventions thus preventing unnecessary hospital accesses and costs saving for the health system. The purpose of this study is to assess the effects of the use of teleconsultation by general practitioners in rural areas.MethodsGeneral practitioners were provided with a teleconsultation service from 2006 to 2008 to obtain a second opinion for cardiac, dermatological and diabetic problems. Access, acceptance, organisational impact, effectiveness and economics data were collected. Clinical and access data were systematically entered in a database while acceptance and organisational data were evaluated through ad hoc questionnaires.ResultsThere were 957 teleconsultation contacts which resulted in access to health care services for 812 symptomatic patients living in 30 rural communities. Through the teleconsultation service, 48 general practitioners improved the appropriateness of primary care and the integration with secondary care. In fact, the level of concordance between intentions and consultations for cardiac problems was equal to 9%, in 86% of the cases the service entailed a saving of resources and in 5% of the cases, it improved the timeliness. 95% of the GPs considered the overall quality positively. For a future routine use of this service, trust in specialists, duration and workload of teleconsultations and reimbursement should be taken into account.ConclusionsManagerial and policy implications emerged mainly related to the support to GPs in the provision of high quality primary care and decision-making processes in promoting similar services.

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“…[23,24] such calculations may be less of an issue in the future. Nonetheless future simplification of the calculation method may be required to enhance the accessibility of NPI Score data.…”

Section: Principal Component Analysismentioning

confidence: 99%

The Norwich Patellar Instability Score: Validity, internal consistency and responsiveness for people conservatively-managed following first-time patellar dislocation

et al. 2016

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Purpose: This paper assessed the validity, internal consistency, responsiveness and floor-ceiling effects of the Norwich Patellar Instability (NPI) Score for a cohort of conservatively managed people following first-time patellar dislocation (FTPD).Methods: Fifty patients were recruited, providing 130 completed datasets over 12 months. The NPI Score, Lysholm Knee Score, Tegner Level of Activity Score and isometric knee extension strength were assessed at baseline, six weeks, six and 12 months post-injury. Conclusions:The NPI Score is a valid tool to assess patellar instability symptoms in people conservatively managed following FTPD.

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Information communications technology in general practice: cross-sectional survey in London

Cited by 14 publications

References 10 publications

Comparison of user groups' perspectives of barriers and facilitators to implementing electronic health records: a systematic review

Comparison of user groups' perspectives of barriers and facilitators to implementing electronic health records: a systematic review

Teleconsultation service to improve healthcare in rural areas: acceptance, organizational impact and appropriateness

The Norwich Patellar Instability Score: Validity, internal consistency and responsiveness for people conservatively-managed following first-time patellar dislocation

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