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To ensure the privacy of the respondents, the researchers anonymised and coded all participants by a response number. Prior to each week in which their use of time was measured, the response numbers and phone numbers of the participants were sent in a protected and secured data file to the SMS service provider. The phone numbers were provided by the GPs to the research project as part of their consent – that is through the pre-survey with which they registered for the research. The SMS service provider sent a confirmation email to the researchers once they had received the data file. During the study the data received on the use of time was available for the researchers in real time on a website of the service provider.
The invitation letter contained a personal weblink to register for the time use study. The sampling and invitation mailing were conducted mostly two months prior to the start of every sub-period. The recruitment for the first batch started in October 2012 and for the final batch in September 2013. GPs could be included from the moment they received the invitation letter until the first month of a particular batch.
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This website was secured and only accessible on the computers of the TreeSize researchers by means of a username and password. A professional SMS service provider was sub-contracted in order to deploy, technically, the SMS measurement application. This company programmed the customised SMS application and was responsible for the daily sending and receiving of all SMS messages to and from the participating GPs during the period studied. The data was collected from December 2012 to January 2014 in order to account for seasonal variability in GPs working time. This period was divided into seven consecutive sub-periods of two months for which batches of participants were recruited to participate in one of the weeks . For every batch, a letter of invitation was sent to a stratified sample of approximately 500 to more than 800 GPs registered in the career database of the Netherlands institute for health services research . This database covers nearly all active GPs in the Netherlands and has been managed by NIVEL since 1974 .
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- Finally, the results of this study add to the small body of literature on the use of SRS in a psychiatric setting.
- Future efforts should use formal assessment tools and measures.
- In simple words, it means that it is a computer program that is taught to take the input of human speech which is then interpreted and then finally written out into the text.
- Supporting physicians with post-implementation training and regular communication may help to identify challenges that physicians are having that may influence use.
- Review usage data over an extended period of time would help to identify if the Gartner Hype Cycle applies to SRS.
- This evaluation demonstrated that SRS technology may be useful to some physicians in psychiatric settings—however, the technology is not a ‘one size fits all’ solution.
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In addition to the invitation letters, announcements were made in several GP media channels such as professional newsletters and websites. Our study was supported by several organizations from the field, such as Dutch GP associations and the Association for GP trainees and trainers.