电子健康系统对初级医疗保健决策支持的有效性:一个技术接受模型3视角
Augustino Mwogosi1, Stephen Kibusi2
1Department of Information Systems and Technology, The University of Dodoma, Dodoma City, United Republic of Tanzania.
Journal of health organization and management
|November 1, 2024
概括
坦桑尼亚初级医疗机构的电子健康记录 (EHR) 系统对临床决策的影响有限. 障碍包括可用性差,集成问题和支持不足,尽管广泛使用.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健管理的管理
- 数字健康实施方案
背景情况:
- 电子健康记录 (EHR) 越来越多地被采用在资源较低的环境中.
- 了解用户的感知对于有效实施EHR至关重要.
- 坦桑尼亚的初级医疗保健 (PHC) 设施在技术采用方面面临着独特的挑战.
研究的目的:
- 评估医疗保健从业人员对电子健康记录系统的看法.
- 评估EHR在支持临床决策方面的有效性.
- 识别在坦桑尼亚卫生健康中心设施中使用电子健康记录的障碍.
主要方法:
- 在坦桑尼亚的多多马地区使用混合方法方法.
- 通过结构化问卷收集的定量数据.
- 从开放式响应中获得的定性数据以主题分析.
- 多重线性回归分析了定量数据.
主要成果:
- 电子健康系统被广泛使用,但对决策的影响有限.
- 用户满意度与频繁使用EHR系统有负相关性.
- 主要障碍包括不充分的培训,系统崩,性能缓慢和工作流集成不良.
结论:
- 在坦桑尼亚的PHC设施中实施EHR面临重大挑战.
- 优化EHR需要解决可用性,培训和整合问题.
- 调查结果为决策者和设计者提供信息,以便在资源有限的环境中更好地采用EHR.
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