电子处方系统的挑战和优势:一项调查研究和专题分析
Hamid Bouraghi1, Behzad Imani2, Abolfazl Saeedi3
1Department of Health Information Technology, School of Allied Medical Sciences, Hamadan University of Medical Sciences, Shahid Fahmideh Blvd, Hamadan, Iran.
BMC health services research
|May 30, 2024
概括
伊朗大多数医生更喜欢纸质处方,而不是电子处方系统,理由是技术和设计上的挑战. 改善IT基础设施和用户参与对于成功采用电子处方至关重要.
科学领域:
- 医疗信息学 医疗信息学
- 医疗实践管理 医疗实践管理
- 卫生信息技术 信息技术
背景情况:
- 电子处方 (e-prescribing) 系统已经在伊朗实施两年多了.
- 这些系统在临床实践中具有优势和挑战.
研究的目的:
- 调查电子处方系统的挑战和优势.
- 从医生的角度收集关于电子处方实施的见解.
主要方法:
- 一项采用专题分析的调查研究于2023年进行.
- 一个由研究人员制作的问卷,由文献审查和专家意见为基础,被给予医生.
- 使用SPSS分析了定量数据,使用ATLAS.ti分析了定性数据,使用统计测试,包括排名和点双序列,肯德尔的tau b和Phi.
主要成果:
- 在84名医生中,71.4%的人更喜欢纸质处方.
- 对于电子处方系统的总体满意度低 (53.6%),中 (38.1%) 和高 (8.3%).
- 在医生性别和满意度 (p=0.009) 和计算机技能水平和处方方法 (p=0.042) 之间发现了显著的相关性.
- 主要挑战包括技术,患者相关,医疗保健提供者相关,人力资源和建筑/设计问题.
- 识别的优势是流程改进,经济效率和增强的处方准确性.
结论:
- 建议系统托管者和服务提供商对IT基础设施 (硬件,软件,网络) 进行升级.
- 将最终用户的观点纳入系统设计过程对于改进电子处方系统至关重要.
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