调查影响主观描述披露的决策因素 在日本的健康信息交换中
Saki Hirayama1, Yukiko Mori1, Chang Liu1
1Graduate School of Informatics, Kyoto University, Japan.
Studies in health technology and informatics
|August 23, 2024
概括
卫生信息交换 (HIE) 的使用率停滞不前. 这项研究调查了影响日本HIEs主观临床注释披露的因素,预测隐私问题作为障碍.
科学领域:
- 医疗信息学 医疗信息学
- 医疗记录管理 医疗记录管理
背景情况:
- 卫生信息交换 (HIE) 提供了优势,但面临着停滞不前的利用.
- 区域一级的调查对于了解HIE采用障碍至关重要.
- 主观的临床记录在HIEs中很有价值,但日本医疗机构很少披露.
研究的目的:
- 确定影响日本HIEs在临床笔记中的主观描述披露的因素.
- 探索敏感患者信息有限披露背后的原因.
- 为提高HIE传播的策略提供信息.
主要方法:
- 试点研究涉及采访日本运营HIE的运营商.
- 通过采访收集定性数据,以了解信息披露的观点.
- 分析影响披露主观临床笔记决定的因素.
主要成果:
- 临床笔记中的主观描述在HIEs中经常被引用.
- 目前只有少数医疗机构披露这些主观描述.
- 对于不披露信息的机构来说,预期的挑战包括隐私问题和潜在的信息滥用.
结论:
- 解决隐私问题和潜在的滥用对于增加HIE采用至关重要.
- 了解披露主观临床注释的障碍是改善HIE利用的关键.
- 未来的HIE传播取决于解决这些与披露有关的问题.
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