BACKGROUND Electronic Health Records (EHRs) have the potential to improve many aspects of care and their use has increased in the last decade. Because of this, acceptance and adoption of EHRs is less of a concern than adaptation to use. To understand this issue more deeply, we conducted a qualitative study of physician perspectives on EHR use to identify factors that facilitate adaptation. METHODS We conducted semi-structured interviews with 9 physicians across a range of inpatient disciplines at a large Academic Medical Center. Interviews were conducted by phone, lasting approximately 30 min, and were transcribed verbatim for analysis. We utilized inductive and deductive methods in our analysis. RESULTS We identified 4 major themes related to EHR adaptation: impact of EHR changes on physicians, how physicians managed these changes, factors that facilitated adaptation to using the EHR and adapting to using the EHR in the patient encounter. Within these themes, physicians felt that a positive mindset toward change, providing upgrade training that was tailored to their role, and the opportunity to learn from colleagues were important facilitators of adaptation. CONCLUSIONS As EHR use moves beyond implementation, physicians continue to be required to adapt to the technology and to its frequent changes. Our study provides actionable findings that allow healthcare systems to focus on factors that facilitate the adaptation process for physicians.

中文翻译：

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对医生对电子健康记录适应性观点的定性研究。

背景技术电子健康记录（EHR）具有改善护理的许多方面的潜力，并且在最近十年中其使用已经增加。因此，电子病历的接受和采用与其说是适应性，不如说是关注的问题。为了更深入地了解这个问题，我们进行了定性研究，从医师角度对EHR的使用进行了研究，以确定有助于适应的因素。方法我们在大型学术医学中心对9名医师进行了半结构化访谈，涵盖了各个住院学科的9位医师。访谈通过电话进行，持续约30分钟，并逐字记录下来进行分析。我们在分析中利用了归纳法和演绎法。结果我们确定了与EHR适应相关的4个主要主题：EHR变化对医生的影响，医生如何应对这些变化，有助于适应使用EHR和适应患者遭遇EHR的因素。在这些主题中，医生认为对变革持积极态度，提供根据其角色定制的升级培训，以及向同事学习的机会，是适应的重要推动者。结论随着EHR的使用超出实施范围，继续要求医生适应该技术及其频繁变化的技术。我们的研究提供了可行的发现，使医疗保健系统可以专注于促进医师适应过程的因素。和向同事学习的机会是适应的重要推动者。结论随着EHR的使用超出实施范围，继续要求医生适应该技术及其频繁变化的技术。我们的研究提供了可行的发现，使医疗保健系统可以专注于促进医师适应过程的因素。和向同事学习的机会是适应的重要推动者。结论随着EHR的使用超出实施范围，继续要求医生适应该技术及其频繁变化的技术。我们的研究提供了可行的发现，使医疗保健系统可以专注于促进医师适应过程的因素。