@文章{信息:doi/10.2196/13761，作者="王静璇和黄俊杰和张，Clement Shek Kei和Wong, Wing Nam和张，Ngai Tseung和Wong, Martin CS"，标题="采用电子病历共享试验项目:横断面调查"，期刊="J医学互联网研究"，年="2020"，月="四月"，日="6"，卷="22"，数="4"，页数="e13761"，关键词="健康信息交换;共享电子健康档案;在线平台;“政府与私营机构的伙伴关系”，摘要="背景:政府与私营机构合作的公共与私营部门的接口-电子病人纪录系统(PPI-ePR)是香港推行的一个新的电子平台，以促进政府与私营机构的合作。然而，其参与的障碍和收益尚未得到全面评估。目的:本研究旨在评估私人医生和公众参与的意识、接受度、感知收益和障碍。方法:2012年12月至2013年1月，由训练有素的采访者对随机选择的纳入或未纳入PPI-ePR系统的患者进行电话访谈2435例。此外，我们以邮资方式向4229名本港注册医生发出自行调查。患者和医生的问卷内容包括受试者对PPI-ePR的认知、接受和感知，参与项目的感知好处和障碍，注册后不使用系统的原因，以及系统服务改进的感知领域。结果:超过53.1{\%}(266/501)的入组患者认为PPI-ePR系统可以通过减少重复的检查和治疗来提高医疗质量，而超过76.8{\%}(314/409)的入组医生强调及时获取患者的医疗记录是他们入组的最大好处。 Among nonenrolled patients, unawareness of the project was the most popular obstacle to enrolling in the PPI-ePR system (483/1200, 40.3{\%}). Regarding nonenrolled doctors, the complicated registration process hindered them from participating in the program the most (95/198, 48.0{\%}). Television, newspaper, and magazine advertisements and medical profession newsletters or journals were suggested as the most effective means to encourage participation in the program among surveyed patients (1297/1701, 76.2{\%}) and doctors (428/610, 70.2{\%}), respectively. Lack of clinical indication requiring data extraction from other hospitals was the main reason for low level of PPI-ePR use. Conclusions: This study comprehensively assessed the popularity, perceived benefits, and hindering factors of enrolling in the PPI-ePR system in Hong Kong. Low levels of awareness, few privacy concerns, and inactive use of the PPI-ePR system were among the key features for patients and physicians. Public promotions, simplified logistics, and a user-friendly online interface were suggested to improve the coverage and effectiveness of health information exchange between private and public health care sectors. ", issn="1438-8871", doi="10.2196/13761", url="//www.mybigtv.com/2020/4/e13761", url="https://doi.org/10.2196/13761", url="http://www.ncbi.nlm.nih.gov/pubmed/32250279" }