Deimazar Ghasem, Kahouei Mehdi, Zamani Afsane, Ganji Zahra
M.Sc. of Medical Informatics, Lecturer, Department of Health Information Technology, Faculty of Paramedics, Semnan University of Medical Sciences, Semnan, Iran.
Ph.D. of Health Information Management, Associate Professor, Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran.
Electron Physician. 2018 Feb 25;10(2):6319-6326. doi: 10.19082/6319. eCollection 2018 Feb.
Physicians need to apply new technologies in ambulatory care. At present, with regard to the extended use of information technology in other departments in Iran it has yet to be considerably developed by physicians and clinical technicians in the health department.
To determine the rate of use of health information technology in the clinics of specialist- and subspecialist physicians in Semnan city, Iran.
This was a 2016 cross-sectional study conducted in physicians' offices of Semnan city in Iran. All physicians' offices in Semnan (130) were studied in this research. A researcher made and Likert-type questionnaire was designed, and consisted of two sections: the first section included demographic items and the second section consisted of four subscales (telemedicine, patient's safety, electronic patient record, and electronic communications). In order to determine the validity, the primary questionnaire was reviewed by one medical informatics- and two health information management experts from Semnan University of Medical Sciences. Utilizing the experts' suggestions, the questionnaire was rewritten and became more focused. Then the questionnaire was piloted on forty participants, randomly selected from different physicians' offices. Participants in the pilot study were excluded from the study. Cronbach's alpha was used to calculate the reliability of the instruments. Finally, SPSS version 16 was used to conduct descriptive and inferential statistics.
The minimum mean related to the physicians' use of E-mail services for the purpose of communicating with the patients, the physicians' use of computer-aided diagnostics to diagnose the patients' illnesses, and the level of the physicians' access to the electronic medical record of patients in the other treatment centers were 2.01, 3.58, and 1.43 respectively. The maximum mean score was related to the physicians' use of social networks to communicate with other physicians (3.64). The study showed that the physicians used less computerized systems in their clinic for the purpose of managing their patients' safety and there was a significant difference between the mean of the scores (p<0.001).
The results showed that the physicians used some aspects of health information technology for the reduction of medical risks and increase of the patient's safety, by collecting the medical data of patients and the rapid and apropos recovering of them for adaptation of clinical decisions.
医生需要在门诊护理中应用新技术。目前，在伊朗，关于信息技术在其他部门的广泛应用，卫生部门的医生和临床技术人员尚未对其进行充分开发。
确定伊朗塞姆南市专科和亚专科医生诊所中健康信息技术的使用比例。
这是一项2016年在伊朗塞姆南市医生办公室进行的横断面研究。本研究对塞姆南市所有130个医生办公室进行了调查。设计了一份由研究人员制作的李克特式问卷，问卷分为两个部分：第一部分包括人口统计学项目，第二部分由四个子量表组成（远程医疗、患者安全、电子病历和电子通信）。为了确定问卷的有效性，由塞姆南医科大学的一名医学信息学专家和两名健康信息管理专家对初始问卷进行了审核。根据专家的建议，对问卷进行了改写，使其重点更加突出。然后，从不同的医生办公室中随机选取40名参与者对问卷进行预测试。预测试的参与者被排除在本研究之外。使用克朗巴哈系数来计算工具的信度。最后，使用SPSS 16版进行描述性和推断性统计。
医生为与患者沟通而使用电子邮件服务、使用计算机辅助诊断来诊断患者疾病以及医生获取其他治疗中心患者电子病历的水平的最低平均分分别为2.01、3.58和1.43。最高平均分与医生使用社交网络与其他医生沟通有关（3.64）。研究表明，医生在诊所中较少使用计算机化系统来管理患者安全，得分均值之间存在显著差异（p<0.001）。
结果表明，医生通过收集患者的医疗数据并迅速且恰当地恢复这些数据以适应临床决策，利用健康信息技术的某些方面来降低医疗风险并提高患者安全性。
