1 Department of Radiology and Medical Imaging, Tîrgu Mureş Emergency Clinical County Hospital , Tîrgu Mureş, Romania .
2 Department of Emergency Medicine, Albany Medical Center , Albany, New York.
Telemed J E Health. 2018 Apr;24(4):283-291. doi: 10.1089/tmj.2017.0037. Epub 2017 Aug 14.
Despite a recognized need for improved communications and logistics in high acuity situations, the integration of telemedicine services into the mainstream health services has been difficult. This study reports on the opinions of Romanian professional responders to mass casualty incidents and disasters regarding the use and requirements of specific electronic medical documentation solutions.
Doctors, nurses, paramedics, and fire department officers participated in a customized online structured questionnaire. To assess factors associated with the current use of information technology and the willingness to adopt an exclusive optimized electronic system, a multivariate analysis was performed. Logistic regression was used for free input key elements regarding the most useful technical and operative improvements and medical documentation solutions for large-scale events.
A total of 536 respondents provided answers between the second half of the year 2014 and the first half of the year 2015. Doctors and nurses were the most frequent users of documentation techniques, especially if they were employed at a high-level emergency care center. Professionals' duties were perceived as increasingly impaired by the use of current electronic systems as those duties became more complex. All respondents favored an optimized large-scale event electronic solution, emphasizing the need for enhanced communications, technical equipment, cooperation, and workflow mainly by integrating mobile devices, dedicated software, remote databases, and interlink capabilities.
Professionals support the implementation of an integrated electronic system for large-scale events if outlined requirements are met to maximize user acceptance.
尽管在高复杂度情况下需要改善沟通和物流，但将远程医疗服务整合到主流卫生服务中一直存在困难。本研究报告了罗马尼亚专业人员对大规模伤亡事件和灾难的意见，以及他们对特定电子医疗文档解决方案的使用和需求。
医生、护士、护理人员和消防部门人员参与了定制的在线结构化问卷。为了评估与信息技术当前使用相关的因素以及采用专用优化电子系统的意愿，进行了多变量分析。使用逻辑回归对大规模事件中最有用的技术和操作改进以及医疗文档解决方案的关键要素进行了自由输入。
2014 年下半年至 2015 年上半年期间，共有 536 名受访者提供了答案。医生和护士是文档技术最常用的用户，尤其是在高级紧急护理中心工作的人员。随着工作职责变得更加复杂，专业人员认为当前电子系统的使用越来越损害了他们的工作职责。所有受访者都赞成优化的大规模事件电子解决方案，强调需要增强沟通、技术设备、合作和工作流程，主要是通过集成移动设备、专用软件、远程数据库和互链接功能。
如果满足用户要求以实现最大程度的用户接受，专业人员支持实施用于大规模事件的集成电子系统。
