在巴勒斯坦医院的医生中采用临床决策支持系统的未满足需求
Haya Sultan1, Shahenaz Najjar2,3,4, Faisal Awartani2
1Department of Pharmacy, Nursing and Health Professions, Birzeit University, Ramallah, Palestine.
PloS one
|December 12, 2024
概括
巴勒斯坦的医生表现出强烈的意图采用临床决策支持系统 (CDSS),尽管知识有限. 影响采用的关键因素包括绩效预期,努力预期,计算机自我效能,对自主性的感知威胁和社会影响.
科学领域:
- 医疗信息学 医疗信息学
- 医疗技术采用 医疗技术采用
- 医生行为 医生行为
背景情况:
- 临床决策支持系统 (CDSS) 为医疗保健决策提供了显著的好处.
- CDSS的不足利用是一个全球性的挑战,在巴勒斯坦没有先前实施.
- 需要进行一项研究,以评估医生的知识和影响CDSS在巴勒斯坦采用的因素.
研究的目的:
- 评估巴勒斯坦医生对CDSS的知识.
- 确定影响医生采用CDSS的因素.
- 探索性能预期,努力预期,计算机自我效能,决策参与,对自主性的感知威胁以及对CDSS采用的社会影响的影响.
主要方法:
- 使用基于技术接受和使用统一理论 (UTAUT) 的验证问卷进行了一项调查.
- 这项研究针对三个政府医院的363名住院医生和全科医生.
- 在2022年6月1日至30日期间收集的124名参与者的数据使用通用线性回归来分析.
主要成果:
- 尽管知识有限,但医生表现出采取CDSS的强烈意图 (平均值=3.91).
- 绩效预期 (p=0.000),努力预期 (p=0.001),计算机自我效率 (p=0.015),对专业自主权的感知威胁 (p=0.001) 和社会影响 (p=0.047) 显著影响了采用意向.
- 医生参与关于CDSS的决策并没有显著影响采用 (p=0.123).
结论:
- 这些发现为在巴勒斯坦实施CDSS提供了基础.
- 观察到医生为CDSS采用做好准备.
- 成功实施需要将CDSS定位为巴勒斯坦医疗保健提供者的一种辅助,低费用的工具.
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