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沙特阿拉伯麦加地区医生对电子病历系统的看法。

Physicians' perception about electronic medical record system in Makkah Region, Saudi Arabia.

作者信息

Shaker Hani Abdulsattar, Farooq Mian Usman, Dhafar Khalid Obeid

机构信息

Directorate General of Health Affairs Makkah Region, Makkah, Saudi Arabia.

出版信息

Avicenna J Med. 2015 Jan-Mar;5(1):1-5. doi: 10.4103/2231-0770.148499.

Abstract

OBJECTIVES

The study was done to determine the physicians' perception about electronic medical record system (EMRS) in the context of its productivity in order to improve its functionality and advantages.

MATERIALS AND METHODS

This cross-sectional survey was performed from July to August 2009 with structured questionnaire of 15 closed-ended questions with five points Likert scaling starting from strongly disagree to strongly agree as 1-5, reflecting the perception of physicians about EMRS. The physicians of the Makkah region working in six different hospitals were selected. "Positive" response means if percent of responses were rated 4 or 5 (agree/strongly agree), "neutral" if rated 3, and negative if rated 1 or 2 (strongly disagree/disagree). Descriptive data analysis techniques were used.

RESULTS

We selected 317 completed questionnaires. Majority of subjects were from King Fahd Hospital, Jeddah (83, 26.3%), residents (147, 46.4%), male (200,63.1%), expatriates (207, 65%), and age group 36-45 years (133, 42%) were dominant. The stem regarding importance of computers for practicing medicine and EMRS to improve quality of practice was appreciated by majority, that is, 77.7 and 71.2%, respectively. However, "It does not disrupt the workflow" (35.1%) and "EMRS is comfortable while entering the data instead of writing" (34.8%) were appreciated negatively. Consultants (53.9%), male (53.4%), expatriates (56.7%), physicians of King Abdul Aziz Hospital, Ta'if (56.9%), and age group of 46-55 years (53.8%) appreciated EMRS positively. Overall perception of EMRS was found positive by 52.8%.

CONCLUSION

Majority appreciated the EMRS, but specific concerns about its usage easiness and workflow disturbance were opposed by them also.

摘要

目的

开展本研究以确定医生对电子病历系统(EMRS)在其生产力方面的看法,以便改进其功能和优势。

材料与方法

本横断面调查于2009年7月至8月进行,采用一份包含15个封闭式问题的结构化问卷,采用五点李克特量表,从强烈不同意到强烈同意分别记为1 - 5分,以反映医生对EMRS的看法。选取了在麦加地区六家不同医院工作的医生。“积极”反应是指如果回答中4分或5分(同意/强烈同意)的百分比,“中性”是指3分,“消极”是指1分或2分(强烈不同意/不同意)。使用描述性数据分析技术。

结果

我们选取了317份完整问卷。大多数受试者来自吉达法赫德国王医院(88人,占26.3%),住院医生(147人,占46.4%),男性(200人,占63.1%),外籍人士(207人,占65%),36 - 45岁年龄组(133人,占42%)占主导。关于计算机对行医的重要性以及EMRS对提高行医质量的重要性这一主干内容,分别得到了77.7%和71.2%的多数认可。然而,“它不会扰乱工作流程”(35.1%)和“在输入数据时使用EMRS比书写更方便”(34.8%)得到的认可较低。顾问(53.9%)、男性(53.4%)、外籍人士(56.7%)、塔伊夫阿卜杜勒·阿齐兹国王医院的医生(56.9%)以及46 - 55岁年龄组(53.8%)对EMRS给予了积极评价。总体而言,对EMRS的看法为积极的占52.8%。

结论

大多数人认可EMRS,但他们也对其使用的便捷性和对工作流程的干扰存在具体担忧。

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