The eHealth readiness of Australia's medical specialists - Final Report

Appendix 4: Survey template

Page last updated: 30 May 2011

Screening questions



S1 We have your specialty (or one of your specialties) listed as [INSERT SPECIALTY], is this correct?
Yes [CONTINUE]01
No, it is something else [SPECIFY] [CONTINUE IF SPECIALTY IS ON LIST]02
Other response [TERMINATE]03
S2 [IF S1 = Internal Medicine] [OTHERWISE SKIP TO S3]
Would you describe your role as primarily procedural or consultative?
Procedural 1
Consultative 2

Location questions



L1. [ASK ALL] At how many different practice locations in Australia do you normally see patients? [READ OUT ALTERNATIVES] [SINGLE RESPONSE]
One location 1
Two locations 2
Three locations 3
Four or more locations 4
L2. Approximately what percentage of your income is derived from each of the following sources? [READ OUT EACH IN TURN] [TOTAL SHOULD EQUAL 100%]
a) A salaried position in the public sector __%
b) A salaried position in the private sector __%
c) Fee-for-service income in the private sector __%
100%
L3. [IF L2(a) <75%] [OTHERWISE SKIP TO L4]
Please answer all remaining questions in relation to the main practice location used for your private sector work.
      What is the primary setting of your main practice in the private sector? [READ OUT ALTERNATIVES] [SINGLE RESPONSE]
Private hospital 1
Private rooms or clinic 2
Laboratory or radiology facility 3
Community health centre 4
Patient home or premises 6
Other [SPECIFY] 7
L4. [IF L2(a) > OR = 75%] [OTHERWISE SKIP TO L5]
Please answer all remaining questions in relation to your main practice location. What is the primary setting of your main practice? [READ OUT ALTERNATIVES] [SINGLE RESPONSE]
Public hospital 1
Private hospital 2
Private rooms or clinic 3
Laboratory or radiology facility 4
Community health centre 5
Patient home or premises 6
Other [SPECIFY] 7
L5. [ASK ALL] How many days per week do you see patients at your main practice location? [READ OUT ALTERNATIVES] [SINGLE RESPONSE]
1 1
2 2
3 3
4 4
5 or more days per week 5
L6. How many patients do you see in an average day, at your main practice location? [READ OUT ALTERNATIVES] [SINGLE RESPONSE]
5 or fewer 1
6–15 2
1625 3
More than 25 patients per day 4
L7. How frequently do you practice in a rural or remote area in Australia? [READ OUT ALTERNATIVES] [SINGLE RESPONSE]
Daily 1
Weekly or fortnightly 2
Monthly 3
Less than once a month 4
Never 5
L8. [IF L7 = 2 OR 3 OR 4] [OTHERWISE SKIP TO Q1]
When you practice in a rural or remote area, do you typically have computer access in the practice setting?
Yes 1
No 2
L9. [IF L8 = 1] [OTHERWISE SKIP TO Q1]
When you practice in a rural or remote area, do you typically have internet access in the practice setting?
Yes 1
No 2

Main Survey Questions

Q1. [ASK ALL] Which of the following do you have access to in your main practice, that is, accessible to you in your own room or office, not just in a secretary’s office or receptionist area? [READ OUT EACH IN TURN]
YesNo
a) A desktop computer 12
b) A laptop or notebook or tablet 12
c) A dictation device 12
d) Videoconference facilities 12
e) Internet access 12
f) A mobile phone 12
Q2. [IF Q1(a) = 1 OR Q1 (b)=1] [OTHERWISE SKIP TO Q3]
Is the primary computer in your own room or office less than 3 years old?
Yes 1
No 2
Don’t know 3
Q3. [IF Q1(c) = 1] [OTHERWISE SKIP TO Q4]
Is your dictation device a digital or analogue recorder?
Digital 1
Analogue 2
Don’t know 3
Q4. [IF Q1(e) = 1] [OTHERWISE SKIP TO Q5]
Is your internet access broadband?
Broadband 1
Not broadband 2
Don’t know 3
Q5. [IF Q1(f) = 1] [OTHERWISE SKIP TO Q6]
Is your mobile phone a smartphone, which means you can use it for web browsing?
Yes 1
No 2
Q6. [ASK ALL] Are patient histories and records at your main practice location stored (a) entirely as paper files, or (b) entirely on computers, or (c) as a combination of paper-based and computerised files?
a. Entirely as paper files 1
b. Entirely on computers 2
c. A combination of paper-based and computerised files 3
Q7. [IF Q6 = 2 OR 3] [OTHERWISE SKIP TO Q9]
In your main practice location, do you currently use an electronic health record? In other words, do you maintain information about your patients’ health status and health care in a computer-readable format?
Yes 1
No 2
Q8. [IF Q7 = 1] [OTHERWISE SKIP TO Q9] What is the name of the electronic health record system that you currently use for patient records? [SINGLE RESPONSE]
Q9. [IF Q6 = b OR c] [OTHERWISE SKIP TO Q11] Does your main practice use any of the following security techniques? [READ OUT EACH IN TURN]
YesNo

Don’t know

a) Password protected access to computers 123
b) Password protection or encryption of sent or received files 123
c) A practice IT security policy, which might include requirements for changing passwords, the use of firewalls, anti-virus software, and system updates 123
d) A disaster recovery plan, which might include regular back-ups of data and offsite storage for data back-ups 123
[Q10 was omitted from survey]
Q11. [ASK ALL] Please write down the following scale: (1) strongly disagree, (2) somewhat disagree, (3) somewhat agree, and (4) strongly agree. Using that scale, please indicate your disagreement or agreement with the following statements. [READ OUT EACH IN TURN] [ROTATE START POINT]
Strongly disagreeSomewhat disagreeSomewhat agreeStrongly agree
a) It is important that I use the most up-to-date computer systems in my practice 1234
b) In my specialty, it is expected that I use computers as part of my daily work 1234
c) Most practitioners in my professional network use computers regularly within their practice 1234
d) Using computers helps reduce the risk of error in my specialty 1234
e) I would like computerised access to a shared patient summary that includes basic health records 1234
f) I like to be an early adopter of new computer systems and software for my practice 1234
Q12. Please write down the following scale: (1) I use a computerised system, (2) I don’t use but would like a computerised system, and (3) I don’t use and don’t need a computerised system. Please indicate which of those three options best applies to each of the following activities. [READ OUT EACH IN TURN] [SINGLE RESPONSE FOR EACH INFORMATION TYPE]
Use a computerised systemDon’t use but would likeDon’t use and don’t need
a) For sending referrals to or receiving referrals from other practitioners 123
b) For transferring prescriptions to the pharmacy 123
c) To provide interactive decision-making support for prescription ordering or medication management 123
d) For ordering pathology tests 123
e) For viewing pathology results 123
f) To provide interactive decision-making support for ordering diagnostic tests 123
g) For ordering diagnostic imaging 123
h) For viewing diagnostic imaging results 123
i) For completing event summaries such as a hospital discharge summary or specialist report 123
j) For sharing health records with my patients 123
k) For sharing health records with other practitioners 123
l) For patient booking and scheduling 123
m) For billing and patient rebates 123
n) To view and/or record patient information during consultations 123
o) To show patients health-related information during a consultation 123
p) To enter patient notes after a consultation 123
q) To communicate with patients before or after consultations about health-related issues 123
r) To access online clinical reference tools 123
s) To complete continuing education and training courses 123
Q13. You may be aware that starting on the first of July 2011, Medicare rebates will be available for a range of telehealth consultations. Telehealth includes both clinical elements of the health care system such as remote consultations with patients, and non-clinical elements such as remote training.

Are you already using any telehealth services?
Yes 1
No 2
Q14. [IF Q13 = 1] [OTHERWISE SKIP TO Q15] Please indicate whether you use each of the following telehealth services: [READ OUT EACH IN TURN]
YesNo
a) Monitoring patients remotely 12
b) Holding consultations with patients 12
c) Holding consultations with other healthcare practitioners 12
d) Training 12
e) Supervising 12
Q15. [IF Q13 = 2] [OTHERWISE SKIP TO Q17] Within the next three years, what is the likelihood that you will start using any telehealth services? Will you… [READ OUT EACH IN TURN] [SINGLE RESPONSE]
Definitely start using telehealth services 1
Probably start using telehealth services 2
Probably not start using 3
Definitely not start using 4
Q16. [IF Q15 = 1 OR 2] [OTHERWISE SKIP TO Q17] Within the next three years, would you be very interested, somewhat interested, or not interested in using telehealth services for each of the following applications? [READ OUT ALTERNATIVES] [SINGLE RESPONSE]
Very interestedSomewhat interestedNot interested
a) Monitoring patients remotely 123
b) Holding consultations with patients 123
c) Holding consultations with other healthcare practitioners 123
d) Training 123
e) Supervising 123
Q17. [ASK ALL] The next few questions are about eHealth, which is the combined use of electronic communication and technology in healthcare. Some examples of eHealth solutions include sharable electronic medical records, e-discharge summaries, e-prescribing, e-pathology and e-referrals.

Using the same scale that you recorded earlier, please indicate if you (1) strongly disagree, (2) somewhat disagree, (3) somewhat agree, or (4) strongly agree that eHealth will……..[READ OUT EACH IN TURN] [ROTATE START POINT]
Strongly disagreeSomewhat disagreeSomewhat agreeStrongly agreeDon’t know
a) Improve my practice’s efficiency 12345
b) Improve my ability to collaborate with other care providers 12345
c) Increase patient safety at my practice 12345
d) Increase my patients’ engagement in managing their health 12345
e) Improve continuity of care for my patients 12345
f) Increase my patients’ satisfaction level 12345
g) Increase the number of referrals to my practice 12345
h) Broaden the scope of services offered by my practice 12345
i) Reduce my exposure to legal risk 12345
j) Improve relationships with my patients 12345
k) Improve my care delivery process 12345
l) Increase access to care in my specialty 12345
m) Improve the quality of care in my specialty 12345
Q18. Again using the same scale, please indicate if you (1) strongly disagree, (2) somewhat disagree, (3) somewhat agree, or (4) strongly agree that the following factors will have or have already had an influence on your adoption of eHealth solutions. [READ OUT EACH IN TURN]
Strongly disagreeSomewhat disagreeSomewhat agreeStrongly agree
a) Other practitioners in my network ask me to adopt eHealth solutions 1234
b) I face pressure from my patients 1234
c) My support staff ask me to adopt eHealth solutions 1234
d) Professional bodies advise me to use eHealth solutions 1234
e) I am offered financial incentives to adopt eHealth solutions 1234
f) I will gain respect and recognition from the medical community for being an early adopter of eHealth solutions 1234
Q19. Again using the same scale, please indicate if you (1) strongly disagree, (2) somewhat disagree, (3) somewhat agree, or (4) strongly agree that each of the following factors is or was a barrier to you adopting and using eHealth solutions. [READ OUT EACH IN TURN] [ROTATE START POINT]
Strongly disagreeSomewhat disagreeSomewhat agreeStrongly agree
a) My practice can’t afford the initial and continued technology investment 1234
b) I am concerned about a drop in productivity during the transition 1234
c) It takes too long to access and use the technologies 1234
d) I can’t find a solution that meets my practice’s needs 1234
e) My practice needs to maintain compatibility with our existing IT systems 1234
f) My practice needs to connect our IT systems with those used externally 1234
g) I am concerned about system malfunctions or downtime 1234
h) I am concerned about breaches of patient privacy 1234
i) I am concerned about the risks associated with increased sharing and visibility of practitioner performance data 1234
j) It is too difficult to select and implement a new system 1234
k) I don’t have access to adequate IT support 1234
l) Others in my practice are resistant 1234
m) There aren’t enough people using these systems for them to provide a real benefit to me 1234
n) I prefer to wait until technology-based systems are proven and well-established before adopting them 1234
Q20. What single factor would persuade you the most to increase your adoption of eHealth solutions? [FREE RESPONSE]
Q21. Are you a member of any Australian professional body or association?
Yes 1
No 2
Q22. [IF Q21 = 1] [OTHERWISE SKIP TO Q23] Which Australian body or association are you most closely aligned with?
Q23. [ASK ALL – ANSWER NOT COMPULSORY IF RESPONDENT REFUSES] In which year were you born?
19
Q24. In approximately what year did you first practice medicine in your current speciality, after completing your residency or fellowship?
19, OR
20
Q25. Outside of work, how many hours do you spend on the internet each week for personal reasons? Do not include time you spend on e-mail or instant messaging or work-related internet activities [READ OUT ALL STATEMENTS, RECORD SINGLE RESPONSE]
None 1
Less than 3 hours per week 2
3 to 10 hours per week 3
More than 10 hours per week 4
Q26. And finally, is English your first language?
Yes 1
No 2