影响卫生工作者接受泰国预防服务指南基础临床决策支持系统的因素:基于问卷调查的研究
Tullaya Sitasuwan1, Prapat Suriyaphol2, Saranath Lawpoolsri3
1Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
医生表现出高度意图使用临床决策支持系统 (CDSS) 进行预防性护理. 积极的态度和易于使用的感知是推动CDSS在医疗保健中采用CDSS的关键因素.
科学领域:
- 医疗信息学 医疗信息学
- 临床决策支持系统 临床决策支持系统
- 预防性护理 预防性护理
背景情况:
- 临床决策支持系统 (CDSS) 利用电子医疗记录和指导方针来帮助临床决策.
- 尽管有潜力,但CDSS在临床实践中的采用仍然不够理想.
研究的目的:
- 评估影响医疗保健专业人员使用新CDSS在预防护理方面的意图的因素.
- 确定在临床环境中采用CDSS的决定因素.
主要方法:
- 在泰国Siriraj医院进行了基于问卷的横截面研究.
- 89名医生和医学学生参与了这项研究.
- 使用相关性和回归分析来检查影响CDSS采用的因素.
主要成果:
- 医生表现出高度意图采用CDSS,79%表示愿意使用它.
- 对CDSS使用的积极态度 (OR=5.44) 和高努力预期 (OR=7.60) 是采用意向的重要预测因素.
- 障碍包括医生负面态度,数据输入负担,时间限制和工作流程中断.
结论:
- 医生们有强烈的意图在预防性护理服务中采用CDSS.
- 培养积极的态度和确保高努力预期对于成功实施CDSS至关重要.
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