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Tytuł pozycji:

Incentives and barriers that influence clinical computerization in Hong Kong: A population-based physician survey

Tytuł :
Incentives and barriers that influence clinical computerization in Hong Kong: A population-based physician survey
Autorzy :
Leung, GM
Yu, PLH
Wong, IOL
Johnston, JM
Tin, KYK
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Temat :
Attitude to Computers
Computer Systems - economics
Physicians - psychology
Practice Management - organization & administration
Attitude of Health Personnel
Informacja o wydawcy :
//www.elsevier.com/locate/jamia
United States
Rok publikacji :
2003
Kolekcja :
University of Hong Kong: HKU Scholars Hub
Typ dokumentu :
article in journal/newspaper
Opis pliku :
386 bytes; text/html
Język :
English
ISBN :
978-0-00-181847-7
0-00-181847-3
ISSN :
1067-5027
Relacje :
Journal of the American Medical Informatics Association; http://www.scopus.com/mlt/select.url?eid=2-s2.0-0037353291&selection=ref&src=s&origin=recordpage; Journal Of The American Medical Informatics Association, 2003, v. 10 n. 2, p. 201-212; 212; 76454; WOS:000181847300009; http://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1067-5027&volume=10&issue=2&spage=201&epage=212&date=2003&atitle=Incentives+and+barriers+that+influence+clinical+computerization+in+Hong+Kong:+a+population-based+physician+survey; PMC150373; eid_2-s2.0-0037353291; 201; http://hdl.handle.net/10722/49375; 10
DOI :
10.1197/jamia.M1202
Dostępność :
https://doi.org/10.1197/jamia.M1202
http://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1067-5027&volume=10&issue=2&spage=201&epage=212&date=2003&atitle=Incentives+and+barriers+that+influence+clinical+computerization+in+Hong+Kong:+a+population-based+physician+survey
http://hdl.handle.net/10722/49375
Prawa :
Creative Commons: Attribution 3.0 Hong Kong License
Numer akcesji :
edsbas.E6ADD7D0
Czasopismo naukowe
Objective: Given the slow adoption of medical informatics in Hong Kong and Asia, we sought to understand the contributory barriers and potential incentives associated with information technology implementation. Design and Measurements: A representative sample of 949 doctors (response rate = 77.0%) was asked through a postal survey to rank a list of nine barriers associated with clinical computerization according to self-perceived importance. They ranked seven incentives or catalysts that may influence computerization. We generated mean rank scores and used multidimensional preference analysis to explore key explanatory dimensions of these variables. A hierarchical cluster analysis was performed to identify homogenous subgroups of respondents. We further determined the relationships between the sets of barriers and incentives/catalysts collectively using canonical correlation. Results: Time costs, lack of technical support and large capital investments were the biggest barriers to computerization, whereas improved office efficiency and better-quality care were ranked highest as potential incentives to computerize. Cost vs. noncost, physician-related vs. patient-related, and monetary vs. nonmonetary factors were the key dimensions explaining the barrier variables. Similarly, within-practice vs external and "push" vs "pull" factors accounted for the incentive variables. Four clusters were identified for barriers and three for incentives/catalysts. Canonical correlation revealed that respondents who were concerned with the costs of computerization also perceived financial incentives and government regulation to be important incentives/catalysts toward computerization. Those who found the potential interference with communication important also believed that the promise of improved care from computerization to be a significant incentive. Conclusion: This study provided evidence regarding common barriers associated with clinical computerization. Our findings also identified possible incentive strategies that may be employed to accelerate uptake of computer systems. ; published_or_final_version

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