初级保健医生对可互操作的健康信息技术的满意度
Jordan Everson1, Nathaniel Hendrix2,3, Robert L Phillips2,3
1Office of the National Coordinator for Health Information Technology, Washington, DC.
JAMA network open
|March 26, 2024
概括
医生对医疗IT互操作性的满意度显示了适度的增长,根据数据类型,电子健康记录和实践环境存在显著差异. 需要各种各样的策略来加强无的健康信息交换.
科学领域:
- 卫生信息技术 信息技术
- 临床信息学 临床信息学
- 卫生政策 卫生政策
背景情况:
- 医疗信息技术系统的广泛互操作性是一个关键的公共政策目标.
- 评估临床医生与健康IT的经验对于评估政策影响至关重要.
研究的目的:
- 评估初级保健医生对当前卫生IT互操作性状况的观点.
- 了解医生对获取和使用外部健康信息的满意度.
主要方法:
- 通过连续认证问卷 (CCQ) 对美国家庭医学医生进行了横截面调查.
- 该调查包括18个项目,评估了访问和使用各种外部健康信息类型的经验.
- 从2088名医生收集数据,这些医生在2022年完成了CCQ互操作性问题.
主要成果:
- 只有11%的医生表示对访问所有10种外部信息非常满意;70%的医生至少有点满意.
- 使用方便性各不相同,其中23%的人认为外部信息非常容易使用.
- 不同电子健康记录 (EHR) 系统之间的互操作性具有挑战性,只有8%的人认为它非常容易,而同一个EHR开发商的产品的互操作性为38%.
结论:
- 医生对互操作性的经验表明,进展缓慢且不均.
- 在不同信息类型,数据源,电子健康记录和实践环境中,满意度水平存在显著的异质性.
- 定制的政策和战略对于有效提高医疗IT互操作性至关重要.
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