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计算机化与基层医疗的未来:对英国全科医生的调查。

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

机构信息

General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, United States of America.

School of Psychology, University College Dublin, Dublin, Ireland.

出版信息

PLoS One. 2018 Dec 12;13(12):e0207418. doi: 10.1371/journal.pone.0207418. eCollection 2018.

Abstract

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.

摘要

目的

描述英国全科医生对未来技术替代初级保健中关键任务的潜力的看法。

设计

横断面在线调查。

参与者

英国注册全科医生 1474 名。

主要观察指标

调查者测量了全科医生对未来技术完全替代——而不仅仅是辅助——普通全科医生执行六项初级保健任务的可能性的看法;此外,如果全科医生认为某项任务有被替代的可能,调查还测量了他们认为这项技术能力可能在多少年之后出现。

结果

共有 720 人(49%)对调查做出了回应。大多数全科医生认为,在诊断患者(489 人,68%)、将患者转介给其他专家(444 人,61%)、制定个性化治疗计划(441 人,61%)和提供同理心关怀(680 人,94%)方面,技术永远不可能完全替代医生。全科医生对预测意见不一:一半以上的参与者(380 人,53%)认为技术在执行这一任务时完全有能力替代医生,其中近一半(187 人,49%)认为这一技术能力将在未来十年内出现。与此相反,大多数全科医生(578 人,80%)认为未来技术将能够完全取代人类进行文件记录;其中 261 人(79%)估计这项技术将在未来十年内出现。一般来说,年龄和性别与意见无关;报告的倦怠和工作满意度也无关,或者全科医生是全职还是兼职工作也无关。

结论

在这项调查中,大多数英国全科医生对未来技术在执行大多数初级保健任务方面具有潜力持怀疑态度,认为技术在执行这些任务方面或比人类更好的可能性不大。然而,受访者乐观地认为,在不久的将来,技术将有能力完全取代全科医生承担与患者文件记录相关的行政职责。

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