This paper sets out to investigate physicians' perceptions and usage regarding a new mobile medical information system in a pilot trial in the Finnish healthcare sector. Two sets of data were gathered in June and October 2003 by telephone interviews. The physicians interviewed had positive perceptions of the mobile system, and started to use it frequently in their work. They showed few negative experiences of using a Nokia Communicator. They favoured using mobile technology as a way to improve spreading medical knowledge. The main contents of the system, the Evidence-Based Medical Guidelines and the Pharmaca Fennica (the pharmacopoeia), were crucial for using the system. Some differences in physicians' behaviour across time were also found. Implications for system improvement are discussed.
The article demonstrates necessity of implementing principle of solidary responsibility of citizenfore one's own health with purpose of health promotion and development of health care in country and all over the world. The analysis of national and international literature proved that human health in many ways depends on life style. Nowadays, population places the responsibility for one's own health to state, employers and medical personnel. The article presents main results of anonymous questionnaire survey carried out among 723 workers of municipal polyclinics. The software Statisitka was applied to determine relative frequency of occurrence of characteristic in different groups (percentage) and confidence range. The comparative analysis according the Student criterion was applied among physicians and paramedical personnel. The purpose of survey was to evaluate degree of responsibility of population for one's own health from point of view of medical personnel. It is established that 69.5% of physicians and 79.6% of paramedical personnel consider their patients responsible for implementation of prescribed recommendations. The opposite point of view have 30.5% of physicians and 20.4% of paramedical personnel. According opinion of 42.9% Of physicians and 48.9% of paramedical personnel human age has no impact on degree of one's own health caring. The physicians of polyclinics evaluate responsibility of citizenfor one's own health quite low. So, only 11. 6% of physicians and 28.6% of paramedical personnel of polyclinics provide positive reply to the asked question. The majority of physicians (37.4%) and medical nurses (34.2%) are convinced that to increase responsibility for one's own health the activities infield of health education are to be implemented. The application of the mechanism of co-payments for medical services is supported by 34.6% of physicians and 27.4% of medical nurses. The given question caused difficulties with answer among 20.2% of physicians and 32.2% of medical nurses.
All 159 principal investigators whose projects had been assessed by the biomedical research ethics committee in Health Region 4 (Central Norway) during 1986-92 were asked to complete a questionnaire about medical research ethics and the work of the ethics committee. Their answers about scientific fraud and misconduct have been published previously. This paper reports how the 119 respondents (70% of those addressed) regard the role and work of the ethics committees and how they perceived the committee's assessment of their own project. A majority agreed that medical ethics committees are an important part of the scientific community (90%), that scientific quality is an important ethical element of any project (85%), and that researchers put more effort into their study protocol as they knew it would be assessed by an ethics committee (85%). More than 70% agreed that the committee's comments were useful and relevant, but a majority of these agreed only partly. The results are discussed in relation to the characteristics of the investigators.