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在香港医疗机构实施基于模板的电子病历系统 (TEMRS) 的经验分享。

Experiences sharing of implementing Template-based Electronic Medical Record System (TEMRS) in a Hong Kong medical organization.

机构信息

Department of Industrial and Systems Engineering, The Hong Kong Polytechnic University, Kowloon, Hong Kong, China.

出版信息

J Med Syst. 2011 Dec;35(6):1605-15. doi: 10.1007/s10916-010-9436-9. Epub 2010 Feb 2.

DOI:10.1007/s10916-010-9436-9
PMID:20703758
Abstract

This paper aims to investigate the efficacy and feasibility of Template-based Electronic Medical Record System (TEMRS) and factors for its successful implementation. A TEMRS was designed and implemented in one core clinic of a Hong Kong professional multi-disciplinary medical services provider with four core clinics located in different parts of Hong Kong. Eight doctors participated in the study. Surveys and interviews were conducted to acquire the users' feedback and satisfaction level. The design, development, and the factors related to the success of the implementation of TEMRS were analyzed. In the study period, 3,032 cases were collected. The most encountered diagnosis were upper respiratory tract infection (50.59%), gastroenteritis (10.19%), dermatitis (5.87%), dyspepsia (5.28%) and rhinitis (4.82%). The system gained an overall satisfaction by the users and the most satisfied areas were rapid retrieving the necessary information of patient (75%) and fasten the diagnostic selection (75%). TEMRS is an enabling system which can reduce the user resistance in new technology with its flexibility. The consideration of cost, security, human, technical, data migration and standardization issues are essential in the implementation of the TEMRS and further research should be conducted to expand the TEMRS's implementation in health care system.

摘要

本文旨在探讨基于模板的电子病历系统(TEMRS)的疗效和可行性,以及其成功实施的因素。在香港一家专业多学科医疗服务提供商的一个核心诊所中设计和实施了一个 TEMRS,该提供商在香港不同地区设有四个核心诊所。有 8 名医生参与了这项研究。通过调查和访谈收集了用户的反馈和满意度水平。分析了 TEMRS 的设计、开发以及与实施成功相关的因素。在研究期间,共收集了 3032 例病例。最常见的诊断是上呼吸道感染(50.59%)、肠胃炎(10.19%)、皮炎(5.87%)、消化不良(5.28%)和鼻炎(4.82%)。该系统得到了用户的总体满意度,用户最满意的方面是快速检索患者的必要信息(75%)和加快诊断选择(75%)。TEMRS 是一个支持系统,其灵活性可以降低用户对新技术的抵触。在实施 TEMRS 时,必须考虑成本、安全性、人员、技术、数据迁移和标准化问题,应进一步开展研究,扩大 TEMRS 在医疗保健系统中的实施。

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