Percepción de los médicos de atención primaria sobre la receta electrónica en el Servicio Madrileño de Salud / Perceptions on electronic prescribing by primary care physicians in madrid healthcare service

Objetivo. Conocer la opinión de los médicos de atención primaria sobre la receta electrónica. Material y métodos. Estudio descriptivo mediante encuesta enviada a 527 médicos de atención primaria. Periodo: junio de 2014. El cuestionario incluía preguntas cerradas sobre el interés despertado, la satisfacción, las ventajas, las debilidades y las barreras y una pregunta abierta sobre las dificultades, todas ellas referidas a la receta electrónica. La satisfacción se midió en una escala de 1-10 y las ventajas, las debilidades y las barreras se valoraron mediante una escala tipo Likert de 5 ítems. El interés se midió mediante los dos métodos. El cuestionario se envió por correo electrónico para su cumplimentación online a través de la herramienta Google Drive®. Se realizó un análisis estadístico descriptivo. Resultados. Se obtuvo una tasa de respuesta del 47% (248/527). El interés manifestado fue de 8,7 (IC95%; 8,5-8,9) y la satisfacción de 7,9 (IC95%; 7,7-8). El 87,9% (IC95%; 83,8-92) utilizaban receta electrónica siempre que podían. Las ventajas mejor valoradas fueron: un 73,4% (IC95%; 67,8-78,9%) opinaron que facilitaba la revisión del tratamiento y un 59,3% (IC95%; 53,1-65,4%) que disminuía la carga burocrática. Entre las debilidades observadas destacaron las siguientes: el 87,9% (IC95%; 83,8-92%) creía que los médicos de atención especializada también deberían poder utilizar la receta electrónica. En relación con las barreras, el 30,2% (IC 95%; 24,5-36%) manifestaron que incorporar a un paciente al sistema de receta electrónica llevaba demasiado tiempo y el 4% (IC 95%; 1,6-6,5%) opinaba que la herramienta informática era difícil de utilizar. Conclusiones. Los médicos muestran un interés notable en utilizar receta electrónica y una alta satisfacción con el funcionamiento de la herramienta (AU)

Objective. To investigate the opinion of Primary Care physicians regarding electronic prescribing. Methods. Descriptive study by means of a questionnaire sent to 527 primary care physicians. Period: June 2014. The questionnaire included closed questions about interest shown, satisfaction, benefits, weaknesses, and barriers, and one open question about difficulties, all of them referred to electronic prescribing. Satisfaction was measured using 1-10 scale, and benefits, weaknesses, and barriers were evaluated by a 5-ítems Likert scale. Interest was measured using both methods. The questionnaire was sent by e-mail for on line response through Google Drive® tool. A descriptive statistical analysis was performed. Results. The response rate was 47% (248/527). Interest shown was 8.7 (95% CI; 8.5-8.9) and satisfaction was 7.9 (95% CI; 7.8-8). The great majority 87.9% (95% CI; 83.8-92%) of respondents used electronic prescribing where possible. Most reported benefits were: 73.4% (95% CI; 67.8-78.9%) of respondents considered that electronic prescribing facilitated medication review, and 59.3% (95% CI; 53.1-65.4) of them felt that it reduced bureaucratic burden. Among the observed weaknesses, they highlighted the following: 87.9% (95% CI; 83.8-92%) of respondents believed specialist care physicians should also be able to use electronic prescribing. Concerning to barriers: 30.2% (95% CI; 24.5-36%) of respondents think that entering a patient into the electronic prescribing system takes too much time, and 4% (95% CI; 1.6-6.5%) of them perceived the application as difficult to use. Conclusions. Physicians showed a notable interest in using electronic prescribing and high satisfaction with the application performance (AU)

[Perceptions on electronic prescribing by primary care physicians in madrid healthcare service]. / Percepción de los médicos de atención primaria sobre la receta electrónica en el Servicio Madrileño de Salud.

OBJECTIVE: To investigate the opinion of Primary Care physicians regarding electronic prescribing. METHODS: Descriptive study by means of a questionnaire sent to 527 primary care physicians. PERIOD: June 2014. The questionnaire included closed questions about interest shown, satisfaction, benefits, weaknesses, and barriers, and one open question about difficulties, all of them referred to electronic prescribing. Satisfaction was measured using 1-10 scale, and benefits, weaknesses, and barriers were evaluated by a 5-ítems Likert scale. Interest was measured using both methods. The questionnaire was sent by e-mail for on line response through Google Drive® tool. A descriptive statistical analysis was performed. RESULTS: The response rate was 47% (248/527). Interest shown was 8.7 (95% CI; 8.5-8.9) and satisfaction was 7.9 (95% CI; 7.8-8). The great majority 87.9% (95% CI; 83.8-92%) of respondents used electronic prescribing where possible. Most reported benefits were: 73.4% (95% CI; 67.8-78.9%) of respondents considered that electronic prescribing facilitated medication review, and 59.3% (95% CI; 53.1-65.4) of them felt that it reduced bureaucratic burden. Among the observed weaknesses, they highlighted the following: 87.9% (95% CI; 83.8-92%) of respondents believed specialist care physicians should also be able to use electronic prescribing. Concerning to barriers: 30.2% (95% CI; 24.5-36%) of respondents think that entering a patient into the electronic prescribing system takes too much time, and 4% (95% CI; 1.6-6.5%) of them perceived the application as difficult to use. CONCLUSIONS: Physicians showed a notable interest in using electronic prescribing and high satisfaction with the application performance.

Satisfacción con la enfermera en atención primaria: herramientas de medida y factores explicativos / Satisfaction with primary care nursing: Use of measurement tools and explanatory factors

Objetivos: Analizar las propiedades psicométricas de 2 herramientas de medida de la satisfacción con la atención recibida de la enfermera en atención primaria y estimar los valores de esta satisfacción y las características del paciente y el servicio asociadas con su variabilidad. Métodos: Los sujetos fueron elegidos aleatoriamente en 23 centros de salud de la Comunidad de Madrid. Se midió la satisfacción con los cuestionarios AMABLE y de Baker, cuyas propiedades psicométricas fueron evaluadas. Se recogieron variables sociodemográficas y otras relativas al estado de salud, o al proceso de atención. Se construyó un modelo explicativo mediante Generalized Estimating Equations. Resultados: Los 662 sujetos expresaron una satisfacción media de 4,95/5 (DE 0,25) con AMABLE y 4,83/5 (DE 0,42) con el cuestionario Baker. AMABLE se explicaba en una única dimensión (alfa Cronbach 0,85), y Baker en 3: cuidados profesionales (media 4,76 [DE 0,48], alfa Cronbach 0,74), profundidad de la relación (media 3,76 [DE 1,18], alfa Cronbach 0,73) y tiempo dedicado (media 4,42 [DE 0,86], alfa Cronbach 0,47). La edad, una mejor percepción del estado de salud y la consulta concertada por la enfermera se asociaban con una mayor satisfacción expresada. La atención en el domicilio, los ingresos hospitalarios, el retraso en la consulta, la familia más extensa o la renta familiar elevada se asociaban con una menor satisfacción. Conclusiones: La satisfacción con la consulta de la enfermera en atención primaria era muy alta y se asociaba con características personales y de la propia consulta. Las herramientas evaluadas eran adecuadas para medir este resultado (AU)

Objectives: This study aims to assess the psychometric properties of two measurement tools for patient satisfaction with nursing care in Primary Care, the satisfaction level, and the personal and consultation characteristics associated with its variability. Methods: Subjects randomly selected in 23 Health Care centres in the Community of Madrid were included. Satisfaction was measured by means of the AMABLE and Baker questionnaires, in which the psychometric properties were evaluated. Sociodemographic characteristics of the consultations, variables related to health status, and other related to the consultation process were collected. An explanatory model using Generalized Estimating Equations was constructed. Results: The 662 subjects expressed a mean satisfaction of 4.95/5 (SD .25) with AMABLE, and 4.83/5 (SD .42) with the Baker questionnaire. AMABLE had a single dimension (Cronbach's alpha .85), and Baker three: professional care (mean 4.76, SD .48 Cronbach's alpha .74), depth of relationship (mean 3.76, SD 1.18, Cronbach's alpha .73), and perceived time (mean 4.42, SD .86, Cronbach's alpha .47). Ageing, a better perception of health status, and appointments arranged by nurses were associated with higher expressed satisfaction. Home care, hospital admissions, delayed consultation, extended family, or high family income were associated with lower satisfaction. Conclusions: Satisfaction with nurse consultations in Primary Care was very high, and varied depending on personal characteristics and on the type of consultation. The assessed tools allowed this outcome to be measured properly (AU)

[Satisfaction with primary care nursing: use of measurement tools and explanatory factors]. / Satisfacción con la enfermera en atención primaria: herramientas de medida y factores explicativos.

OBJECTIVES: This study aims to assess the psychometric properties of two measurement tools for patient satisfaction with nursing care in Primary Care, the satisfaction level, and the personal and consultation characteristics associated with its variability. METHODS: Subjects randomly selected in 23 Health Care centres in the Community of Madrid were included. Satisfaction was measured by means of the AMABLE and Baker questionnaires, in which the psychometric properties were evaluated. Sociodemographic characteristics of the consultations, variables related to health status, and other related to the consultation process were collected. An explanatory model using Generalized Estimating Equations was constructed. RESULTS: The 662 subjects expressed a mean satisfaction of 4.95/5 (SD .25) with AMABLE, and 4.83/5 (SD .42) with the Baker questionnaire. AMABLE had a single dimension (Cronbach's alpha .85), and Baker three: professional care (mean 4.76, SD .48 Cronbach's alpha .74), depth of relationship (mean 3.76, SD 1.18, Cronbach's alpha .73), and perceived time (mean 4.42, SD .86, Cronbach's alpha .47). Ageing, a better perception of health status, and appointments arranged by nurses were associated with higher expressed satisfaction. Home care, hospital admissions, delayed consultation, extended family, or high family income were associated with lower satisfaction. CONCLUSIONS: Satisfaction with nurse consultations in Primary Care was very high, and varied depending on personal characteristics and on the type of consultation. The assessed tools allowed this outcome to be measured properly.