Factors associated with adoption of electronic health record sharing system (eHRSS) among private physicians

IF 3.4 3区医学 Q1 HEALTH POLICY & SERVICES

Health Policy and Technology Pub Date : 2025-02-09 DOI:10.1016/j.hlpt.2025.100995

Junjie Huang , Wing Sze Pang , Fung Yu Mak , Yuet Yan Wong , Sze Chai Chan , Yingxin Guan , Jonathan Poon , Ellen Tong , Clement SK Cheung , Wing Nam Wong , Ngai Tseung Cheung , Chung Ping Ho , Martin CS Wong

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引用次数: 0

Abstract

Objective

This study aims to examine the adoption level of the electronic Medical Record (eMR) and Electronic Health Record Sharing System (eHRSS) among private physicians, and to establish areas for service improvement by evaluating the perception of the eHealth App.

Methods

Invitation emails containing the self-administered questionnaires link were sent out to private physicians, by referring to the eHRSS list and internet resources. A descriptive analysis was performed, the outcome variables (eMR, eHRSS, eHealth App) were expressed as proportions. Binary logistic regression models were constructed for the primary outcome variable and the secondary outcome variable.

Results

A total of 744 surveys were received. 78.5 % of the respondents adopted the eMR and 91.9 % joined the eHRSS. Among them, more than 90 % visited eHRSS regularly. ‘More technical support on data upload (61.7 %), ‘improve the friendliness of the interface (46.2 %), and ‘more cooperation between eHRSS and other medical systems’ (45.0 %) were potential factors that encourage data uploading. Type of practising [with partners/group practice: adjusted odd rate (aOR): 2.64, p<0.001], and participation in eHRSS (aOR: 6.66, p<0.001) were significant factors that increased the adoption of the eMR. Younger (aged≤ 30, aOR: 0.157, p<0.041) and older age group (aged≥ 61, aOR: 0.403, p<0.001) were less likely to adopt eMR. 79.9 % of them were aware of the eHealth App.

Conclusions

A generally high recognition of the eHRSS was found among physicians. Most physicians had an understanding and positive perception towards the eHealth App. It was noted that participation in eHRSS was significantly associated with the adoption of eMR.

Public Interest Summary

This study aims to examine the adoption level of the electronic Medical Record (eMR) and eHRSS among private physicians, and to establish areas for service improvement by evaluating the perception of the eHealth App. The study adopts the form of questionnaire survey, and we will analyze the collected data. A generally high recognition of the eHRSS was found among physicians. Most physicians had an understanding and positive perception towards the eHealth App. Physicians demonstrated strong confidence in privacy and security, but were less satisfied with the technical support of the eHRSS. It was noted that participation in eHRSS was significantly associated with the adoption of eMR.

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私家医生采用电子健康记录互通系统（eHRSS）的相关因素

目的了解私家医生对电子病历（eMR）和电子病历共享系统（eHRSS）的使用情况，并通过对电子健康应用程序的评价，建立服务改进的领域。方法参考电子病历共享系统（eHRSS）列表和网络资源，向私家医生发送包含自填问卷链接的邀请邮件。进行描述性分析，结果变量（eMR、eHRSS、eHealth App）用比例表示。对主要结局变量和次要结局变量建立二元logistic回归模型。结果共收到744份问卷。78.5%的受访者采用电子病历，91.9%的受访者采用eHRSS。其中90%以上的人定期访问eHRSS。“更多的数据上传技术支持”（61.7%）、“改善界面友好性”（46.2%）和“加强eHRSS与其他医疗系统的合作”（45.0%）是鼓励数据上传的潜在因素。执业类型[与伴侣/团体执业：调整奇数率（aOR）： 2.64, p<；0.001]和参与eHRSS （aOR: 6.66, p<0.001）是提高电子病历采用率的显著因素。低龄组（≤30岁，aOR: 0.157, p < 0.01）和高龄组（≥61岁，aOR: 0.403, p < 0.001）采用电子磁共振的可能性较低。79.9%的受访医师了解电子健康服务。结论医师对电子健康服务的认知度普遍较高。大多数医生对电子健康应用程序有理解和积极的看法。值得注意的是，参与eHRSS与电子病历的采用显著相关。本研究旨在考察私人医生对电子病历（eMR）和eHRSS的采用程度，并通过评估电子健康App的感知来确定服务改进的领域。本研究采用问卷调查的形式，并对收集到的数据进行分析。医生对eHRSS的认知度普遍较高。大多数医生对eHealth App有理解和积极的看法。医生对隐私和安全表现出强烈的信心，但对eHRSS的技术支持不太满意。有人指出，参与eHRSS与电子病历的采用显著相关。

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来源期刊

Health Policy and Technology Medicine-Health Policy

CiteScore

9.20

自引率

3.30%

发文量

审稿时长

88 days

期刊介绍： Health Policy and Technology (HPT), is the official journal of the Fellowship of Postgraduate Medicine (FPM), a cross-disciplinary journal, which focuses on past, present and future health policy and the role of technology in clinical and non-clinical national and international health environments. HPT provides a further excellent way for the FPM to continue to make important national and international contributions to development of policy and practice within medicine and related disciplines. The aim of HPT is to publish relevant, timely and accessible articles and commentaries to support policy-makers, health professionals, health technology providers, patient groups and academia interested in health policy and technology. Topics covered by HPT will include: - Health technology, including drug discovery, diagnostics, medicines, devices, therapeutic delivery and eHealth systems - Cross-national comparisons on health policy using evidence-based approaches - National studies on health policy to determine the outcomes of technology-driven initiatives - Cross-border eHealth including health tourism - The digital divide in mobility, access and affordability of healthcare - Health technology assessment (HTA) methods and tools for evaluating the effectiveness of clinical and non-clinical health technologies - Health and eHealth indicators and benchmarks (measure/metrics) for understanding the adoption and diffusion of health technologies - Health and eHealth models and frameworks to support policy-makers and other stakeholders in decision-making - Stakeholder engagement with health technologies (clinical and patient/citizen buy-in) - Regulation and health economics