电子预约在私人医疗实践中的采用、使用及影响加拿大两年示范项目的混合方法评价% a par，Guy % a Trudel,Marie-Claude % a Forget,Pascal %+ HEC Montreal, 3000 Chemin de la cote - st - catherine, Montreal, QC, H3T 2A7, Canada, 1 514 340 6812, guy.pare@hec.ca %K电子预约%K医疗实践%K初级保健%K错过预约%K混合方法评价研究%D 2014 %7 24.09.2014 %9原始论文%J JMIR Med Inform %G English %X在私人医疗实践和门诊护理设置管理预约是一个复杂的过程。可以实施各种策略来减少错过的预约。允许患者在线安排和管理医疗预约的电子预约系统代表了这样一种策略。为了更好地支持寻求向病人提供电子预约服务的临床医生，加拿大卫生当局最近投资了一个涉及六家私人医疗诊所的示范项目。目的:本研究的目标有三个:(1)衡量每个诊所在2年内对电子预约系统的采用和使用情况，(2)评估患者对使用该系统的特点和好处的看法，(3)衡量电子预约系统对每个诊所错过预约数量的影响。方法:本研究采用混合方法。我们首先从每个医疗实践中部署的电子预约系统中提取和分析原始数据，以监测系统的采用和使用情况，并评估系统对错过预约数量的影响。其次，我们在2013年春季对患者的看法进行了一项基于网络的调查。 Results: The patients and physicians targeted by this showcase project showed a growing interest in the e-booking system as the number of users, time slots made available by physicians, and online appointments grew steadily over time. The great majority of patients said that they appreciated the system mainly because of the benefits they derived from it, namely, scheduling flexibility, time savings, and automated reminders that prevented forgotten appointments. Importantly, our findings suggest that the system’s automated reminders help significantly reduce the number of missed appointments. Conclusions: E-booking systems seem to represent a win-win solution for patients and physicians in private medical practices. We encourage researchers to replicate and extend our work in other primary care settings in order to test the generalizability of our findings. %M 25600414 %R 10.2196/medinform.3669 %U http://medinform.www.mybigtv.com/2014/2/e24/ %U https://doi.org/10.2196/medinform.3669 %U http://www.ncbi.nlm.nih.gov/pubmed/25600414

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