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约旦医院中电子病历的使用:一项全国性调查。

The Use of Electronic Medical Records in Jordanian Hospitals: A Nationwide Survey.

作者信息

Tubaishat Ahmad, Al-Rawajfah Omar M

机构信息

Author Affiliations: Faculty of Nursing, Adult Health Nursing Department, Al al-Bayt University, Mafraq, Jordan (Dr Tubaishat); and Faculty of Nursing, Sultan Qaboos University, Muscat, Oman (Dr AL-Rawajfah).

出版信息

Comput Inform Nurs. 2017 Oct;35(10):538-545. doi: 10.1097/CIN.0000000000000343.

DOI:10.1097/CIN.0000000000000343
PMID:28976916
Abstract

No previous nationwide study has estimated to what extent electronic health records have been implemented in Jordanian hospitals. The purpose of this descriptive, cross-sectional study was to explore the level of adoption and use of electronic health records in Jordanian hospitals across all major healthcare service providers. The standardized American Hospital Association annual survey was used. The level of use of electronic functionalities of electronic health records was determined. The association of certain hospital characteristics with the adoption of electronic health records was examined. A proportion of 10.3% of the participating hospitals had a comprehensive use of electronic health records in all units, and 15.5% had a basic system in at least one unit. Most (74.2%, n = 72) had not implemented electronic health records. The hospitals with a higher rate of adoption were found to be larger, government, urban, and teaching hospitals that had coronary care units. The level of adoption of electronic health records in Jordan is relatively low. This fact should impel policy makers to resolve the challenges and obstacles for such adoption. National strategic plans are needed to address the goals and implementation processes of electronic health record systems in all Jordanian hospitals.

摘要

此前尚无全国性研究评估约旦医院实施电子健康记录的程度。这项描述性横断面研究的目的是探讨约旦各大医疗服务提供商旗下医院采用和使用电子健康记录的水平。研究使用了标准化的美国医院协会年度调查。确定了电子健康记录电子功能的使用水平。研究考察了某些医院特征与采用电子健康记录之间的关联。10.3%的参与医院在所有科室全面使用电子健康记录,15.5%的医院在至少一个科室设有基本系统。大多数医院(74.2%,n = 72)尚未实施电子健康记录。研究发现,采用率较高的医院规模更大,是设有冠心病监护病房的政府医院、城市医院和教学医院。约旦电子健康记录的采用水平相对较低。这一事实应促使政策制定者解决采用过程中的挑战和障碍。需要制定国家战略计划,以实现约旦所有医院电子健康记录系统的目标和实施过程。

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