Abstract:
OBJECTIVE:To examine doctors' perspectives about their experiences with handheld computers in clinical practice. DESIGN:Qualitative study of eight focus groups consisting of doctors with diverse training and practice patterns. SETTING:Six practice settings across the United States and two additional focus group sessions held at a national meeting of general internists. PARTICIPANTS:54 doctors who did or did not use handheld computers. RESULTS:Doctors who used handheld computers in clinical practice seemed generally satisfied with them and reported diverse patterns of use. Users perceived that the devices helped them increase productivity and improve patient care. Barriers to use concerned the device itself and personal and perceptual constraints, with perceptual factors such as comfort with technology, preference for paper, and the impression that the devices are not easy to use somewhat difficult to overcome. Participants suggested that organisations can help promote handheld computers by providing advice on purchase, usage, training, and user support. Participants expressed concern about reliability and security of the device but were particularly concerned about dependency on the device and over-reliance as a substitute for clinical thinking. CONCLUSIONS:Doctors expect handheld computers to become more useful, and most seem interested in leveraging (getting the most value from) their use. Key opportunities with handheld computers included their use as a stepping stone to build doctors' comfort with other information technology and ehealth initiatives and providing point of care support that helps improve patient care.
journal_name
BMJjournal_title
BMJ (Clinical research ed.)authors
McAlearney AS,Schweikhart SB,Medow MAdoi
10.1136/bmj.328.7449.1162keywords:
subject
Has Abstractpub_date
2004-05-15 00:00:00pages
1162issue
7449eissn
0959-8138issn
1756-1833pii
328/7449/1162journal_volume
328pub_type
杂志文章,多中心研究abstract:OBJECTIVE:To assess the implementation of action protocols dictated by antenatal risk factors noted at the initial (booking) antenatal visit. DESIGN:Retrospective study of 2000 women delivered between 1 March 1990 and 29 March 1991. SETTING:Maternity department of a district general hospital supporting a multiethnic ...
journal_title:BMJ (Clinical research ed.)
pub_type: 杂志文章
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更新日期:1992-11-14 00:00:00
abstract:OBJECTIVE:To evaluate the incidence of serious maternal complications after the use of various tocolytic drugs for the treatment of preterm labour in routine clinical situations. DESIGN:Prospective cohort study. SETTING:28 hospitals in the Netherlands and Belgium. PARTICIPANTS:1920 consecutive women treated with toc...
journal_title:BMJ (Clinical research ed.)
pub_type: 杂志文章,多中心研究
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abstract::An association between vasectomy and the development of testicular tumors, and the importance of testicular examinations both before and after a vasectomy is discussed. Patients diagnosed with testicular tumors within the last ten years were examined at Bangour General Hospital in Scotland. From 1977-87, 37 patients...
journal_title:BMJ (Clinical research ed.)
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更新日期:1990-02-10 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2014-10-06 00:00:00
abstract:OBJECTIVES:To assess the long term clinical and cost effectiveness of the diabetes education and self management for ongoing and newly diagnosed (DESMOND) intervention compared with usual care in people with newly diagnosed type 2 diabetes. DESIGN:We undertook a cost-utility analysis that used data from a 12 month, mu...
journal_title:BMJ (Clinical research ed.)
pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2010-08-20 00:00:00
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更新日期:1996-02-24 00:00:00
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更新日期:2012-08-15 00:00:00
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journal_title:BMJ (Clinical research ed.)
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmj.39166.597836.BE
更新日期:2007-05-12 00:00:00
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更新日期:2017-02-21 00:00:00
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更新日期:2014-01-13 00:00:00
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pub_type: 杂志文章,meta分析,评审
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更新日期:2010-06-11 00:00:00
abstract:OBJECTIVE:To determine the effectiveness of a brief cognitive behavioural intervention in reducing the incidence of sexually transmitted infections among gay men. DESIGN:Randomised controlled trial with 12 months' follow up. SETTING:Sexual health clinic in London. PARTICIPANTS:343 gay men with an acute sexually tran...
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2001-06-16 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2002-06-08 00:00:00
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更新日期:2006-06-17 00:00:00
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doi:10.1136/bmj.322.7284.460
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pub_type: 杂志文章,评审
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更新日期:2006-07-15 00:00:00
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更新日期:2001-12-01 00:00:00
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doi:10.1136/bmj.306.6882.883
更新日期:1993-04-03 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1997-02-01 00:00:00
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pub_type: 杂志文章,多中心研究
doi:10.1136/bmj.f393
更新日期:2013-02-04 00:00:00
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pub_type: 杂志文章
doi:10.1136/bmj.297.6649.643
更新日期:1988-09-10 00:00:00
abstract::Objective To estimate the incidence and prevalence of resistant hypertension among a UK population treated for hypertension from 1995 to 2015.Design Cohort study.Setting Electronic health records from the UK Clinical Practice Research Datalink in primary care.Participants 1 317 290 users of antihypertensive drugs with...
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pub_type: 杂志文章
doi:10.1136/bmj.j3984
更新日期:2017-09-22 00:00:00