电子健康记录放射学图像共享的可接受性,益处和障碍:一种混合方法研究
Junjie Huang1,2, Fung Yu Mak1, Yuet Yan Wong1
1JC School of Public Health and Primary Care, Faculty of Medicine, Chinese University of Hong Kong, Hong Kong SAR, China.
Journal of medical radiation sciences
|March 28, 2025
概括
电子健康记录 (EHR) 放射学图像共享可以改善医疗管理和患者体验. 采用的关键因素包括系统质量和清晰的沟通,尽管存在障碍.
科学领域:
- 医疗信息学 医疗信息学
- 医疗成像医学成像
- 医疗保健管理的管理
背景情况:
- 电子健康记录共享系统 (eHRSS) 促进了公共和私人医疗保健提供者之间的患者医疗记录共享.
- 本研究从患者和医生的角度研究电子健康记录 (eHR) 放射学图像共享的可接受性,益处和障碍.
- 信息不对称和不充分的宣传被认为是广泛采用的挑战.
研究的目的:
- 检查患者和医生之间放射学图像共享系统的可接受性,感知到的好处和障碍.
- 确定影响用户采用和对电子放射学图像共享的满意度的因素.
- 为改善这些系统的实施和利用提供建议.
主要方法:
- 量化研究涉及288项调查和10次与香港医生和患者的深入采访.
- 用线性和后勤回归分析用户接受度,感知到的好处和障碍.
- 收集描述性数据,包括人口统计,临床经验和实践类型.
主要成果:
- 报告了高用户满意度 (78.5%) 和改善患者医疗保健体验 (82.3%).
- 放射学图像共享在克服传统基于电影的方法 (87.2%) 的局限性方面非常有效.
- 系统质量显著预测了可接受性 (aOR=4.307,p=0.001),对于患者病史跟踪等特征的高可接受性.
结论:
- 特定的系统特征积极影响用户对放射学图像共享的接受度和看法.
- 建议包括增加推广,增加私人机构的招生,保证数据保密,以及为患者和提供者提供公平的机会.
- 提高宣传力度和解决信息不对称性对于促进健康信息共享至关重要.
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