Ghazisaeidi Marjan, Ahmadi Maryam, Sadoughi Farahnaz, Safdari Reza
Department of Health Information Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran ; Department of Health Information Management, School of Allied Medical Sciences, Tehran University Medical Sciences, Tehran, Iran.
Department of Health Information Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Acta Inform Med. 2014 Apr;22(2):133-8. doi: 10.5455/aim.2014.22.133-138.
Initial attempts are made to implement electronic health record (EHR) in Iran, the present study aim is developing a proper roadmap to EHR in pre-implementation phase by expert views on the matter.
An initial framework was developed for preimplementation based on reviewing literature on EHR implementation and descriptive-comparative with qualitative approaches in five countries. A questionnaire was designed in several sections using 47 main topics associated with pre-implementation. Cronbach's alpha 0.89 confirmed the reliability of the data. Expert views were used to score each topic based on Likert scale and opinions were collected through Delphi. Then results analyzed using descriptive statistical analysis method.
Framework of EHR pre-implementation roadmap was presented in four phases: preliminaries, assessment, planning, and method of choosing system vendors. Priorities in each part were determined and reflected in the roadmap using expert views, analyses, and requirements of each phase. It seems strategic planning at different levels; assessment of needs; providing and managing financial resources, setting standards; examining the existing condition was determined as highest priorities in above phases.
For successful implementation, developing national carefully-designed and well-documented EHR pre-implementing roadmap, Based on country situation, from strategic to operation level is necessary.
伊朗已开始初步尝试实施电子健康记录（EHR），本研究旨在通过专家对该问题的看法，制定一个在实施前阶段适用的EHR路线图。
基于对EHR实施文献的回顾以及对五个国家采用定性方法进行的描述性比较，为实施前阶段制定了一个初步框架。使用与实施前相关的47个主要主题设计了一份多部分问卷。克朗巴哈系数0.89证实了数据的可靠性。通过德尔菲法收集专家意见，让专家根据李克特量表对每个主题进行评分。然后使用描述性统计分析方法对结果进行分析。
EHR实施前路线图框架分为四个阶段：初步准备、评估、规划以及选择系统供应商的方法。利用专家意见、各阶段的分析和要求，确定了每个部分的优先事项并反映在路线图中。不同层面的战略规划、需求评估、财政资源的提供和管理、标准制定、现有状况审查似乎被确定为上述阶段的最高优先事项。
为成功实施，有必要根据国家情况，从战略层面到运营层面，制定精心设计且有充分记录的国家EHR实施前路线图。
