电子健康记录在物理治疗中的使用:采用,感知相关性和使用模式-一个横截面研究
Sara Luísa Vaz1,2, Pedro Vargues de Aguiar1,3, Carla Pereira1,4,5
1NOVA National School of Public Health, Public Health Research Centre, Comprehensive Health Research Centre, CHRC, REAL, CCAL, NOVA University Lisbon, Lisbon, Portugal.
BMJ health & care informatics
|February 2, 2026
概括
物理治疗师经常使用电子健康记录 (EHR),但文档通常不完整. 改进电子病历使用需要更多的时间,标准化的记录,以及专业间的访问,以获得更好的患者护理.
科学领域:
- 医疗信息学 医疗信息学
- 物理治疗实践 物理治疗实践
- 数字健康采用数字健康采用
背景情况:
- 电子健康记录 (EHR) 越来越多地融入医疗保健.
- 了解EHR在物理治疗中的采用和利用对于优化患者护理和数据管理至关重要.
研究的目的:
- 评估电子健康记录 (EHR) 在物理治疗中的使用.
- 确定影响电子健康记录采用的因素以及物理治疗师对其相关性的看法.
主要方法:
- 一项涉及138名执照物理治疗师的横截面研究.
- 使用RSEFisio尺度来评估EHR的使用情况.
- 采用描述性和推断性的统计分析,遵守STROBE指南.
主要成果:
- 观察到的EHR使用率高达78.3%.
- 充足的记录时间,系统的记录和多专业人员的访问与更高的电子健康记录使用率有关.
- 文档的频率与感知到的临床相关性相关.
结论:
- 尽管使用率很高,但物理治疗EHR文档往往不完整,并受到感知相关性的影响.
- 增强的电子病历使用取决于足够的时间,标准化的实践和跨专业的访问.
- 提高文档质量对于护理的连续性,数据驱动的决策以及在物理治疗中整合AI至关重要.
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