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评估应急响应医疗信息系统的成功。

Evaluating the success of an emergency response medical information system.

机构信息

Information Systems & Quantitative Analysis, University of Nebraska at Omaha, The Peter Kiewit Institute, 1110 S 67th Street, PKI 173B, Omaha, NE 68182-0392, United States.

出版信息

Int J Med Inform. 2011 Jul;80(7):480-9. doi: 10.1016/j.ijmedinf.2011.03.010. Epub 2011 Apr 17.

DOI:10.1016/j.ijmedinf.2011.03.010
PMID:21501969
Abstract

OBJECTIVE

STATPack™ is an information system used to aid in the diagnosis of pathogens in hospitals and state public health laboratories. STATPack™ is used as a communication and telemedicine diagnosis tool during emergencies. This paper explores the success of this emergency response medical information system (ERMIS) using a well-known framework of information systems success developed by DeLone and McLean.

METHOD

Using an online survey, the entire population of STATPack™ users evaluated the success of the information system by considering system quality, information quality, system use, intention to use, user satisfaction, individual impact, and organizational impact.

RESULTS

The results indicate that the overall quality of this ERMIS (i.e., system quality, information quality, and service quality) has a positive impact on both user satisfaction and intention to use the system. However, given the nature of ERMIS, overall quality does not necessarily predict use of the system. Moreover, the user's satisfaction with the information system positively affected the intention to use the system. User satisfaction, intention to use, and system use had a positive influence on the system's impact on the individual. Finally, the organizational impacts of the system were positively influenced by use of the system and the system's individual impact on the user.

CONCLUSIONS

The results of the study demonstrate how to evaluate the success of an ERMIS as well as introduce potential changes in how one applies the DeLone and McLean success model in an emergency response medical information system context.

摘要

目的

STATPack™ 是一种用于协助医院和州立公共卫生实验室诊断病原体的信息系统。STATPack™ 在紧急情况下用作通信和远程医疗诊断工具。本文使用由 DeLone 和 McLean 开发的知名信息系统成功框架,探讨了这种应急响应医疗信息系统(ERMIS)的成功。

方法

通过在线调查,STATPack™ 的所有用户评估了该信息系统的成功,考虑了系统质量、信息质量、系统使用、使用意图、用户满意度、个人影响和组织影响。

结果

结果表明,该 ERMIS 的整体质量(即系统质量、信息质量和服务质量)对用户满意度和使用系统的意图都有积极影响。然而,鉴于 ERMIS 的性质,整体质量不一定能预测系统的使用。此外,用户对信息系统的满意度积极影响了使用系统的意图。用户满意度、使用意图和系统使用对系统对个人的影响有积极影响。最后,系统对组织的影响受到系统使用和系统对用户的个人影响的积极影响。

结论

该研究的结果展示了如何评估 ERMIS 的成功,并介绍了在应急响应医疗信息系统环境中应用 DeLone 和 McLean 成功模型的潜在变化。

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