Shahmoradi Leila, Darrudi Alireza, Arji Goli, Farzaneh Nejad Ahmadreza
Department of Health Information Management, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran.
Department of Health Management and Economics, Students' Scientific Research Center, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Acta Med Iran. 2017 Oct;55(10):642-649.
Electronic Health Record (EHR) is one of the most important achievements of information technology in healthcare domain, and if deployed effectively, it can yield predominant results. The aim of this study was a SWOT (strengths, weaknesses, opportunities, and threats) analysis in electronic health record implementation. This is a descriptive, analytical study conducted with the participation of a 90-member work force from Hospitals affiliated to Tehran University of Medical Sciences (TUMS). The data were collected by using a self-structured questionnaire and analyzed by SPSS software. Based on the results, the highest priority in strength analysis was related to timely and quick access to information. However, lack of hardware and infrastructures was the most important weakness. Having the potential to share information between different sectors and access to a variety of health statistics was the significant opportunity of EHR. Finally, the most substantial threats were the lack of strategic planning in the field of electronic health records together with physicians' and other clinical staff's resistance in the use of electronic health records. To facilitate successful adoption of electronic health record, some organizational, technical and resource elements contribute; moreover, the consideration of these factors is essential for HER implementation.
电子健康记录(EHR)是医疗保健领域信息技术最重要的成果之一,如果有效部署,它能产生显著成效。本研究的目的是对电子健康记录实施情况进行SWOT(优势、劣势、机会和威胁)分析。这是一项描述性分析研究,由来自德黑兰医科大学(TUMS)附属医院的90名工作人员参与。数据通过自行编制的问卷收集,并使用SPSS软件进行分析。结果显示,优势分析中最高优先级与及时快速获取信息有关。然而,硬件和基础设施的缺乏是最重要的劣势。电子健康记录的重大机会在于有潜力在不同部门之间共享信息并获取各种健康统计数据。最后,最主要的威胁是电子健康记录领域缺乏战略规划以及医生和其他临床工作人员对使用电子健康记录的抵触。为促进电子健康记录的成功采用,一些组织、技术和资源要素发挥着作用;此外,考虑这些因素对于电子健康记录的实施至关重要。