Author/Editor		Iljaž, Rade; Kersnik, Janko; Roženberger, Matjaž
Title		Uporaba računalniške tehnologije med zdravniki v slovenskem osnovnem zdravstvu - pilotska študija
Translated title		Use od computer technology among Slovene primary care physicians - a pilot study
Type		članek
Source		Zdrav Vars
Vol. and No.		Letnik 44, št. 4
Publication year		2005
Volume		str. 206-14
Language		slo
Abstract		Background: The level of computerisation in primary care, physicians' satisfaction and expectations, as well as identification of important obstacles are important parameters to be measured in health care system. The purpose of the study was to determine the current level of information technology and electronic medical record use in Slovenia, and to assess physicians' satisfaction regarding the current situation, and their expectations about quality improvement by computer usage. Methods: A cross-sectional study was conducted on a random sample of Slovene primary care physicians. A subgroup made up of family medicine lecturers was included. The questionnaire, based on some relevant international questionnaires, such as QUIS, PHUE, CSUQ, was administered by interview, by conventional posfal mail and by e-mail to randomly selected primary care physicians. Statistical analysis was done by the data analysis Plus and SPSS statistical packages. Results: A total of 47 properly completed questionnaires were received, the response rate being 61.8%. Significant differences in the time of computer, Internet and e-mail use were found between the subgroup of family medicine lecturers and other respondents. Multivariate analysis identified e-mail use as a significant predictor of higher physicians' satisfaction with electronic health records. A significant correlation was found between physicians'saiisfaction and their expectations regarding quality improvement (r square=0.395) Conclusions: The collected data may give an important impetus to further computerisation of Slovene primary care settings. The sample size, however, may not be represeniative enough of the population studied to allow for valid conclusions.
Summary		Uvod: Stopnja informatizacije osnovnega zdravstva, zadovoljstvo zdravnikov, njihova pričakovanja in prepoznavanje večjih ovir so pomembni parametri za ocenjevanje v vseh zdravstvenih sistemih. Z našo pilotsko raziskavo smo poskušali približno oceniti sedanjo stopnjo rabe računalniške podpore in elektronske zdravstvene kartoteke med zdravniki v slovenskem osnovnem zdravstvu, njihovo zadovoljstvo s sedanjim stanjem in pričakovanja glede višje kakovosti dela s uporabo računalniške podpore. Metode: Presečna študija na naključnem vzorcu zdravnikov osnovnega zdravstva s podskupino mentorjev in asistentov družinske medicine. Anketiranje s pomočjo vprašalnika, ki je bil narejen po vzoru nekaj tovrstnih mednarodnih vprašalnikov (QUIS, PHUE, CSUQ), je bilo osebno, po običajni in elektronski pošti. Analiza podatkov je bila narejena s pomočjo statističnih paketov Data analysis plus in SPSS. Rezultati: Skupno 47 pravilno izpolnjenih vprašalnikov je bilo vrnjenih nazaj, s čimer je dosežena 61,8-odstotna odzivnost. Z uporabo multivariante statistike se je uporaba elektronske pošte izkazala za statistično pomemben napovedni dejavnik večjega zadovoljstva z rabo elektronske kartoteke. Ugotovljena je tudi visoka korelacija med zadovoljstvom zdravnika- uporabnika elektronskega zdravstvenega kartona, in pričakovanji višje kakovosti z rabo tega kartona. Zaključek: Rezultati raziskave so lahko dobra spodbuda za uspešnejšo informatizacijo ambulant osnovnega zdravstva. Zaradi nezadostne velikosti vzorca je pri tolmačenju ugotovitev potrebna previdnost.
Descriptors		PRIMARY HEALTH CARE MEDICAL RECORDS SYSTEMS, COMPUTERIZED COMPUTER COMMUNICATION NETWORKS QUESTIONNAIRES