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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p class="elsevierStyleSimplePara elsevierViewall">Conocer las creencias de los m&#233;dicos sobre un registro m&#233;dico electr&#243;nico para la atenci&#243;n ambulatoria en diferentes etapas del proceso de implementaci&#243;n del sistema&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Investigaci&#243;n cualitativa longitudinal basada en entrevistas en profundidad &#40;desde julio de 2001 hasta diciembre de 2003&#41;&#44; desarrolladas en el Hospital Italiano de Buenos Aires &#40;Argentina&#41;&#46; Se entrevist&#243; a 20 cardi&#243;logos de atenci&#243;n ambulatoria con perfiles profesionales diversos &#40;muestreo intencional&#41; antes&#44; durante y al finalizar la implementaci&#243;n del sistema &#40;10 entrevistas por etapa&#41;&#46; El an&#225;lisis fue realizado por 2 investigadores independientes y las categor&#237;as refinadas conjuntamente&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Antes y durante la primera etapa de la implementaci&#243;n los m&#233;dicos esperaban que el sistema mejorara los procesos administrativos de la atenci&#243;n y la disponibilidad de los datos individuales que cada uno hab&#237;a registrado en consultas anteriores&#44; pero no imaginaban que la informaci&#243;n colectiva pudiera modificar los aspectos m&#233;dicos de la atenci&#243;n&#46; Al finalizarla implementaci&#243;n&#44; en cambio&#44; percibieron que el sistema les permit&#237;a acceder a una visi&#243;n integral del paciente que modificaba el desempe&#241;o profesional&#46; Durante la implementaci&#243;n&#44; los m&#233;dicos opusieron el contacto con el paciente a la interacci&#243;n con el ordenador&#44; oposici&#243;n que les impide categorizar su uso como parte del acto m&#233;dico y considerar los datos del sistema como signos directos del paciente&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Con la implementaci&#243;n&#44; los m&#233;dicos modificaron su perspectiva sobre el registro m&#233;dico electr&#243;nico&#44; llegando a percibirlo como un auxiliar para la pr&#225;ctica m&#233;dica&#46; El valor que se asigna al sistema depende de su relevancia dentro del marco institucional&#46;</p>"
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        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objectives</span><p class="elsevierStyleSimplePara elsevierViewall">To explore physicians&#8217; beliefs about a computerized ambulatory medical record system at different stages of its implementation&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">We performed a longitudinal qualitative in-depth interview study &#40;July 2001 to December 2003&#41; in the Hospital Italiano&#44; Buenos Aires&#44; Argentina&#46; Semi-structured interviews were conducted in 20 primary care cardiologists purposively selected before&#44; during and afterthe system&#39;s implementation process &#40;10 interviews perstage&#41;&#46; The interviews were independently analyzed by 2 researchers&#44; who jointly designed an agreed category list&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Both before and during the first stage of the implementation process&#44; the physicians expected that that the system would improve healthcare-related administration and increase accessibility to individual data&#46; However&#44; they did not foresee that the system&#39;s shared information could modify the clinical aspects of patient care&#46; By the end of the implementation process&#44; the physicians realized that the system provided them with a broader perspective on their patients&#44; which in turn improved their own professional performance&#46; Throughout the implementation&#44; the physicians were against using the computer while the patient was present&#46; This opposition prevented them from regarding the system as part of the medical consultation and from considering data from the system as direct patient-related signs&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">The system&#39;s implementation modified the physicians&#8217; views on computerized ambulatory medical records&#44; as they eventually considered them as an ancillary tool to clinical activity&#46; The value assigned to the system depends on its relevance within the institutional framework&#46;</p>"
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¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?