Lu Yen-Chiao, Xiao Yan, Sears Andrew, Jacko Julie A
Department of Anesthesiology, University of Maryland School of Medicine, 685 W. Baltimore Street, MSTF 534, Baltimore, MD 21201-1192, USA.
Int J Med Inform. 2005 Jun;74(5):409-22. doi: 10.1016/j.ijmedinf.2005.03.001. Epub 2005 Apr 12.
Wide adoption of mobile computing technology can potentially improve information access, enhance workflow, and promote evidence-based practice to make informed and effective decisions at the point of care. Handheld computers or personal digital assistants (PDAs) offer portable and unobtrusive access to clinical data and relevant information at the point of care. This article reviews the literature on issues related to adoption of PDAs in health care and barriers to PDA adoption. Studies showed that PDAs were used widely in health care providers' practice, and the level of use is expected to rise rapidly. Most care providers found PDAs to be functional and useful in areas of documentation, medical reference, and access to patient data. Major barriers to adoption were identified as usability, security concerns, and lack of technical and organizational support. PDAs offer health care practitioners advantages to enhance their clinical practice. However, better designed PDA hardware and software applications, more institutional support, seamless integration of PDA technology with hospital information systems, and satisfactory security measures are necessary to increase acceptance and wide use of PDAs in healthcare.
移动计算技术的广泛应用有可能改善信息获取、优化工作流程，并促进循证实践，以便在医疗现场做出明智且有效的决策。手持电脑或个人数字助理（PDA）能够在医疗现场提供对临床数据及相关信息的便捷、不引人注目的访问。本文回顾了关于医疗保健领域采用PDA的相关问题及PDA采用障碍的文献。研究表明，PDA在医疗保健提供者的实践中得到了广泛应用，且使用水平预计将迅速上升。大多数护理人员发现PDA在文档记录、医学参考和获取患者数据等方面功能强大且有用。已确定采用PDA的主要障碍包括可用性、安全问题以及缺乏技术和组织支持。PDA为医疗从业者提供了提升临床实践的优势。然而，需要设计更优的PDA硬件和软件应用、更多的机构支持、PDA技术与医院信息系统的无缝集成以及令人满意的安全措施，以提高PDA在医疗保健领域的接受度和广泛应用。
