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KMID : 0897520190240010009
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Journal of Korean Association of Social Psychiatry
2019 Volume.24 No. 1 p.9 ~ p.18
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The Psychiatrists’ Opinion on the Dissemination and Application of the Electronic Medical Records : Pilot Study
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Joe Keun-Ho
Yoon Hae-Joo
Lee Soo-Jung
Park Jong-Ik
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Abstract
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Objectives : Even though the adoption of electronic medical record in hospital increases nowadays but certain hurdles might exist in the department of psychiatry. Therefore, we performed this study to evaluate the experiences of electronic medical record in psychiatrists and invested that the opinions of psychiatrists on the current applying electronic medical record and the necessary conditions to disseminate it more in the future.
Methods : Hospitals were divided into three groups as training hospital, mental hospital, and private clinics and randomly selected 150 hospitals/clinics of each group. Request for participation on this survey was sent via e-mail to the 1 psychiatrist of each hospital/clinics who extracted randomly also. The answers were collected by on-line. The cross analysis or nonparametric comparison were done to identify the statistical significances of the responses by the experiences of electronic medical record or by the affiliated hospitals types of the subjects.
Results : 87.5% of 112 responded psychiatrists reported their experiences on the order communication system and 84.8% reported their experiences on the electronic progress note. The responded psychiatrists strongly agreed that the adoption of electronic medical record will be helpful for hospital management but weakly agreed that the positive effects on the clinical quality improvement and decision making. They said that the additional reimbursement should be provided to disseminate more in clinical situation and building up special menu to ensure the patients’ privacy. However, the psychiatrists showed slight agreement on the necessary of standard electronic medical record and organizing systemic network between community and hospital through electronic medical record.
Conclusion : Despite the rapid spread of electronic medical record in Korea, the psychiatrists' recognition on electronic medical record remains within the boundary of individual hospital. They regarded that the electronic medical record has benefits on hospital management rather than on the communication between the all involved facilities, clinical performance indicator, or assistant for clinical decision. More attentions of psychiatrists should be needed on the evolution of electronic
medical record.
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KEYWORD
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Electronic medical record, Electronic health record, Order communication system, Interoperability, Big data
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