Use of electronic patient records and encrypted email patient communication among Swiss chiropractors: a population-based cross-sectional study
Abstract Background The implementation of electronic health information technologies is a key target for healthcare quality improvement. Among Swiss chiropractors, reliable data on the use of electronic heath information technologies and distribution of the health workforce was lacking. Objectives T...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-07-01
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| Series: | Chiropractic & Manual Therapies |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12998-023-00495-z |
| _version_ | 1797557587193888768 |
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| author | Cesar A. Hincapié Léonie Hofstetter Rahim Lalji Longin Korner Mireille C. Schläppi Serafin Leemann |
| author_facet | Cesar A. Hincapié Léonie Hofstetter Rahim Lalji Longin Korner Mireille C. Schläppi Serafin Leemann |
| author_sort | Cesar A. Hincapié |
| collection | DOAJ |
| description | Abstract Background The implementation of electronic health information technologies is a key target for healthcare quality improvement. Among Swiss chiropractors, reliable data on the use of electronic heath information technologies and distribution of the health workforce was lacking. Objectives To estimate the prevalence of electronic patient record (EPR) and encrypted email communication use among Swiss chiropractors and describe the geographic distribution of chiropractors in Switzerland. Methods Population-based cross-sectional study of all active practising members of the Swiss Chiropractic Association (ChiroSuisse) between 3 December 2019 and 31 January 2020. We asked about clinician and practice characteristics, EPR use for clinical record keeping, use of encrypted email for patient communication, and information on EPR and encrypted email communication products used. Multivariable logistic regression analyses assessed the associations between clinician and practice characteristics and (1) EPR use, and (2) encrypted email use. Results Among 286 eligible Swiss chiropractors (193 [68%] men; mean age, 51.4 [SD, 11.2] years), 217 (76%) completed the survey (140 [65%] men; mean age 50.7 [11.2] years). Among respondents, 47% (95% confidence interval [CI], 40–54%) reported using an EPR in their practice, while 60% (95% CI, 54–67%) endorsed using encrypted email technology. Chiropractors aged ≥ 60 (versus those ≤ 39) years were 74% less likely to use an EPR system (OR 0.26, 95% CI 0.08 to 0.77), while clinicians from practices with 4 or more chiropractors (versus those from solo practices) were over 5 times more likely to report EPR use (OR 5.6, 2.1 to 16.5). Findings for factors associated with encrypted email use were similar. The density of chiropractors in Switzerland was 3.3 per 100,000 inhabitants. Conclusions As of January 2020, 286 duly licensed chiropractors were available to provide musculoskeletal healthcare in Switzerland — just under 50% of responding Swiss chiropractors used an EPR system in clinical practice, while 60% used encrypted email technology. Better implementation of EPR and electronic health information technologies in Swiss chiropractic practice is possible and encouraged for the purpose of musculoskeletal healthcare quality improvement. |
| first_indexed | 2024-03-10T17:19:57Z |
| format | Article |
| id | doaj.art-118e2250e4174b90b606e665f83d8cce |
| institution | Directory Open Access Journal |
| issn | 2045-709X |
| language | English |
| last_indexed | 2024-03-10T17:19:57Z |
| publishDate | 2023-07-01 |
| publisher | BMC |
| record_format | Article |
| series | Chiropractic & Manual Therapies |
| spelling | doaj.art-118e2250e4174b90b606e665f83d8cce2023-11-20T10:22:25ZengBMCChiropractic & Manual Therapies2045-709X2023-07-013111910.1186/s12998-023-00495-zUse of electronic patient records and encrypted email patient communication among Swiss chiropractors: a population-based cross-sectional studyCesar A. Hincapié0Léonie Hofstetter1Rahim Lalji2Longin Korner3Mireille C. Schläppi4Serafin Leemann5EBPI-UWZH Musculoskeletal Epidemiology Research, Balgrist University Hospital and University of ZurichEBPI-UWZH Musculoskeletal Epidemiology Research, Balgrist University Hospital and University of ZurichEBPI-UWZH Musculoskeletal Epidemiology Research, Balgrist University Hospital and University of ZurichSwiss Chiropractic Association (ChiroSuisse)Swiss Chiropractic Association (ChiroSuisse)Swiss Chiropractic Association (ChiroSuisse)Abstract Background The implementation of electronic health information technologies is a key target for healthcare quality improvement. Among Swiss chiropractors, reliable data on the use of electronic heath information technologies and distribution of the health workforce was lacking. Objectives To estimate the prevalence of electronic patient record (EPR) and encrypted email communication use among Swiss chiropractors and describe the geographic distribution of chiropractors in Switzerland. Methods Population-based cross-sectional study of all active practising members of the Swiss Chiropractic Association (ChiroSuisse) between 3 December 2019 and 31 January 2020. We asked about clinician and practice characteristics, EPR use for clinical record keeping, use of encrypted email for patient communication, and information on EPR and encrypted email communication products used. Multivariable logistic regression analyses assessed the associations between clinician and practice characteristics and (1) EPR use, and (2) encrypted email use. Results Among 286 eligible Swiss chiropractors (193 [68%] men; mean age, 51.4 [SD, 11.2] years), 217 (76%) completed the survey (140 [65%] men; mean age 50.7 [11.2] years). Among respondents, 47% (95% confidence interval [CI], 40–54%) reported using an EPR in their practice, while 60% (95% CI, 54–67%) endorsed using encrypted email technology. Chiropractors aged ≥ 60 (versus those ≤ 39) years were 74% less likely to use an EPR system (OR 0.26, 95% CI 0.08 to 0.77), while clinicians from practices with 4 or more chiropractors (versus those from solo practices) were over 5 times more likely to report EPR use (OR 5.6, 2.1 to 16.5). Findings for factors associated with encrypted email use were similar. The density of chiropractors in Switzerland was 3.3 per 100,000 inhabitants. Conclusions As of January 2020, 286 duly licensed chiropractors were available to provide musculoskeletal healthcare in Switzerland — just under 50% of responding Swiss chiropractors used an EPR system in clinical practice, while 60% used encrypted email technology. Better implementation of EPR and electronic health information technologies in Swiss chiropractic practice is possible and encouraged for the purpose of musculoskeletal healthcare quality improvement.https://doi.org/10.1186/s12998-023-00495-zElectronic health recordsMedical informaticsHealth services researchChiropracticHealthcare digitalisation |
| spellingShingle | Cesar A. Hincapié Léonie Hofstetter Rahim Lalji Longin Korner Mireille C. Schläppi Serafin Leemann Use of electronic patient records and encrypted email patient communication among Swiss chiropractors: a population-based cross-sectional study Chiropractic & Manual Therapies Electronic health records Medical informatics Health services research Chiropractic Healthcare digitalisation |
| title | Use of electronic patient records and encrypted email patient communication among Swiss chiropractors: a population-based cross-sectional study |
| title_full | Use of electronic patient records and encrypted email patient communication among Swiss chiropractors: a population-based cross-sectional study |
| title_fullStr | Use of electronic patient records and encrypted email patient communication among Swiss chiropractors: a population-based cross-sectional study |
| title_full_unstemmed | Use of electronic patient records and encrypted email patient communication among Swiss chiropractors: a population-based cross-sectional study |
| title_short | Use of electronic patient records and encrypted email patient communication among Swiss chiropractors: a population-based cross-sectional study |
| title_sort | use of electronic patient records and encrypted email patient communication among swiss chiropractors a population based cross sectional study |
| topic | Electronic health records Medical informatics Health services research Chiropractic Healthcare digitalisation |
| url | https://doi.org/10.1186/s12998-023-00495-z |
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