TY - JOUR AU - Ahmad, Farah AU - Skinner, Harvey A AU - Stewart, Donna E AU - Levinson, Wendy PY - 2010 DA - 2010/05/07 TI -家庭医生对计算机辅助健康风险评估的看法JO - J Med Internet Res SP - e12 VL - 12 IS - 2kw -计算机KW -健康KW -风险评估KW -筛查KW -社会心理KW -初级保健AB -背景:医生使用计算机辅助健康风险评估的第一手经验对于设计实际的电子健康解决方案非常重要。目的:本研究的目的是在完成加拿大城市多医生医院附属家庭实践诊所的试验后，从医生的角度增强对计算机辅助健康风险评估的理解。方法:采用面对面、深入、半结构化访谈的定性方法。所有的采访都是录音和实地记录。采用分析归纳法和常数比较法进行编码和分析。通过同行审核和从社会交换理论视角获得的见解，有助于解释。结果:10名医生(7名女性，3名男性)参与了访谈。在计算机辅助健康风险评估方面出现了三个主要主题:(1)可感知的好处，(2)可感知的关切或挑战，(3)可行性。医生们一致认可计算机辅助健康风险评估的潜力，以开启关于社会心理健康风险的对话。 They also appreciated the general facilitative roles of the tool, such as improving time-efficiency by asking questions on health risks prior to the consultation and triggering patients’ self-reflections on the risks. However, in the context of ongoing physician-patient relationships, physicians expressed concerns about the impact of the computer-assisted health-risk assessment tool on visit time, patient readiness to talk about psychosocial issues when the purpose of the visit was different, and the suitability of such risk assessment for all visits to detect new risk information. In terms of feasibility, physicians displayed general acceptance of the risk assessment tool but considered it most feasible for periodic health exams and follow-up visits based on their perceived concerns or challenges and the resources needed to implement such programs. These included clinic level (staff training, space, confidentiality) and organizational level (time, commitment and finances) support. Conclusions: Participants perceived computer-assisted health-risk assessment as a useful tool in family practice, particularly for identifying psychosocial issues. Physicians displayed a general acceptance of the computer tool and indicated its greater feasibility for periodic health exams and follow-up visits than all visits. Future physician training on psychosocial issues should address physicians’ concerns by emphasizing the varying forms of “clinical success” for the management of chronic psychosocial issues. Future research is needed to examine the best ways to implement this program in diverse clinical settings and patient populations. Trial Registration: ClinicalTrials.gov NCT00385034; http://clinicaltrials.gov/ct2/show/NCT00385034 (Archived by WebCite at http://www.webcitation.org/5pV8AGRgt) SN - 1438-8871 UR - //www.mybigtv.com/2010/2/e12/ UR - https://doi.org/10.2196/jmir.1260 UR - http://www.ncbi.nlm.nih.gov/pubmed/20457555 DO - 10.2196/jmir.1260 ID - info:doi/10.2196/jmir.1260 ER -