越南5家医院采用数字卫生技术的现状:跨部门评估
Duc Minh Tran1, Nguyen Thanh Dung2, Chau Minh Duc3
1Oxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
JMIR formative research
|February 6, 2025
概括
越南医院广泛使用像HIS,LIS和RIS-PACS这样的信息系统. 然而,电子医疗记录的有限采用和二次数据的使用可能会阻碍数字健康技术的整合.
科学领域:
- 医疗信息学 医疗信息学
- 数字健康数字健康
- 医院信息系统 医院信息系统
背景情况:
- 数字卫生技术 (DHT) 对于实现可持续发展目标 (SDGs) 和世卫组织的30亿目标至关重要,特别是在低收入和中等收入国家.
- 在医院中成功实施DHT需要对可用性和可持续性进行上下文设计.
- 了解越南医院的DHT采用对于整合新数字技术至关重要,例如越南ICU翻译应用实验室等项目.
研究的目的:
- 探索5家越南公立医院当前的数字成熟度.
- 评估这些医院是否准备好实施新的数字健康技术.
主要方法:
- 使用了从越南卫生信息技术 (HIT) 成熟模型中改编的问卷.
- 该研究评估了越南5家顶级公共医院采用关键DHT和基础设施的情况.
- 从IT部门负责人那里收集数据,并使用描述性统计数据,雷达图和图进行可视化.
主要成果:
- 医院信息系统 (HIS),实验室信息系统 (LIS) 和放射学信息系统-图像存档和通信系统 (RIS-PACS) 在所有评估的医院中都实现了不同成熟度的系统.
- 虽然LIS满足了至少50%的越南HIT成熟度模型标准,但HIS和RIS-PACS分别达到80%和60%.
- 电子医疗记录 (EMR) 系统和先进的数字功能,如临床数据存储库 (CDR) 和临床决策支持系统 (CDSS) 尚未得到广泛采用;没有医院报告使用HL7标准的临床数据共享,尽管40%的医院报告采用了这些标准. 80%的医院报告RIS-PACS采用了DICOM标准.
结论:
- 越南公立医院已经广泛采用核心信息系统 (HIS,LIS,RIS-PACS) 来完成行政和临床任务.
- 对EMR系统的有限采用和二次数据的使用 (CDR,CDSS) 构成了整合外部DHT的潜在障碍.
- 广泛采用HL7和DICOM等国际标准,有助于将新的DHT整合到现有医院系统中.
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