卫生保健工作者在日本使用大规模的健康信息交换:用户级审计日志分析研究研究
Jun Suzumoto1, Yukiko Mori1,2,3, Tomohiro Kuroda1,2,3
1Graduate School of Medicine, Kyoto University, Kyoto, Japan.
JMIR medical informatics
|October 9, 2024
概括
日本的健康信息交换 (HIEs) 的使用率很低,大多数医生不使用它们. 在医疗保健工作者和机构中,HIE使用存在显著差异,需要进一步研究需求驱动因素.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
背景情况:
- 日本有200多个运营的健康信息交换中心 (HIEs).
- 医疗保健机构的主要功能是远程按需访问汇总的患者健康数据.
- 个人用户和机构目前对该功能的使用模式基本上是未知的.
研究的目的:
- 调查在大型HIEs中使用按需查看患者数据的功能.
- 分析日本各个医疗保健工作者和机构的使用情况.
主要方法:
- 进行了大规模HIEs (100多家机构,10,000多名患者) 的审计日志分析.
- 收集了医疗保健工作者的个人资料和HIE审计日志数据.
- 进行了分析,包括每个医生的活跃使用日,每月的机构使用,每个设施类型的每月活跃机构比率,以及跨高质量教育机构和用户类型的比较.
主要成果:
- 分析了24个候选高等教育机构中的7个机构的数据.
- 93.5%的医院医生在2021/22财年没有使用HIEs;只有19个经常使用它们.
- 在不同类型的设施 (医院,医疗诊所,牙科诊所) 和个别HIEs中观察到使用的显著差异.
结论:
- 在日本高水平医疗机构 (HIEs) 中,按需查看患者数据的整体使用率很低.
- 在医疗保健工作者,机构和设施类型之间存在HIE利用的巨大差异.
- 需要进一步的研究来了解这些差异,并为全面的审计日志的设计提供信息.
关键词:
在这里,你会看到HIE.日本 日本 日本 日本 日本.审计 审计 审计 审计 审计审计日志 审计日志 审计日志电子健康记录 电子健康记录健康信息交换 交换健康信息交换医院 医院 医院 医院记录日志 记录日志医疗信息学是一门医学信息学专业.利率是什么意思 利率是什么意思使用使用使用使用使用使用使用使用.更多相关视频
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