Lamer Antoine, Demay Anaïs, Marcilly Romaric
Department of Public Health; EA 2694; Univ. Lille; CHU Lille; F-59000 Lille, France.
CIC-IT 1403 INSERM; EA 2694; Univ. Lille; CHU Lille; F-59000 Lille, France.
Stud Health Technol Inform. 2018;255:102-106.
Due to high volumes of data routinely recorded through Hospital Information System, data reuse has become important in recent years. A data warehouse was developed in the Lille University Hospital to reuse anesthesia data. At the moment, it is mainly used for clinical research, by offering extraction of data tables to answer a clinical question. In this article, we try to identify other contexts of data reuse than the one currently provided by the data warehouse, in comparison with those in the literature.
A semi-structured interview grid was designed so that to tackle respondents' experience with clinical data reuse, the various contexts in which the data are reused along with the information systems they currently use to proceed and the difficulties they encounter. A semi-inductive thematic analysis process was performed to identify meaningful semantic units and grouped them into thematic categories.
Ten anesthetists were interviewed; three main contexts emerge: research and knowledge discovery, evaluation of professional practices and organizational management. Data are accessed through complicated administrative procedures and clinicians have to perform tasks beyond their competencies.
Difficulties encountered when searching for data express the need for easy and continuous access to data.
由于通过医院信息系统常规记录的数据量很大，数据再利用近年来变得很重要。里尔大学医院开发了一个数据仓库来再利用麻醉数据。目前，它主要用于临床研究，通过提供数据表提取来回答临床问题。在本文中，与文献中的情况相比，我们试图确定数据仓库目前提供的情况之外的数据再利用的其他背景。
设计了一个半结构化访谈提纲，以探讨受访者在临床数据再利用方面的经验、数据再利用的各种背景、他们目前用于进行再利用的信息系统以及他们遇到的困难。进行了一个半归纳主题分析过程，以识别有意义的语义单元并将它们分组为主题类别。
采访了10位麻醉师；出现了三个主要背景：研究与知识发现、专业实践评估和组织管理。通过复杂的行政程序获取数据，临床医生必须执行超出其能力范围的任务。
在搜索数据时遇到的困难表明需要方便且持续地获取数据。
