11年来电子病历可用性的改善:对芬兰专科医生经验的横截面调查
Johanna Viitanen1, Sara Nisula2, Timo Tuovinen3
1Aalto University, Department of Computer Science, School of Science, Espoo, Finland.
International journal of medical informatics
|February 20, 2026
概括
11年来,医生对电子健康记录 (EHR) 的满意度略有改善,但仍然很低. 尽管提高了可用性,但大多数医生仍然对EHR系统表示不满.
科学领域:
- 医疗信息学 医疗信息学
- 人与计算机的交互
- 医疗系统可用性 医疗系统可用性
背景情况:
- 电子健康记录 (EHR) 的可用性差,会对用户的满意度,效率和有效性产生负面影响.
- 医生倦怠和压力与不充分的电子病历可用性有关.
- 监测电子病历可用性演变的长期研究很少.
研究的目的:
- 从专业医生的角度分析芬兰电子病历系统可用性的11年发展.
- 为了比较不同医疗专业的用户体验 (UX) 随着时间的推移.
主要方法:
- 在2010年,2014年,2017年和2021年,在芬兰医生中进行了全国性的可用性调查.
- 使用了国家可用性专注健康信息系统量表 (NuHISS) 的六个可用性陈述.
- 分析了每年超过2400名专科医生的反应,按专业和研究年分类.
主要成果:
- 在研究期间,医生使用电子健康记录的用户体验 (UX) 在所有专业领域都出现了改善.
- 职业卫生保健和非手术医疗专业报告了EHR可用性的显著积极变化.
- 除了麻醉学和重症监护之外,大多数专业的净EHR经验分数 (NEES) 仍然为负值.
结论:
- 尽管观察到改善,但大多数医生对EHR可用性表示持续的不满.
- 电子病历可用性的积极趋势不是线性的,在2014-2017年间显著下降.
- 使用适应上下文的调查,不断监测EHR用户体验,对于了解不断变化的可用性和影响因素至关重要.
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