Sofia Olofsson, Fredric Karlsson, Miriam Pikkemaat, Björn Ekman, Mattias Rööst, Hans Thulesius, Veronica Milos Nymberg
{"title":"医生使用数字工具的意向--瑞典南部 COVID-19 大流行前后的对比调查。","authors":"Sofia Olofsson, Fredric Karlsson, Miriam Pikkemaat, Björn Ekman, Mattias Rööst, Hans Thulesius, Veronica Milos Nymberg","doi":"10.1080/02813432.2024.2346133","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>To describe changes in Swedish primary care physicians' use of, attitudes and intentions toward digital tools in patient care between 2019 and 2022.</p><p><strong>Design: </strong>A survey using a validated questionnaire measuring physician's intentions to use digital tools based on the theory of planned behavior.</p><p><strong>Setting: </strong>Sample of primary health care centers in southern Sweden.</p><p><strong>Subjects: </strong>Primary care physicians.</p><p><strong>Main outcome measures: </strong>Self-reported use and intentions to use, digital tools including digital consultations by text or video, chronic disease monitoring and artificial intelligence (AI) and the associations between attitudes, subjective norms, perceived behavioral control and behavioral intentions to use digital tools, in 2019 compared to 2022.</p><p><strong>Results: </strong>In both 2019 (<i>n</i> = 198) and 2022 (<i>n</i> = 93), physicians reported high intentions to use digital tools. Self-reported use of video was slightly higher in 2022 (<i>p</i> = .03). No other changes were seen in the self-reported use or behavioral intentions to use digital tools.</p><p><strong>Conclusion: </strong>The slow adoption of patient-related digital tools in Swedish primary health care does not seem to be explained by a low intention to use them among physicians. Future research on implementation of digital tools should include a focus on contextual factors such as organizational, technical and cultural barriers.</p>","PeriodicalId":21521,"journal":{"name":"Scandinavian Journal of Primary Health Care","volume":" ","pages":"497-514"},"PeriodicalIF":1.9000,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11552288/pdf/","citationCount":"0","resultStr":"{\"title\":\"Physicians' intentions to use digital tools - a comparative survey, before and after the COVID-19 pandemic, in Southern Sweden.\",\"authors\":\"Sofia Olofsson, Fredric Karlsson, Miriam Pikkemaat, Björn Ekman, Mattias Rööst, Hans Thulesius, Veronica Milos Nymberg\",\"doi\":\"10.1080/02813432.2024.2346133\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>To describe changes in Swedish primary care physicians' use of, attitudes and intentions toward digital tools in patient care between 2019 and 2022.</p><p><strong>Design: </strong>A survey using a validated questionnaire measuring physician's intentions to use digital tools based on the theory of planned behavior.</p><p><strong>Setting: </strong>Sample of primary health care centers in southern Sweden.</p><p><strong>Subjects: </strong>Primary care physicians.</p><p><strong>Main outcome measures: </strong>Self-reported use and intentions to use, digital tools including digital consultations by text or video, chronic disease monitoring and artificial intelligence (AI) and the associations between attitudes, subjective norms, perceived behavioral control and behavioral intentions to use digital tools, in 2019 compared to 2022.</p><p><strong>Results: </strong>In both 2019 (<i>n</i> = 198) and 2022 (<i>n</i> = 93), physicians reported high intentions to use digital tools. Self-reported use of video was slightly higher in 2022 (<i>p</i> = .03). No other changes were seen in the self-reported use or behavioral intentions to use digital tools.</p><p><strong>Conclusion: </strong>The slow adoption of patient-related digital tools in Swedish primary health care does not seem to be explained by a low intention to use them among physicians. Future research on implementation of digital tools should include a focus on contextual factors such as organizational, technical and cultural barriers.</p>\",\"PeriodicalId\":21521,\"journal\":{\"name\":\"Scandinavian Journal of Primary Health Care\",\"volume\":\" \",\"pages\":\"497-514\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2024-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11552288/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Scandinavian Journal of Primary Health Care\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/02813432.2024.2346133\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/5/2 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Scandinavian Journal of Primary Health Care","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/02813432.2024.2346133","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/5/2 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
Physicians' intentions to use digital tools - a comparative survey, before and after the COVID-19 pandemic, in Southern Sweden.
Objectives: To describe changes in Swedish primary care physicians' use of, attitudes and intentions toward digital tools in patient care between 2019 and 2022.
Design: A survey using a validated questionnaire measuring physician's intentions to use digital tools based on the theory of planned behavior.
Setting: Sample of primary health care centers in southern Sweden.
Subjects: Primary care physicians.
Main outcome measures: Self-reported use and intentions to use, digital tools including digital consultations by text or video, chronic disease monitoring and artificial intelligence (AI) and the associations between attitudes, subjective norms, perceived behavioral control and behavioral intentions to use digital tools, in 2019 compared to 2022.
Results: In both 2019 (n = 198) and 2022 (n = 93), physicians reported high intentions to use digital tools. Self-reported use of video was slightly higher in 2022 (p = .03). No other changes were seen in the self-reported use or behavioral intentions to use digital tools.
Conclusion: The slow adoption of patient-related digital tools in Swedish primary health care does not seem to be explained by a low intention to use them among physicians. Future research on implementation of digital tools should include a focus on contextual factors such as organizational, technical and cultural barriers.
期刊介绍：
Scandinavian Journal of Primary Health Care is an international online open access journal publishing articles with relevance to general practice and primary health care. Focusing on the continuous professional development in family medicine the journal addresses clinical, epidemiological and humanistic topics in relation to the daily clinical practice.
Scandinavian Journal of Primary Health Care is owned by the members of the National Colleges of General Practice in the five Nordic countries through the Nordic Federation of General Practice (NFGP). The journal includes original research on topics related to general practice and family medicine, and publishes both quantitative and qualitative original research, editorials, discussion and analysis papers and reviews to facilitate continuing professional development in family medicine. The journal''s topics range broadly and include:
• Clinical family medicine
• Epidemiological research
• Qualitative research
• Health services research.
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