☆ 4.6 Article

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

PLOS ONE (2018)

期刊

PLOS ONE

卷 13, 期 12, 页码 -

出版社

PUBLIC LIBRARY SCIENCE

DOI: 10.1371/journal.pone.0207418

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Multidisciplinary Sciences

资金

Harvard Catalyst \ The Harvard Clinical and Translational Science Center (National Center for Research Resources, National Institutes of Health ) [UL1 TR002541]
Harvard Catalyst \ The Harvard Clinical and Translational Science Center (National Center for Advancing Translational Sciences, National Institutes of Health) [UL1 TR002541]
Harvard Catalyst \ The Harvard Clinical and Translational Science Center (Harvard University)
Irish Research Council-Marie Sklodowska Curie Global Fellowship [CLNE/2017/226]
University of Basel, Switzerland
Fulbright Award
National Institute of Health [T32DA016184]
Harvard Catalyst \ The Harvard Clinical and Translational Science Center
Irish Research Council (IRC) [CLNE/2017/226] Funding Source: Irish Research Council (IRC)

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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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Patient Online Record Access in English Primary Care: Qualitative Survey Study of General Practitioners' Views

Charlotte Blease, John Torous, Zhiyong Dong, Gail Davidge, Catherine DesRoches, Anna Kharko, Andrew Turner, Ray Jones, Maria Hagglund, Brian McMillan

Summary: This study explores the experiences and opinions of GPs in England regarding patient access to their web-based health records. The majority of GPs expressed skepticism about the benefits of access for both patients and their practices.

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