Computerization and the future of primary care: A survey of general practitioners in the UK

被引:52
作者
Blease, Charlotte [1 ,2 ]
Bernstein, Michael H. [3 ]
Gaab, Jens [4 ]
Kaptchuk, Ted J. [1 ]
Kossowsky, Joe [4 ,5 ]
Mandl, Kenneth D. [6 ,7 ,8 ]
Davis, Roger B. [1 ]
DesRoches, Catherine M. [1 ,9 ]
机构
[1] Harvard Med Sch, Beth Israel Deaconess Med Ctr, Gen Med & Primary Care, Boston, MA 02115 USA
[2] Univ Coll Dublin, Sch Psychol, Dublin, Ireland
[3] Brown Univ, Sch Publ Hlth, Providence, RI 02912 USA
[4] Univ Basel, Div Clin Psychol & Psychotherapy, Basel, Switzerland
[5] Harvard Med Sch, Boston Childrens Hosp, Dept Anesthesiol Crit Care & Pain Med, Boston, MA USA
[6] Harvard Med Sch, Boston Childrens Hosp, Computat Hlth Informat Program, Boston, MA USA
[7] Harvard Med Sch, Dept Biomed Informat, Boston, MA USA
[8] Harvard Med Sch, Dept Pediat, Boston, MA USA
[9] Harvard Med Sch, Beth Israel Deaconess Med Ctr, Open Notes, Boston, MA USA
基金
美国国家卫生研究院;
关键词
BIG DATA; BURNOUT;
D O I
10.1371/journal.pone.0207418
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Objective To describe the opinions of British general practitioners regarding the potential of future technology to replace key tasks carried out in primary care. Design Cross sectional online survey. Participants 1,474 registered GPs in the United Kingdom. Main outcome measures Investigators measured GPs' opinions about the likelihood that future technology will be able to fully replace not merely aid the average GP in performing six primary care tasks; in addition, if GPs considered replacement for a particular task likely, the survey measured opinions about how many years from now this technological capacity might emerge. Results A total of 720 (49%) responded to the survey. Most GPs believed it unlikely that technology will ever be able to fully replace physicians when it comes to diagnosing patients (489, 68%), referring patients to other specialists (444, 61%), formulating personalized treatment plans (441, 61%), and delivering empathic care (680, 94%). GPs were not in agreement about prognostics: one in two participants (380, 53%) considered it likely that technology will be fully capable of replacing physicians in performing this task, nearly half (187, 49%) of whom believed that the technological capacity will arise in the next ten years. Against these findings, the majority of GPs (578, 80%) believed it likely that future technology will be able to fully replace humans to undertake documentation; among them 261 (79%) estimated that the technological wherewithal would emerge during the next ten years. In general, age and gender were not correlated with opinions; nor was reported burnout and job satisfaction or whether GPs worked full time or part time. Conclusions The majority of UK GPs in this survey were skeptical about the potential for future technology to perform most primary care tasks as well as or better than humans. However, respondents were optimistic that in the near future technology would have the capacity to fully replace GPs' in undertaking administrative duties related to patient documentation.
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页数:12
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