计算机辅助临床决策支持系统的评估,用于在低资源的初级保健环境中进行点诊疗:可接受性评估研究
Geletaw Sahle Tegenaw1,2, Demisew Amenu Sori3, Girum Ketema Teklemariam2
1Department of Electronics and Informatics, Vrije Universiteit Brussel, Brussel, Belgium.
临床决策支持系统 (CDSS) 对医疗保健质量至关重要. 在低资源环境 (LRS) 中,CDSS的接受取决于感知到的好处和系统质量,而不仅仅是易于使用.
科学领域:
- 医疗信息学 医疗信息学
- 临床决策支持系统 临床决策支持系统
- 低资源设置 低资源设置
背景情况:
- 临床决策支持系统 (CDSS) 对于医疗保健标准化和质量管理至关重要.
- 虽然CDSS的使用在护理点设置中越来越多,但在低资源设置 (LRS) 中通常会被忽视.
研究的目的:
- 评估用户对在低资源环境中实施的CDSS的接受度.
主要方法:
- 该研究评估了埃塞俄比亚两个卫生中心的CDSS,使用6个类别的22个参数.
- 统计分析包括曼·惠特尼U测试,皮尔森相关性和部分最小平方结构方程建模 (PLS-SEM).
主要成果:
- 用户对CDSS的接受受系统质量 (β=.321) 和感知到的好处 (β=.486) 的影响.
- 感知到的易用性和信息质量并没有直接影响CDSS的接受.
- 信息质量显著影响了易用性 (β=.678),而系统质量没有.
结论:
- 当感知到的好处和系统质量与医疗保健专业人员的需求相一致时,CDSS在LRS中的采用会得到加强.
- 开发的CDSS接受模型为在LRS中有效部署提供了洞察力.
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