Richter Jutta, Becker Arnd, Specker Christof, Monser Robert, Schneider Matthias
Rheumazentrum Düsseldorf, Moorenstr. 5, 40225 Düsseldorf, Germany.
Z Rheumatol. 2003 Aug;62(4):395-401. doi: 10.1007/s00393-003-0528-5.
On behalf of the "Systemic Inflammatory Rheumatic Diseases Network" comprehensive, nationwide horizontal and vertical cross-linking of research and care is to be developed for the first time. The quality of scientific work and patient care is to be increased in the medium term through this improved communication and co-operation. Our objective was to determine what hardware and software are avail- able to the physicians involved, with a view to the Internet being used as a basis for communication and documentation within the network.
A survey was carried out among 723 active members of the German Rheumatology Society (DGRh). Data on the hardware and software used and on Internet access were collected using a unilateral questionnaire.
The response rate among the addressed rheumatologists was 55.3%, with 64.1% of members in private practice replying. Of those responding 85% have Internet access, with rheumatologists in private practice using the Internet significantly less frequently at work than those working at a hospital (42% vs 80%). The latter accordingly reported a higher proportion of medical Internet usage (69% vs 52%, p<0.001). The survey demonstrated that software for private practices and hospitals shows a very variable picture with a multiplicity of systems being used.
Use of the Internet for communication in the "Systemic Inflammatory Rheumatic Diseases Network" is practicable in hospitals but clearly restricted in the private practice sector. The widely varying software used in hospitals and private practices underlines the need for standardized, comprehensive documentation systems to be developed. To ensure acceptance and broadly based application, they need to be integrated into the existing computer infrastructure. In this context, Internetbased applications offer new opportunities through the use of system-independent file formats.
代表“系统性炎性风湿性疾病网络”首次开展全国范围内全面的、横向与纵向交叉的研究及医疗护理工作。通过改善沟通与合作，在中期提高科研工作及患者护理的质量。我们的目标是确定参与其中的医生可使用哪些硬件和软件，以便将互联网作为网络内沟通与文档记录的基础。
对德国风湿病学会（DGRh）的723名活跃成员进行了一项调查。使用单向问卷收集有关所使用的硬件和软件以及互联网接入情况的数据。
受访风湿病医生的回复率为55.3%，私人执业成员的回复率为64.1%。在回复者中，85%可以访问互联网，私人执业的风湿病医生在工作中使用互联网的频率明显低于在医院工作的医生（42%对80%）。因此，后者报告的医疗互联网使用率更高（69%对52%，p<0.001）。调查表明，私人诊所和医院使用的软件情况差异很大，使用的系统多种多样。
在“系统性炎性风湿性疾病网络”中，利用互联网进行沟通在医院是可行的，但在私人执业领域明显受限。医院和私人诊所使用的软件差异很大，这突出表明需要开发标准化的综合文档系统。为确保其被接受并广泛应用，需要将它们集成到现有的计算机基础设施中。在这种情况下，基于互联网的应用通过使用独立于系统的文件格式提供了新的机会。
