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从医生视角看健康信息系统实施与使用的障碍

Barriers for Implementation and Use of Health Information Systems from the Physicians' Perspectives.

作者信息

Malekzadeh Somayeh, Hashemi Nasim, Sheikhtaheri Abbas, Hashemi Niyoosha-Sadat

机构信息

Iranian Social Security Organization, Tehran, Iran.

Department of Health Information Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Stud Health Technol Inform. 2018;251:269-272.

Abstract

This study aimed to investigate barriers to the implementation and use of health information systems (HIS) in Iran by physician's view. This cross-sectional study was conducted in 2016 on 163 physicians employed in 10 teaching hospitals. Data collection was carried out through a questionnaire with questions about the technical, organizational, ethical and personal barrier categories. Data analysis demonstrated that technical (e.g. inadequate planning for implementation and use of HIS) (3.56±1.32), organizational (e.g. inadequate facilities for fast and easy access to the Internet) (3.67±1.91), personal (e.g. inadequate awareness of healthcare providers about the benefits of HIS) (3.33±1.28), as well as legal and ethical (e.g. concern about the security and confidentially of HIS) (3.15±1.31) were the most important barriers to the implementation and use of HIS. Reducing barriers, especially technical and personal ones will increase the implementation and use of HIS based on the physicians' perspectives.

摘要

本研究旨在从医生的角度调查伊朗卫生信息系统(HIS)实施和使用过程中的障碍。这项横断面研究于2016年对10家教学医院的163名医生进行。通过一份问卷收集数据,问卷涉及技术、组织、伦理和个人障碍类别等问题。数据分析表明,技术(例如对HIS实施和使用的规划不足)(3.56±1.32)、组织(例如缺乏快速便捷访问互联网的设施)(3.67±1.91)、个人(例如医疗服务提供者对HIS益处的认识不足)(3.33±1.28)以及法律和伦理(例如对HIS安全性和保密性的担忧)(3.15±1.31)是HIS实施和使用的最重要障碍。从医生的角度来看,减少障碍,尤其是技术和个人障碍,将增加HIS的实施和使用。

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