165 lines
5.4 KiB
YAML
165 lines
5.4 KiB
YAML
abstract: 'Objectives The growth and development of smartphones and eHealth
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technologies have enabled the potential for extended care hospitals
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(e-hospitals) in China in order to facilitate the success of a primary
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healthcare centre (PHC)-based integrated delivery model. Although the
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adoption of e-hospitals is essential, few studies have directed their
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research towards understanding the perspectives of healthcare providers.
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This study aims to identify the current readiness of healthcare
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providers to adopt e-hospital technologies, determine the factors
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influencing this adoption and describe the perceived facilitators and
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barriers in regard to working at e-hospitals. Design A cross-sectional
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study conducted in Sichuan, China, between June and September 2019.
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Settings Information was collected from healthcare providers who have
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more than 3 years of work experience from a tertiary hospital, secondary
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hospital, PHCs and private hospital. Participants 2298 medical
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professionals were included in this study. Outcome measure This study
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included a self-administered questionnaire that was used to assess
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participants'' sociodemographic characteristics, online medical
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practices, willingness to use e-hospitals and perceived
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facilitators/barriers to working at e-hospitals. Multivariate regression
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analysis was performed in order to evaluate the independent factors
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associated with e-hospital work. Results Overall, 86.3\% had a positive
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response towards working at e-hospitals. Age (p<0.05), familiarity with
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e-hospitals (p<0.001) and prior work practices in online healthcare
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settings (p<0.001) were associated with participants'' readiness to work
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at e-hospitals. Gender, education level, professional level, the tier of
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their affiliated hospital and workload were not statistically
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associated. Healthcare providers who had positive attitudes towards
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e-hospitals considered improved efficiency, patient satisfaction,
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communication among physicians, increased reputation and income, and
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alleviated workload to be advantages of adoption. The participants who
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were unwilling to work at e-hospitals perceived lack of time,
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insufficient authenticity/reliability and underdeveloped policies as
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potential barriers. Conclusion Improving operative proficiency in
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electronic devices, accommodating to work schedules, increasing
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familiarity with e-hospitals and regulating practices will improve the
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readiness of healthcare providers to work at e-hospitals.'
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affiliation: 'Li, WM (Corresponding Author), Sichuan Univ, Dept Resp \& Crit Care
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Med, West China Hosp, Chengdu, Peoples R China.
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Li, WM (Corresponding Author), Sichuan Univ, West China Hosp, Frontiers Sci Ctr
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Dis Related Mol Network, Inst Resp Hlth, Chengdu, Sichuan, Peoples R China.
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Li, WM (Corresponding Author), Sichuan Univ, West China Hosp, Precis Med Res Ctr,
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Chengdu, Sichuan, Peoples R China.
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Li, Peiyi, Sichuan Univ, Dept Anesthesiol, West China Hosp, Chengdu, Sichuan, Peoples
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R China.
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Li, Peiyi, Sichuan Univ, West China Hosp, Natl Local Joint Engn Res Ctr Translat
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Med Anesth, Lab Anesthesia \& Crit Care Med, Chengdu, Sichuan, Peoples R China.
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Li, Peiyi, Sichuan Univ, West China Hosp, Res Units West China 2018RU012, Chinese
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Acad Med Sci, Chengdu, Sichuan, Peoples R China.
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Luo, Yunmei, Sichuan Univ, West China Hosp, West China Med Publishers, Chengdu,
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Sichuan, Peoples R China.
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Yu, Xuexin, Sichuan Univ, Biomed Big Data Ctr, West China Hosp, Chengdu, Sichuan,
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Peoples R China.
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Mason, Elizabeth; Jalali, Mohammad S., Harvard Med Sch, MGH Inst Technol Assessment,
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Boston, MA 02115 USA.
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Zeng, Zhi; Wen, Jin, Sichuan Univ, West China Hosp, Inst Hosp Management, Chengdu,
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Sichuan, Peoples R China.
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Li, Weimin, Sichuan Univ, Dept Resp \& Crit Care Med, West China Hosp, Chengdu,
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Peoples R China.
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Li, Weimin, Sichuan Univ, West China Hosp, Frontiers Sci Ctr Dis Related Mol Network,
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Inst Resp Hlth, Chengdu, Sichuan, Peoples R China.
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Li, Weimin, Sichuan Univ, West China Hosp, Precis Med Res Ctr, Chengdu, Sichuan,
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Peoples R China.
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Jalali, Mohammad S., MIT, Sloan Sch Management, 77 Massachusetts Ave, Cambridge,
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MA 02139 USA.'
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article-number: e054169
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author: Li, Peiyi and Luo, Yunmei and Yu, Xuexin and Mason, Elizabeth and Zeng, Zhi
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and Wen, Jin and Li, Weimin and Jalali, Mohammad S.
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author-email: weimi003@scu.edu.cn
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author_list:
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- family: Li
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given: Peiyi
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- family: Luo
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given: Yunmei
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- family: Yu
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given: Xuexin
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- family: Mason
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given: Elizabeth
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- family: Zeng
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given: Zhi
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- family: Wen
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given: Jin
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- family: Li
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given: Weimin
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- family: Jalali
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given: Mohammad S.
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da: '2023-09-28'
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doi: 10.1136/bmjopen-2021-054169
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files: []
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issn: 2044-6055
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journal: BMJ OPEN
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keywords: health policy; health informatics; telemedicine
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keywords-plus: PRIVATE HOSPITALS; EFFICIENCY
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language: English
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month: FEB
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number: '2'
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number-of-cited-references: '48'
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orcid-numbers: 'Yu, Xuexin/0000-0002-6484-6035
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Jalali, Mohammad/0000-0001-6769-2732
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Luo, Yunmei/0000-0002-2661-3214'
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papis_id: 9133d6bb26bf4c65779b6580b0f00e2f
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ref: Li2022readinesshealthcare
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researcherid-numbers: 'Yu, Xuexin/ABA-8080-2021
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'
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times-cited: '2'
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title: 'Readiness of healthcare providers for e-hospitals: a cross-sectional analysis
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in China before the COVID-19 period'
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type: article
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unique-id: WOS:000759753300014
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usage-count-last-180-days: '3'
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usage-count-since-2013: '22'
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volume: '12'
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web-of-science-categories: Medicine, General \& Internal
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year: '2022'
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