Conditions d’adoption du dossier de santé électronique personnel par les professionnels de la première ligne au Québec : perspectives professionnelle et organisationnelle
Bibliographic record
Abstract
INTRODUCTION: We aimed to describe and analyse the factors and conditions influencing ePHR adoption by primary healthcare professionals for the follow-up and management of chronic diseases, as perceived by healthcare professionals and health organization managers. METHODS: A qualitative study was conducted in the context of an ePHR experimentation project in Quebec. In-depth semi-structured individual interviews were conducted with 11 professionals and three managers directly involved in ePHR implementation in a primary healthcare organization. RESULTS: The results highlight the emergence of themes comprising facilitators or barriers to ePHR adoption. The main factors identified were the clinicians' leadership and previous involvement in organizational transformations, the context of practice, technology maturity providing a useful, additional and relevant content, integration with the available clinical information systems facilitating two-way communication and supporting the development of patient-professional partnerships and patients' use and adherence. The organizational precursors identified refer to the organizational receptivity to change, adjustment to participants' values, and the policies and practices set up to support ePHR adoption by professionals and their patients. Cost is a major issue determining ePHR implementation. CONCLUSION: The factors and conditions identified will be useful strategically and operationally to design and implement new clinical and organizational practices and develop adapted technologies facilitating ePHR adoption by professionals.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.013 | 0.006 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.002 |
| Science and technology studies | 0.008 | 0.002 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.003 | 0.005 |
| Insufficient payload (model declined to judge) | 0.010 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; both teacher heads agree on what is shown here.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".