Bürkle T, Ammenwerth E, Prokosch H U, Dudeck J
Institute of Medical Informatics and Biometry, University of Münster, Germany.
J Eval Clin Pract. 2001 Nov;7(4):373-85. doi: 10.1046/j.1365-2753.2001.00291.x.
The evaluation of clinical information systems is essential as they are increasingly used in clinical routine and may even influence patient outcome on the basis of reminder functions and decision support. Therefore we try to answer three questions in this paper: what to evaluate; how to evaluate; how to interpret the results. Those key questions lead to the discussion of goals, methods and results of evaluation studies in a common context. We will compare the objectivist and the subjectivist evaluation approach and illustrate the evaluation process itself in some detail, discussing different phases of software development and potential evaluation techniques in each phase. We use four different practical examples of evaluation studies that were conducted in various settings to demonstrate how defined evaluation goals may be achieved with a limited amount of resources. This also illustrates advantages, limitations and costs of the different evaluation methods and techniques that may be used when evaluating clinical information systems.
临床信息系统的评估至关重要，因为它们在临床日常工作中使用得越来越频繁，甚至可能基于提醒功能和决策支持影响患者的治疗结果。因此，我们试图在本文中回答三个问题：评估什么；如何评估；如何解释结果。这些关键问题引发了在共同背景下对评估研究的目标、方法和结果的讨论。我们将比较客观主义和主观主义评估方法，并详细阐述评估过程本身，讨论软件开发的不同阶段以及每个阶段潜在的评估技术。我们使用在不同环境中进行的四个不同的评估研究实例，来展示如何用有限的资源实现既定的评估目标。这也说明了在评估临床信息系统时可使用的不同评估方法和技术的优点、局限性和成本。
