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Use of Internet and E-mail by Physicians
in selected Countries of the Region.
Survey conducted in Pakistan by:
Mr. Khawaja...
Facts About Pakistan
 
Official Name:           Islamic Republic of
Pakistan
National Language:    Urdu
Total Area:       ...
1. What is Your Age:
25-30 years = 35.51%
31-40 years = 30.84%
41-50 years = 25.23%
51-60 years = 5.60%
Over 60 years = 1....
2.What is YourCountry of Residence? Which City?
Pakistan: 103 respondents
Cities
Karachi 73 Physicians
Rawalpindi & Islama...
3. Sex:
76 male
&
31 female
physicians responded.
Background “Personal Information”.
Radiology 10
Pediatrics 5
Gastroenterology 6
Neurosurgery 1
Plastic Surgery 1
Surgery & Primary Care 1
Otolaryngology 1
EN...
5. From Which country did you have your first University degree?
105 respondents earned their first degree from Pakistan
o...
9. What type of medical Practice do you do?
(check all apply)
Private Clinic 16= 14.95%
Public Hospital 14= 13.08%
Private...
12. From where do you access Internet (check all that apply)
Nos. of respondents
From Home 81= 75.70%
From your office 37=...
13. How often do you log on to the Internet or e-mail?
Nos. of respondents
Daily 45= 42.05%
Twice a week 17= 15.88%
3 or 4...
14. If you access the Internet, how may hours per week
do you spend on e-mail and the Internet combined?
Nos. of responden...
15. Does your support staff have access to the Internet at work?
70% respondents(75 Physicians) agreed that their support ...
18. Is there a hospital Information System at your place of work?
72.89% respondents(78 physicians) agreed that there is a...
21. Does the Institution you work for have a web site?
Nos. of respondents.
Yes 86= 80.37%
No 15= 14.01%
I don’t know 06= ...
Use of Internet or
e-mail
Very
Often
Often Some-
Times
Rarely Never Don’t
Know
1. To send and receive e-
mail messages dir...
5. To conduct research for
information relevant to a
specific patient’s case
20
19.80%
n=101
32
31.68%
19
18.81%
16
15.84%...
Use of Internet
or e-mail
Very
Often
Often Some-
times
Rarely Never Don’t
Know
10. To send e-mail messages to
office staff...
Use of Internet
or e-mail
Very
Often
Often Some-
times
Rarely Never Don’t
Know
15. To receive e-mail messages from
societi...
Rarely or never use the Internet or
e-mail services
Strongly
Agree
Agree Disagree Strongly
disagree
Don’t
know
1. Informat...
Rarely or never use the Internet or
e-mail services
Strongly
Agree
Agree Disagree Strongly
disagree
Don’t
know
6. I have n...
Rarely or never use the Internet or
e-mail services
Strongly
Agree
Agree Disagree Strongly
disagree
Don’t
know
11. Using I...
Rarely or never use the Internet
or e-mail services
Strongly
Agree
Agree Disagree Strongly
disagree
Don’t
know
15. I ask m...
26. Please add any additional comments you wish to make about
e-mail communications between patients and physicians.
Few C...
“Most of our patient are not educated & don't know to use internet”.
“We have no internet facility in our Institution”
“Ba...
27. Please add any additional comments you wish to make about
e-mail communications between physicians.
“Excellent tool to...
27. Please add any additional comments you
wish to make about e-mail communications
between physicians.
Few Comments regar...
28. Please add any additional comments you wish to make
about the use of the Internet by physicians.
Few Comments
“Interne...
Use of Internet and E-mail by Physicians
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Use of Internet and E-mail by Physicians

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Transcript of "Use of Internet and E-mail by Physicians "

  1. 1. Use of Internet and E-mail by Physicians in selected Countries of the Region. Survey conducted in Pakistan by: Mr. Khawaja Mustafa & Ms. Azra Qureshi FHS Library, Aga Khan University, Karachi, Pakistan.
  2. 2. Facts About Pakistan   Official Name:           Islamic Republic of Pakistan National Language:    Urdu Total Area:               796,096 sq. km. Monetary Unit:          Rupee Population:                 140 million (estimated) National Game:          Hockey Provinces:                  Baluchistan, NWFP, Punjab                             and Sind Literacy Rate:             54%    
  3. 3. 1. What is Your Age: 25-30 years = 35.51% 31-40 years = 30.84% 41-50 years = 25.23% 51-60 years = 5.60% Over 60 years = 1.86% Background “Personal Information”.
  4. 4. 2.What is YourCountry of Residence? Which City? Pakistan: 103 respondents Cities Karachi 73 Physicians Rawalpindi & Islamabad 8 Lahore 1 Kohat 1 Peshawar 17 Hyderabad 2 Shikarpur 1 Kabul (Afghanistan) 1 ( 3 respondents did not answerthis question). Background “Personal Information”.
  5. 5. 3. Sex: 76 male & 31 female physicians responded. Background “Personal Information”.
  6. 6. Radiology 10 Pediatrics 5 Gastroenterology 6 Neurosurgery 1 Plastic Surgery 1 Surgery & Primary Care 1 Otolaryngology 1 ENT 3 Community Medicine 1 Internal Medicine 5 Nephrology 1 Obstetrics & Gynecology 6 Orthopedics 1 Ophthalmology 1 Nuclear Medicine 1 Medicine 3 Medical Microbiology 1 Post-Graduate Student 1 Forensic Pathology 1 Neurology 3 Cardiology 1 Pulmonology 3 Anatomy 1 Bichemistry 1 Epidemiology 1 Physiology 2. 4. Please indicate your medical specialization: Background “Personal Information”.
  7. 7. 5. From Which country did you have your first University degree? 105 respondents earned their first degree from Pakistan one respondent from Afghanistan, 1 respondent did not reply this question 6. Did you have any postgraduate education outside your country? 24 respondents earned their postgraduate education from outside Pakistan. 7. If “YES” which country? 15 respondents earned their postgraduate degree from United Kingdom, 8 form U.S.A., 1 each from Sweden, Australia & China. 8. Please indicate your functional role (check all apply). 67 Physicians = 62.61% respondents were practitioners 13 Physicians = 12.14% Manager 48 Physicians = 44.85% Educator 19 physicians = 17.75% Other category. Background “Personal Information”.
  8. 8. 9. What type of medical Practice do you do? (check all apply) Private Clinic 16= 14.95% Public Hospital 14= 13.08% Private Hospital 20= 18.69% Military Hospital 01= 0.93% Teaching Hospital 70= 65.42% Medical College 27= 25.23% Primary Healthcare Centre 2= 1.86% 10. Are you a Solo Practitioner (private clinic)? 16 physicians, 14.95% respondents; Solo practitioners. 11. If NO, please indicate the approximate number of physicians you work with. Respondents Less than 5: 12 Physicians = 11.21% 6 to 10: 23 Physicians = 21.49% 11 to 15: 15 Physicians = 14.01% 16 to 20: 05 Physicians = 4.67% over 20: 21 Physicians = 19.62% Background “Personal Information”.
  9. 9. 12. From where do you access Internet (check all that apply) Nos. of respondents From Home 81= 75.70% From your office 37= 34.57% From a clinical work area 25= 23.36% From medical college 21= 19.62% From Internet Café 09= 8.41% Other, Library 02= 1.86% Section two: Use of Internet/E-mail:
  10. 10. 13. How often do you log on to the Internet or e-mail? Nos. of respondents Daily 45= 42.05% Twice a week 17= 15.88% 3 or 4 times per week 18= 16.82% 5 or 6 times per week 14= 13.08% Rarely 08= 7.47% Never 01= 0.93% Section two: Use of Internet/E-mail:
  11. 11. 14. If you access the Internet, how may hours per week do you spend on e-mail and the Internet combined? Nos. of respondents 2 hours or less 39= 36.44% 3 to 5 hours 30= 28.03% 6 to 8 hours 17= 15.88% 9 to 11 hours 05= 4.67% 12+hours per week 08= 7.47% Section two: Use of Internet/E-mail:
  12. 12. 15. Does your support staff have access to the Internet at work? 70% respondents(75 Physicians) agreed that their support staff has access to the Internet at work. 16. Does any of your family members have access to the Internet at home or work? 85% of the respondents agreed that their family members have access to Internet at home or work. 17. Are there written policies governing the use of the Internet at home or work? Nos. of respondents Yes 32= 29.90% No 41= 38.31% I don’t know 30= 28.03% Section two: Use of Internet/E-mail:
  13. 13. 18. Is there a hospital Information System at your place of work? 72.89% respondents(78 physicians) agreed that there is a Hospital Information System at their place of work. 19. If YES, do you have access to it? 65.42% respondents(70 physicians) had access to their Hospital Information System 20. If YES, do you? Read data only(Clinical or administrative) from the System? 51 respondents replied “Yes”, 14 respondents “No”. Read and write data? 23 respondents replied “Yes”, 32 replied “No”. Section two: Use of Internet/E-mail:
  14. 14. 21. Does the Institution you work for have a web site? Nos. of respondents. Yes 86= 80.37% No 15= 14.01% I don’t know 06= 05.60% 22. Do you have a personal e-mail account 87.7% (93) respondents had a personal e-mail account. 23. Do you have a personal Web site? 12.14 % respondents had their personal web site. Section two: Use of Internet/E-mail:
  15. 15. Use of Internet or e-mail Very Often Often Some- Times Rarely Never Don’t Know 1. To send and receive e- mail messages directly to patients regarding medical issues. 10 9.52% n=105 14 13.33 % 16 15.23% 13 12.38% 52 49.52% - 2. To respond to a general question from a patient. 3 2.94% n=102 10 9.80% 16 15.68% 18 17.64% 55 53.92% - 3. To respond to an inquiry from an individual who is not currently your patient 8 7.84% n= 102 9 8.82% 16 15.58% 23 22.54% 46 45.09% 1 0.98% 4. To send and receive e- mail messages from professional colleagues on medically related issues. 16 15.53% n= 103 36 34.95 % 25 24.27% 14 13.59% 12 11.65% - Section three: 24. Frequency of use of Internet/Email:
  16. 16. 5. To conduct research for information relevant to a specific patient’s case 20 19.80% n=101 32 31.68% 19 18.81% 16 15.84% 12 11.88% 2 1.98% 6. To search for information for continuous medical education. 36 36% n=100 38 38% 15 15% 7 7% 4 4% - 7. To search for information of special interest or in own specialty. 42 40% n= 105 44 41.90% 11 10.47% 8 7.61% - - 8. To access laboratory, x-ray, CT scan, etc results on current patients 13 12.87% n= 101 11 10.89% 15 14.85% 26 25.74% 33 32.67% 3 2.97% 9. To send e-mail to patients regarding prevention, health education or disease management care 3 2.88% n=104 12 11.53% 15 14.42% 18 17.30% 56 53.84% - Use of Internet or e-mail Very Often Often Some- times Rarely Never Don’t Know Section three: 24. Frequency of use of Internet/Email:
  17. 17. Use of Internet or e-mail Very Often Often Some- times Rarely Never Don’t Know 10. To send e-mail messages to office staff. 13 12.74% n= 102 20 19.60% 20 19.60% 15 14.70% 34 33.33% - 11. To send e-mail messages to colleagues 34 33% n =103 33 32.03% 22 21.35% 6 5.82% 8 7.76% - 12. To send e-mail messages to friends and/or relatives. 47 45.63% 29 28.15% 20 19.41% 3 2.91% 5 4.85% - 13. To receive e-mail form pharmaceutical companies 5 5% n= 100 6 6% 21 21% 14 14% 54 54% - 14. To receive e-mail messages from vendors or other suppliers 4 3.88% n= 103 11 10.67% 13 12.62% 16 15.53% 57 55.33% 2 1.94% Section three: 24. Frequency of use of Internet/Email:
  18. 18. Use of Internet or e-mail Very Often Often Some- times Rarely Never Don’t Know 15. To receive e-mail messages from societies to which I subscribe 11 11% n= 100 28 28% 21 21% 17 17% 23 23% - 16. To receive e-mail messages form other non-health related listservs(financial, hobbies, travel. etc. 7 7% n= 100 15 15% 28 28% 23 23% 27 27% - 17. To purchase medical supplies related to my practice 2 2% n= 107 6 6% 13 13% 16 16% 59 59% 4 4% 18. To purchase non-medically related items (books, music, etc.) 3 2.97% N= 101 6 5.94% 14 13.86 % 19 18.81% 54 53.46% 5 4.95% Section three: 24. Frequency of use of Internet/Email:
  19. 19. Rarely or never use the Internet or e-mail services Strongly Agree Agree Disagree Strongly disagree Don’t know 1. Information is not secured on the e-mail. 10 15.87% n=63 21 33.33% 15 23% 5 7.93% 12 19.04 % 2. Confidentiality of personal/patient data is at risk. 11 18.33% n=60 25 41.66% 12 20% 3 5% 9 15% 3. Health and biomedical Information on the Internet is of low quality. 1 1.66% n= 60 12 20% 32 53.33% 12 20% 3 5% 4. There are few “good” health related Web site on the Internet. 12 20% n= 60 21 35% 20 33.33% 6 10% 1 1.66% 5. Health and biomedical information on the Internet is not authenticated. 3 4.91% n=61 10 16.39% 32 52.45% 12 19.67% 4 6.55% Section four: 25. “Reasons for rarely or never using the Internet/E-mail:”.
  20. 20. Rarely or never use the Internet or e-mail services Strongly Agree Agree Disagree Strongly disagree Don’t know 6. I have no access to Internet or e- mail services. 3 5% n= 60 9 15% 23 38.33% 22 36.66% 3 5% 7. I’ve never had a training on Internet or email use. 3 5.35% n= 56 15 26.78% 25 44.64% 11 19.64% 2 3.57% 8. I don’t need information from Internet. 2 3.38% n= 59 2 3.38% 27 45.76% 27 45.76% 1 1.69% 9. Most of my patients have no access to the Internet or e-mail. 12 21.42% n= 56 19 33.92% 10 17.85% 5 8.92% 10 17.85 % 10. Using Internet for medical information is not a tradition or a practice in this country. 11 18.33% n= 60 25 41.66% 19 31.66% 3 5% 2 3.33% “Reasons for rarely or never using the Internet/E-mail”:
  21. 21. Rarely or never use the Internet or e-mail services Strongly Agree Agree Disagree Strongly disagree Don’t know 11. Using Internet for medical information is not a tradition or a practice in the institution where I work. 4 7.14% n= 56 14 25% 30 53.57% 5 8.92% 3 5.35% 12. I use e-mail only with colleagues abroad 3 5.35% n= 58 11 19.64% 32 57.14% 10 17.85% 2 3.57% 13. My institution has no Internet infrastructure to allow its use by staff. 8 13.79% n=58 12 20.68% 26 44.82% 10 17.24% 2 3.44% 14. I have no time to search the Internet or use email. 5 8.77% n = 57 15 26.31% 28 49.12% 11 19.29% 1 1.75% 25. “Reasons for rarely or never using the Internet/E-mail:”.
  22. 22. Rarely or never use the Internet or e-mail services Strongly Agree Agree Disagree Strongly disagree Don’t know 15. I ask my staff (assistants) to search the Internet on my behalf. 1 1.69% n= 59 12 20.33% 31 52.54% 13 22.03% 2 3.38% 16. I ask my staff (assistants) to send e-mail messages on my behalf. 5 8.62% n= 58 7 12.06% 31 53.44% 13 22.41% 2 3.44% 17. My work environment does not encourage use of Internet/e-mail. 10 16.39% n= 61 11 18.03% 26 42.62% 12 19.67% 2 3.27% 18. The Internet is useful in providing patient education. 25 40.98% n= 61 27 44.26% 2 3.27% 3 4.91% 4 6.55% 25. “Reasons for rarely or never using the Internet/E-mail:”.
  23. 23. 26. Please add any additional comments you wish to make about e-mail communications between patients and physicians. Few Comments “Very good way of transmission of information and education material”. “It is good to have e-mail”. “Good source of communication”. “More open discussion possible specially in our situation where the patients at times are reluctant to report the facts”. “E-mail is best way of communication between physician and patient because they can be in contact even if they not living in same country or same city”. Section five: Additional comments/information:
  24. 24. “Most of our patient are not educated & don't know to use internet”. “We have no internet facility in our Institution” “Basic education to use computer for every student school, college level value of information regarding health should be promoted so that general information available at any level”. “Email can become a effective tool if SPAM is deducted” Few Comments regarding handicaps Section five: Additional comments/information: Please add any additional comments you wish to make about e-mail communications between patients and physicians.
  25. 25. 27. Please add any additional comments you wish to make about e-mail communications between physicians. “Excellent tool to exchange views, should be used frequently” “Easily accessible a cheap source of contact.” “It should be very frequent exercise to know the follow-up of patients.” “It is helpful in patient management and also in research work.” “This is one of the way of transferring knowledge between physician”. “Excellent, should be more, so that people/ physician can benefit from each other’s experience”. Few Comments
  26. 26. 27. Please add any additional comments you wish to make about e-mail communications between physicians. Few Comments regarding handicaps “Most of the Physicians are so busy in doing private practice that they have no time for e-mail communication.” “It needs to be encouraged among physicians, there should be a web site every one knows , and can show their patients. which they think have some unique features.” “It should be more secure.”
  27. 27. 28. Please add any additional comments you wish to make about the use of the Internet by physicians. Few Comments “Internet can provide very useful & updated information & should be used by most physicians.” “Latest information on medicine received.” “I Will suggest that physicians must frequently use Internet to update themselves regarding different discussions.” “Use should be a routine “Should be encouraged to promote CME .”
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