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. 2001 Dec;6(10):762-6.
doi: 10.1093/pch/6.10.762.

e-Health? Clinical information network interest and impediments in a community paediatric setting

R Cawdron  1 , J Calder, R M Issenman
Affiliations

e-Health? Clinical information network interest and impediments in a community paediatric setting

R Cawdron et al. Paediatr Child Health. 2001 Dec.

Abstract
in English, French

Background: Increased interest in implementing evidence-based medicine in paediatric practice has led to the development of a variety of electronic clinical and decision-making support tools. Electronic medical records and information resources have the potential to improve both the clinical and cost effectiveness of paediatric community practice at the point of care. Barriers to the successful implementation of clinical information Intranet resources include physician attitudes, as well as system and practitioner capabilities.

Objective: To examine Ontario's community care paediatricians' electronic information resource needs and interest in accessing the proposed Central West Ontario Pediatric Information Network (CWPIN).

Design: Cross-sectional, interviewer-facilitated, structured survey.

Population studied: Paediatricians providing community care in the Central West Ontario Health Region.

Main results: Three-quarters of regional community paediatricians responded to the survey. Of those surveyed, 98% expressed interest in gaining access to the CWPIN. Computer literacy, suggested by home computer and Internet use rates (88% and 81%, respectively), did not differ significantly by age or sex. Other factors that may affect network use, such as workplace computer use and allied personnel role assignment, differed by sex, indicating potentially greater CWPIN use among male practitioners.

Conclusions: Physicians reported an overwhelming interest in gaining access to and using the CWPIN. Disparities in current workplace but not home-based computer use by sex indicate that workplace role allocation, rather than computer literacy, may explain sex differences in CWPIN use rates. Attitudinal and computer proficiency issues did not appear to be obstacles to implementing the clinical information Intranet resource in the region.

HISTORIQUE :: Un accroissement de l’intérêt à implanter une médecine probante en pédiatrie a donné lieu à la mise sur pied de divers outils électroniques de soutien clinique et décisionnel. Les dossiers médicaux et les ressources d’information électroniques peuvent améliorer à la fois l’efficacité clinique et la rentabilité d’un cabinet de pédiatrie communautaire. Les obstacles à l’implantation de ressources intranet d’information clinique sont l’attitude des médecins ainsi que les capacités des systèmes et des praticiens.

OBJECTIF :: Examiner les besoins de ressources d’information électronique des pédiatres communautaires de l’Ontario et leur intérêt à accéder au projet de réseau d’information pédiatrique du centre-ouest de l’Ontario (RIPCOO).

MÉTHODOLOGIE :: Sondage transversal structuré, facilité par un intervieweur

POPULATION ÉTUDIÉE :: Pédiatres offrant des soins communautaires dans la région sanitaire du centre-ouest de l’Ontario

PRINCIPAUX RÉSULTATS :: Les trois quarts des pédiatres communautaires de la région ont répondu au sondage. Parmi les répondants, 98 % se sont dits intéressés à accéder au RIPCOO. La culture informatique, suggérée par la possession d’un ordinateur à domicile et par le taux d’utilisation d’Internet (88 % et 81 %, respectivement), ne différait pas de manière significative selon l’âge et le sexe. D’autres facteurs susceptibles d’influer sur l’utilisation du réseau, dont le recours à un ordinateur en milieu de travail et l’attribution des rôles du personnel paramédical, différaient selon le sexe, laissant supposer un plus grand usage du RIPCOO parmi les praticiens que les praticiennes.

CONCLUSIONS :: Les médecins ont démontré un intérêt massif pour l’accès et le recours au RIPCOO. Les disparités en milieu de travail, et non le recours à un ordinateur à domicile selon le sexe, laissent supposer que l’attribution des rôles en milieu de travail plutôt que la culture informatique expliquerait la différence dans l’utilisation du RIPCOO selon le sexe. L’attitude et la maîtrise de l’informatique ne semblent pas contrer l’implantation de ressources d’information clinique par intranet dans la région.

Keywords: Clinical information network; Intranet; Paediatrics; Utilization rates.

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Figures

Figure 1)
Figure 1)
Percentage of community paediatricians practising in the Central West Ontario Health Region who used a computer at work. Data are shown by sex and region
See this image and copyright information in PMC

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