Browsing by Subject "Physicians"

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  • Peura, Anni; Kaila, Minna; Helin-Salmivaara, Arja (2020)
  • Kalso, Eija (2017)
  • Heponiemi, Tarja; Hypponen, Hannele; Vehko, Tuulikki; Kujala, Sari; Aalto, Anna-Mari; Vanska, Jukka; Elovainio, Marko (2017)
    Background: Poorly functioning, time-consuming, and inadequate information systems are among the most important work-related psychosocial factors causing stress in physicians. The present study examined the trend in the perceived stress that was related to information systems (SRIS) among Finnish physicians during a nine-year follow-up. In addition, we examined the associations of gender, age, employment sector, specialization status, leadership position, on-call burden, and time pressure with SRIS change and levels. Methods: A longitudinal design with three survey data collection waves (2006, 2010 and 2015) based on a random sample of Finnish physicians in 2006 was used. The study sample included 1095 physicians (62.3% women, mean age 54.4 years) who provided data on SRIS in every wave. GLM repeated measures analyses were used to examine the associations between independent variables and the SRIS trend during the years 2006, 2010, and 2015. Results: SRIS increased during the study period. The estimated marginal mean of SRIS in 2006 was 2.80 (95% CI = 2.68-2.92) and the mean increase was 0.46 (95% CI = 0.30-0.61) points from 2006 to 2010 and 0.25 (95% CI = 0.11-0.39) points from 2010 to 2015. Moreover, our results show that the increase was most pronounced in primary care, whereas in hospitals SRIS did not increase between 2010 and 2015. SRIS increased more among those in a leadership position. On-call duties and high time-pressures were associated with higher SRIS levels during all waves. Conclusions: Changing, difficult, and poorly functioning information systems (IS) are a prominent source of stress among Finnish physicians and this perceived stress continues to increase. Organizations should implement arrangements to ease stress stemming from IS especially for those with a high workload and on-call or leadership duties. To decrease IS-related stress, it would be important to study in more detail the main IS factors that contribute to SRIS. Earlier studies indicate that the usability and stability of information systems as well as end-user involvement in system development and work-procedure planning may be significant factors.
  • Peltonen, Laura-Maria; Junttila, Kristiina; Salanterä, Sanna (IOS PRESS, 2018)
    Studies in Health Technology and Informatics
    Day-to-day operations management in hospital units is difficult due to continuously varying situations, several actors involved and a vast number of information systems in use. The aim of this study was to describe front-line physicians' satisfaction with existing information systems needed to support the day-to-day operations management in hospitals. A cross-sectional survey was used and data chosen with stratified random sampling were collected in nine hospitals. Data were analyzed with descriptive and inferential statistical methods. The response rate was 65 % (n = 111). The physicians reported that information systems support their decision making to some extent, but they do not improve access to information nor are they tailored for physicians. The respondents also reported that they need to use several information systems to support decision making and that they would prefer one information system to access important information. Improved information access would better support physicians' decision making and has the potential to improve the quality of decisions and speed up the decision making process.
  • Hypponen, Hannele; Lumme, Sonja; Reponen, Jarmo; Vanska, Jukka; Kaipio, Johanna; Heponiemi, Tarja; Laaveri, Tinja (2019)
    Introduction: Timely, complete and accurate patient data is needed in care decisions along the continuum of care. To access patient data from other organizations, there are three types of regional health information exchange systems (RHIS) in use In Finland. Some regions use multiple RHISs while others do not have a RHIS available. The recently introduced National Patient Data Repository (Kanta) is increasingly used for health information exchange (HIE). Objectives: The purpose of this study was to assess usage of paper, RHISs and Kanta by context in 2017; evolution of paper use over the years; and predictors of paper use in 2017 among Finnish physicians for HIE system development. Methods: Data from national electronic health record (EHR) usage and user experience surveys were taken from 2010 (prior to ePrescription system implementation), 2014 (prior to implementation of Kanta) and 2017 (Kanta was in full use in the public sector and in large private organizations). The web-based surveys were targeted to all physicians engaged in clinical work in Finland. Results: Kanta was the most frequently used means of HIE in 2017. Paper use had reduced significantly from 2010 to 2014. The trend continued in 2017. Still, up to half of the physicians reported using paper daily or weekly in 2017. There were great variations in paper use by healthcare sector, available RHIS type and EHR system used. In multivariable analysis (with all other variables constant), predictors of more frequent use of paper than electronic means for HIE were: private sector or hospital, access to Master Patient Index RHIS (type 1), multiple RHIS (type 4) or no RHIS (type 5), two particular EHR systems, older age, less experience, operative, psychiatric or diagnostic specialties, and male gender. Conclusions: Usability of HIE systems including EHRs as access points to HIE need to be improved to facilitate usage of electronic HIE. Usage ensures more timely and complete patient data for safe, coordinated care. Specialty-specific needs and requirements call for more user participation in HIE design. Especially older professionals need training to better exploit HIS for HIE.
  • Honkanen, Eero; Spens, Karen (2019)
  • Hakkarainen, Kati; Miettinen, Ari; Vapaatalo, Heikki (2020)
  • Salmi, Henrikki; Sahi, Timo (2020)
  • Lönnqvist, Jouko; Achté, Anna-Maija (2019)
  • Hannuksela, Matti; Karvonen, Jaakko (2016)
  • Aittomäki, Kristiina; Kääriäinen, Helena; Salonen-Kajander, Riitta (2018)
  • Riska, Henrik; Brander, Pirkko; Myllärniemi, Marjukka; Hodgson, Ulla; Maasilta, Paula; Rouhos, Annamari (2016)
  • Backman, Janne; Niemi, Mikko; Olkkola, Klaus; Vapaatalo, Heikki (2020)
  • Vihko, Reijo; Ruutu, Tapani; Mustajoki, Pertti (2017)
  • Halila, Hannu; Pekkarinen, Pirkka (2020)
  • Törmä, Jouko; Hernesniemi, Juha; Rinne, Jaakko; Kivipelto, Leena (2016)
  • Vapaatalo, Heikki (2018)
  • Kuusio, Hannamaria; Lamsa, Riikka; Aalto, Anna-Mari; Manderbacka, Kristiina; Keskimaki, Ilmo; Elovainio, Marko (2014)