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PubMed2005

Few rural general practitioners use the Internet frequently in regard to patient care.

AIMS: To benchmark North Island rural general practitioner (GP) access to computers and the Internet, both at work and home, and assess whether rural GPs are using the Internet in regard to patient care. METHODS: Cross-sectional postal survey of all North Island rural GPs in mid-2003. RESULTS: 175 of 289 GPs (60.6%) returned useable questionnaires. Most (89.0%) reported computer availability at work when consulting, but even more had access to a computer at home (97.1%, p<0.01). Access to the Internet was also lower at work (68.6%) than at home (98.8%, p<0.01). Fewer GPs (p<0.05) reported ever using the Internet at work in regard to patients (56.5%) than at home (71.9%). Less than 10% of all GPs used the Internet three or more times a week at work (6.9%) or home (8.6%) in regard to patients. Of those with Internet access at work, 27.0% had broadband (fast Internet) access. Predictors of having (versus not having) work Internet access were computer availability in consultations (p=0.04). CONCLUSIONS: Few North Island rural GPs use the Internet frequently in regard to patient care, despite increasing access to computers and the Internet, both at work and home.

Computer Literacy↗
PubMed2005

Increasing Internet use among cardiovascular patients: new opportunities for heart health promotion.

BACKGROUND: Information technology is revolutionizing health care delivery. Although data exist for other patient populations, awareness and use of information technology in cardiovascular patients have not been well described to date. OBJECTIVES: To assess the awareness and use of information technology in cardiovascular patients over time. METHODS: A survey of consecutive cardiovascular inpatients and outpatients attending a tertiary care, Canadian academic centre was conducted in 2001. Awareness and use of the Internet, use of the Internet for health information, attitudes toward information technology and barriers to use were studied at baseline (n=300) and at one-year follow-up (n=199). The socioeconomic correlation was also examined. RESULTS: Most respondents were aware of the Internet and e-mail. Internet use for health information was prevalent and increased over time (62 of 105 patients [59%] at baseline versus 76 of 105 patients [72%] at one-year follow-up). E-mail use was also prevalent (102 of 189 patients [54%]) but did not increase over time. Cardiovascular patients who used the Internet for health information and e-mail were employed, and were significantly younger and better educated than patients who did not use them; income status was not a significant indicator of Internet or e-mail use. Most patients (95 of 131 patients [72%]) were interested in communicating with their specialists via e-mail. CONCLUSIONS: Information technology is well accepted by cardiovascular patients in Canada. Internet use for health information was prevalent and increased over time. The present findings suggest that the 'digital divide' is evolving, with a narrowing socioeconomic divide, possibly due to the increasing public access to the Internet. This has important implications for patient education and the specialist-patient relationship.

Cardiovascular Diseases↗
PubMed2005

Information-seeking behavior of nursing students and clinical nurses: implications for health sciences librarians.

OBJECTIVES: This research was conducted to provide new insights on clinical nurses' and nursing students' current use of health resources and libraries and deterrents to their retrieval of electronic clinical information, exploring implications from these findings for health sciences librarians. METHODS: Questionnaires, interviews, and observations were used to collect data from twenty-five nursing students and twenty-five clinical nurses. RESULTS: Nursing students and clinical nurses were most likely to rely on colleagues and books for medical information, while other resources they frequently cited included personal digital assistants, electronic journals and books, and drug representatives. Significantly more nursing students than clinical nurses used online databases, including CINAHL and PubMed, to locate health information, and nursing students were more likely than clinical nurses to report performing a database search at least one to five times a week. CONCLUSIONS AND RECOMMENDATIONS: Nursing students made more use of all available resources and were better trained than clinical nurses, but both groups lacked database-searching skills. Participants were eager for more patient care information, more database training, and better computer skills; therefore, health sciences librarians have the opportunity to meet the nurses' information needs and improve nurses' clinical information-seeking behavior.

Adult↗
PubMed2005

Computer skills for the next generation of healthcare executives.

Students beginning a career in healthcare administration must possess an array of professional and management skills in addition to a strong fundamental understanding of the field of healthcare administration. Proficient computer skills are a prime example of an essential management tool for healthcare administrators. However, it is unclear which computer skills are absolutely necessary for healthcare administrators and the extent of congruency between the computer skills possessed by new graduates and the needs of senior healthcare professionals. Our objectives in this research are to assess which computer skills are the most important to senior healthcare executives and recent healthcare administration graduates and examine the level of agreement between the two groups. Based on a survey of senior healthcare executives and graduate healthcare administration students, we identify a comprehensive and pragmatic array of computer skills and categorize them into four groups, according to their importance, for making recent health administration graduates valuable in the healthcare administration workplace. Traditional parametric hypothesis tests are used to assess congruency between responses of senior executives and of recent healthcare administration graduates. For each skill, responses of the two groups are averaged to create an overall ranking of the computer skills. Not surprisingly, both groups agreed on the importance of computer skills for recent healthcare administration graduates. In particular, computer skills such as word processing, graphics and presentation, using operating systems, creating and editing databases, spreadsheet analysis, using imported data, e-mail, using electronic bulletin boards, and downloading information were among the highest ranked computer skills necessary for recent graduates. However, there were statistically significant differences in perceptions between senior executives and healthcare administration students as to the extent of computer skills required in areas such as word processing, graphics and presentation, spreadsheet analysis, using imported data, and working with local area networks (LANs).

Computer Literacy↗
PubMed2005

Dental school applicants' use of website information during the application process.

The University of Pittsburgh's School of Dental Medicine (SDM) is a medium-sized, private, state-related dental school. As other schools have done recently, the SDM made a substantial effort to upgrade its website in 2003. Internal satisfaction and anecdotal data notwithstanding, there is no measure of the website's usefulness in attracting applicants. We designed an anonymous survey of twenty-one questions in an effort to better understand what kinds of information sources our applicants used to make their application decisions; which information they perceived as useful during each phase of the overall application process; how they ranked our website compared to those of other dental schools that they considered; and what they thought could make our website better. Our study supports the notion that applicants rely in part on dental school websites during the application process. Data from this study point to the areas that are of most interest to applicants when they visit a dental school website. This information could help dental school administrators determine the effort they should spend on their school's website as an advertising and recruitment tool. We recommend that dental schools make the most important application-related information and criteria easy to find.

Advertising↗
PubMed2005

Perceived skill and utilisation of information technology in medical education among final year medical students, Universiti Putra Malaysia.

The objective of this survey was to obtain a self-reported assessment of the use of information technology (IT) by final year medical students. Two hundred and sixty five students responded to a questionnaire survey. 81.5% of students considered their computer skills adequate, while 87.9% had access to computers outside the campus. Most students reported adequate skills at word processing, e-mailing and surfing the Internet. Fifty three percent of students spent three hours or more each week on the computer. While students indicated a general willingness to access Internet-based materials, further steps need to be taken to increase the use of this method of instruction.

Computer Literacy↗
PubMed2005

Development of an instrument to measure health center (HC) personnel's computer use, knowledge and functionality demand for HC computerized information system in Thailand.

Knowledge about socio-technical aspects of information technology (IT) is vital for the success of health IT projects. The Thailand health administration anticipates using health IT to support the recently implemented national universal health care system. However, the national knowledge associate with the socio-technical aspects of health IT has not been studied in Thailand. A survey instrument measuring Thai health center (HC) personnel's computer use, basic IT knowledge and HC computerized information system functionality needs was developed. The instrument reveals acceptable test-retest reliability and reasonable internal consistency of the measures. The future nation-wide demonstration study will benefit from this study.

Attitude of Health Personnel↗