Buenestado David, Elorz Javier, Pérez-Yarza Eduardo G, Iruetaguena Ander, Segundo Unai, Barrena Raúl, Pikatza Juan M
Department of Computer Languages and Systems, Computer Science Faculty, The University of the Basque Country (UPV/EHU), P. Manuel Lardizabal 1, 20018, Donostia-San Sebastián, Spain,
J Med Syst. 2013 Apr;37(2):9910. doi: 10.1007/s10916-012-9910-7. Epub 2013 Feb 3.
This study aims to determine what the initial disposition of physicians towards the use of Clinical Decision Support Systems (CDSS) based on Computerised Clinical Guidelines and Protocols (CCGP) is; and whether their prolonged utilisation has a positive effect on their intention to adopt them in the future. For a period of 3 months, 8 volunteer paediatricians monitored each up to 10 asthmatic patients using two CCGPs deployed in the-GuidesMed CDSS. A Technology Acceptance Model (TAM) questionnaire was supplied to them before and after using the system. Results from both questionnaires are analysed searching for significant improvements in opinion between them. An additional survey was performed to analyse the usability of the system. It was found that initial disposition of physicians towards e-GuidesMed is good. Improvement between the pre and post iterations of the TAM questionnaire has been found to be statistically significant. Nonetheless, slightly lower values in the Compatibility and Habit variables show that participants perceive possible difficulties to integrate e-GuidesMed into their daily routine. The variable Facilitators shows the highest correlation with the Intention to Use. Usability of the system has also been rated very high and, in this regard, no fundamental flaw has been detected. Initial views towards e-GuidesMed are positive, and become reinforced after continued utilisation of the system. In order to achieve an effective implementation, it becomes essential to facilitate conditions to integrate the system into the physician's daily routine.
本研究旨在确定医生对基于计算机化临床指南和协议（CCGP）的临床决策支持系统（CDSS）的初始态度是什么；以及他们长期使用该系统是否会对其未来采用该系统的意愿产生积极影响。在3个月的时间里，8名志愿儿科医生使用部署在GuidesMed CDSS中的两个CCGP对每位多达10名哮喘患者进行监测。在使用该系统之前和之后，向他们提供了一份技术接受模型（TAM）问卷。对两份问卷的结果进行分析，以寻找它们之间意见的显著改善。还进行了一项额外的调查来分析该系统的可用性。结果发现，医生对GuidesMed电子指南的初始态度良好。TAM问卷前后迭代之间的改善在统计学上具有显著意义。尽管如此，兼容性和习惯变量的值略低表明参与者认为将GuidesMed集成到他们的日常工作中可能存在困难。促进因素变量与使用意愿的相关性最高。该系统的可用性也被评为非常高，在这方面，未发现根本性缺陷。对GuidesMed的初始看法是积极的，并且在持续使用该系统后得到加强。为了实现有效实施，促进将该系统集成到医生日常工作中的条件变得至关重要。
