HIV/AIDS electronic information resources: a profile of potential users.
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Recent developments have made the Internet a helpful professional resource for primary care practitioners. The introduction of the World Wide Web has overcome many of the barriers that previously made it difficult to access useful information on the Internet. For teachers of primary care, the capability of combining graphic, sound, and video files is particularly exciting. User-friendly search strategies help users find needed information quickly. This article provides practical steps for accessing the Internet, introduces the concept of the World Wide Web, and provides a list of specific resources useful to primary care teachers, clinicians, and researchers.
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OBJECTIVE: Exploration of the societal health economic effects occurring during the first year after implementation of Computerised Patient Records (CPRs) at Primary Health Care (PHC) centres. DESIGN: Comparative case studies of practice processes and their consequences one year after CPR implementation, using the constant comparison method. Application of transaction-cost analyses at a societal level on the results. SETTING: Two urban PHC centres under a managed care contract in Ostergötland county, Sweden. MAIN OUTCOME MEASURES: Central implementation issues. First-year societal direct normal costs, direct unexpected costs, and indirect costs. Societal benefits. RESULTS: The total societal effect of the CPR implementation was a cost of nearly 250,000 SEK (USD 37,000) per GP team. About 20% of the effect consisted of direct unexpected costs, accured from the reduction of practitioners' leisure time. The main issues in the implementation process were medical informatics knowledge and computer skills, adaptation of the human-computer interaction design to practice routines, and information access through the CPR. CONCLUSIONS: The societal costs exceed the benefits during the first year after CPR implementation at the observed PHC centres. Early investments in requirements engineering and staff training may increase the efficiency. Exploitation of the CPR for disease prevention and clinical quality improvement is necessary to defend the investment in societal terms. The exact calculation of societal costs requires further analysis of the affected groups' willingness to pay.
The present study deals with the assessment of the subjective perception of the clinical core of the hospital information system (HIS) we are building. This HIS is not in use on a voluntary basis, but physicians and nurses use it for all the aspects of their inpatient care that have been informatized. Two questionnaires, aimed at the assessment of users perceived usefulness and ease of use of information technology, were utilized to: obtain feedback of the actual users' satisfaction as a predictive factor for the future life of the system, assess the real influence of the often-mentioned problems of age and unfamiliarity with computers of potential users, learn about the aspects which would enhance users' acceptance. The analysis of answers to the questionnaires has indicated a substantially positive perception of the system in terms of both usefulness and ease of use. This constitutes a good reason to keep on investing in the project. Even though this study has the intrinsic limit of the small dimension of the inquired population (53 users, equivalent to 98% of the personnel of the assessed clinical units), our data confirm the inconsistency of the relationship between perception of usefulness and age, and show "unfamiliarity with computers" as commonplace. On the other hand, it seems that the keystone for usefulness perception is the knowledge the users have of the system. An effort by the technical personnel in establishing a broader collaboration with the users, and in providing more exhaustive training and support may well be worthwhile.
My goal has been to give you a basic understanding of the concepts involved with understanding and exploring the web. By this point you should know: what the Internet is, what the World Wide Web is, what a web site is, what a home page is, what a URL is, what a browser is, what hyperlinks are, and how to use your browser to surf the web. Problems that arise can usually be solved by going to the "Help" icon on your browser or going to the Web Tutorials that all browsers have on their software.
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BACKGROUND AND OBJECTIVES: Academic and community-based family physician faculty must be adept at using technology as an information management tool and a vehicle for written communication. Today's family physicians must apply communication and technology skills in the traditional areas of research and education and in the ever-changing world of managed care, which in turn influences research and education. Written communication and computer competencies are interconnected by the need to collect, manage, and share information. While technology is changing the way family physicians practice, teach, and conduct research, the written word remains one of the most important means for communicating that information to others. This article summarizes the literature on competencies needed, methods used to prepare faculty, evidence of effectiveness of the methods, and recommendations for faculty development activities specific to communication of the written word, emphasizing information technology. We highlight gaps in that literature and offer a revised set of competencies for managing and communicating information in the context of a managed care environment.
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Computers are increasingly being used in clinical practice settings. Aware of the need to educate students regarding computer applications in medicine, the University of Kentucky College of Medicine is in the midst of developing a computer curriculum. To that end, many courses and clerkships have devised software packages for transmittal of course information and for evaluation of student performance. This paper outlines requisite computer skills that applicants applying to medical school should possess, broadly reviews how those computer skills will be used in medical school, and suggests means for attaining computer competency prior to making application to medical school.
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We report on a market research study on the acceptance of computer systems in surgeries. 11,000 returned questionnaires of surgeons--user and nonuser--were analysed. We found out that most of the surgeons used their computers in a limited way, i.e. as a device for accounting. Concerning the level of utilisation there are differentials of Men-Women, West-East and Young-Old. In this study we also analysed the computer using behaviour of gynaecologic surgeons. As a result two third of all nonusers are not intending to utilise a computer in the future.
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