在瑞典初级保健中对数字信息系统的感知和使用的务实地图:调查研究 调查研究
Anita Sant'Anna1, Jens Nygren2
1Viniam Consulting AB, Halmstad, Sweden.
Interactive journal of medical research
|October 25, 2023
概括
初级保健中的数字信息系统 (DIS) 在医疗保健专业人员中显示出不同的采用率. 需要量身定制的策略,因为对DIS的积极看法会影响其用于改善患者护理的预期用途.
科学领域:
- 医疗信息学 医疗信息学
- 主要护理技术的初级护理技术
- 医疗保健管理的管理
背景情况:
- 电子健康记录和IT基础设施使得在初级保健中数字化记录和获取信息成为可能.
- 质量指标可以自动计算并向初级保健人员展示.
- 成功实施数字信息系统 (DIS) 需要了解像复杂性和兼容性这样的采用因素.
研究的目的:
- 探索医疗保健专业人员在初级保健机构中对数字信息系统 (DIS) 的使用和看法.
主要方法:
- 通过向瑞典的初级保健人员分发的调查进行了定量评估.
- 调查问卷涵盖了受访者特征,当前的DIS使用情况以及对决策支持工具的看法.
- 数据分析包括描述性统计,非参数性假设测试和确认因素分析.
主要成果:
- 管理员比医生更频繁地使用DIS,使用情况因角色而异,并由不同的动机驱动 (例如,质量改进与好奇心).
- 参与者希望DIS用于患者随访,生活方式指导和共享决策,管理人员更倾向于预测分析.
- 五个创新属性 (复杂性,优势,兼容性,可测试性,可观察性) 解释了78.5%的差异,具体因素预测了使用DIS的意图.
结论:
- 基于角色的DIS使用模式需要量身定制的方法来成功地在医疗保健中采用.
- 对DIS的积极看法与使用意向的增加有关,这凸显了考虑所有影响因素的重要性.
- 未来的研究应该改进测量工具,扩大样本多样性,并探索更好的DIS集成的特定群体需求.
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