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Teaching computer classes at the University Hospital of Münster--evaluation of long-term results.

With the increasing use of computers in the hospital, staff have to face working with a new medium and technology. Computer training is required to increase user acceptance. After a brief presentation of the current teaching concept, the effectiveness and long-term results of computer classes that have been offered at the University Hospital of Münster since August 1998 are evaluated. A questionnaire was sent to 300 course participants covering aspects of motivation, confidence, satisfaction, reluctance and some general data. Overall results were very positive. Some comments have led to considerations regarding some alterations to the program as for instance adjusting the program more to the differing needs of various professional groups or reconsidering the ways of its distribution.

Adult↗

Who's wired and who's not: children's access to and use of computer technology.

As computer technology becomes increasingly prevalent throughout society, concerns have been raised about an emerging "digital divide" between those children who are benefitting and those who are being left behind. This article presents results from new analyses of national survey data describing children's differential access to computers in school and at home, and the varying conditions that affect how children experience computers. For example, responses from a nationwide survey of teachers suggest that, as of 1998, more than 75% of students had access to computers at school. In fact, those teaching lower-income students reported weekly use of computers more often than those teaching higher-income students. But the nature of children's experiences using computers in school varied greatly by subject and teacher objectives, and the data suggest that lower-income students use computers more often for repetitive practice, whereas higher-income students use computers more often for more sophisticated, intellectually complex applications. Differences between low-income and high-income children's access to home computers were far less subtle. Survey data indicate that only about 22% of children in families with annual incomes of less than $20,000 had access to a home computer, compared to 91% of those in families with annual incomes of more than $75,000. And among children with access, those in low-income families were reported to use the computer less than those in high-income families, perhaps because most low-income families with computers lacked a connection to the Internet. The two most predictive factors of children's use of home computers were the child's age and the computer's capabilities. The author concludes that home access to computers will be a continued area of inequality in American society, and that schools must play a critical role in ensuring equal opportunity for less-advantaged children to access the benefits of the more intellectually powerful uses of computer technology.

Adolescent↗

Validation of an instrument to measure dental students' use of, knowledge about, and attitudes towards computers.

Currently, no validated survey instrument exists to measure dental students' use of, knowledge about, and attitudes towards computers. Several studies have surveyed students about their knowledge and opinions regarding computers, but none of them has established the reliability and validity of the instrument(s) used. A measurement study to validate a preliminary survey for dental students was conducted. The preliminary instrument contained five scales: computer use, information resource use, computer knowledge, capabilities of computer systems, and effects of computers on dental practice. Selected variables were summarized descriptively, and a factor analysis for each scale was performed. In addition, construct validity was assessed through correlational analyses among several variables. Three hundred seventy surveys distributed to students at nine dental schools generated 156 responses (42 percent response rate). Sixty-four percent of respondents were male, 36 percent female. Respondents used computers an average approximately four hours per week, and most had begun using computers in 1991. All survey scales except computer use were unidimensional. Computer use required a two-factor solution that distinguished between clinical and nonclinical uses of computers. The instrument can be used for a demonstration study, but should be continuously refined and validated.

Analysis of Variance↗

Patient empowerment and the electronic health record.

This paper presents the results of an investigation into the issue of patients viewing and controlling their Electronic Health Record (EHR), and some of the issues that an EHR would raise in terms of patient empowerment. The research was carried out with a random sample of patients from the Hadfield Medical Centre (HMC), Derbyshire and utilised a survey methodology supplemented by a few interviews. The research investigated the nature and scope of demand from patients for empowerment in terms of their own health, and the EHR. It took into account demographics. It was found that a majority of patients wish to be empowered through viewing their health record, though most prefer to use paper rather than an electronic medium. A significant majority of patients do not want to control their health record. It was found that of the demographic variables investigated, age and level of education were the only ones that had a significant impact on a patient's desire to be empowered and their desire to view their health records. The results have implications both locally and nationally for the development of electronic health records and the ultimate acceptance of such records may be linked to the general extent of computer literacy within the population rather than the views of individuals about their health.

Age Factors↗

OphthWeb---cost-effective telemedicine for ophthalmology.

'OphthWeb' is an ophthalmic electronic medical record that can be accessed locally and globally via the Internet. OphthWeb can provide secure multimedia patient data to doctors, patients, and health care providers at any time and in any place. Patients have secured access to their own records in the convenience of their homes or during any emergency at any time or place around the world. OphthWeb provides interactive educational information and answers frequently asked questions by way of multimedia images on the Worldwide Web. A data transmission trial was conducted between the Xiamen Eye Centre in the Fujian province in southern China and Singapore. Clinical records, voice messages, and fundus and slit-lamp images were transmitted from Xiamen, and an off-line dialogue by e-mail and Internet-relay chat was conducted. The time delay from transmission to receipt was 30 minutes, which would be adequate to respond to most ophthalmic emergencies. This pilot project will promote computer literacy among doctors, and inter-institutional interaction in the health care profession. OphthWeb can provide telemedicine and electronic medical records at a low cost and great convenience.

Journal Article↗

Here IT comes. Ready?

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Attitude of Health Personnel↗

Net results.

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Attitude of Health Personnel↗

Utilization of computer technology by family medicine community preceptors in Mississippi.

BACKGROUND: Medical informatics require physicians to synthesize information available from a broad range of sources and identify "best" treatment strategies based upon individual patient's needs. METHODS: An assessment of computer technology utilization and the self-perceived competency of the family medicine preceptors who supervise residents during rotations was completed. A ten item survey was developed which assessed the preceptors' comfort level and use of computer technology within their office practices. Surveys were mailed to 127 family medicine preceptors. RESULTS: Sixty-six respondents completed the survey for a response rate of 52%. The majority of respondents indicated ownership of a desktop computer (88%). Forty-nine respondents (77%) indicated general comfort using the computer. Seventeen respondents (27%) used the computers for patient education and nine (14%) utilized the computers in student/resident teaching. CONCLUSIONS: Physicians are not using computers for patient education nor student/resident training. Community preceptors need further training in medical informatics and advanced computer competency.

Computer Literacy↗

Brave new job hunt.

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Computer Literacy↗