Marca Guillem, Perez Angel, Blanco-Garcia Martin German, Miravalles Elena, Soley Pere, Ortiga Berta
Universitat de Vic - Universitat Rovira i Virgili Sagrada Familia, 7 08500 Vic SPAIN.
Infanta Mercedes, 92, Bajo 28020 Madrid SPAIN.
Health Inf Manag. 2014;43(3):37-44. doi: 10.1177/183335831404300305.
The aims of this study were to describe the level of adoption of electronic health records in Spanish hospitals and to identify potential barriers and facilitators to this process. We used an observational cross-sectional design. The survey was conducted between September and December 2011, using an electronic questionnaire distributed through email. We obtained a 30% response rate from the 214 hospitals contacted, all belonging to the Spanish National Health Service. The level of adoption of electronic health records in Spanish hospitals was found to be high: 39.1% of hospitals surveyed had a comprehensive EHR system while a basic system was functioning in 32.8% of the cases. However, in 2011 one third of the hospitals did not have a basic electronic health record system, although some have since implemented electronic functionalities, particularly those related to clinical documentation and patient administration. Respondents cited the acquisition and implementation costs as the main barriers to implementation. Facilitators for EHR implementation were: the possibility to hire technical support, both during and post implementation; security certification warranty; and objective third-party evaluations of EHR products. In conclusion, the number of hospitals that have electronic health records is in general high, being relatively higher in medium-sized hospitals.
本研究的目的是描述西班牙医院电子健康记录的采用水平，并确定这一过程的潜在障碍和促进因素。我们采用了观察性横断面设计。调查于2011年9月至12月进行，通过电子邮件分发电子问卷。在联系的214家医院中，我们获得了30%的回复率，这些医院均属于西班牙国家卫生服务体系。结果发现，西班牙医院电子健康记录的采用水平较高：39.1%的受访医院拥有全面的电子健康记录系统，32.8%的医院运行着基本系统。然而，在2011年，三分之一的医院没有基本的电子健康记录系统，尽管其中一些医院后来实施了电子功能，特别是与临床文档和患者管理相关的功能。受访者认为购置和实施成本是实施的主要障碍。电子健康记录实施的促进因素包括：在实施期间和实施后都有可能聘请技术支持；安全认证保证；以及对电子健康记录产品进行客观的第三方评估。总之，拥有电子健康记录的医院数量总体较高，在中型医院中相对更高。
