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沙特阿拉伯利用医院信息系统进行医学研究:参与医院数据库管理系统的医疗保健和 IT 专业人员的混合方法探索。

Utilisation of hospital information systems for medical research in Saudi Arabia: A mixed-method exploration of the views of healthcare and IT professionals involved in hospital database management systems.

机构信息

La Trobe University, Australia.

King Abdulaziz University, Kingdom of Saudi Arabia.

出版信息

Health Inf Manag. 2020 May-Sep;49(2-3):117-126. doi: 10.1177/1833358319847120. Epub 2019 May 2.

DOI:10.1177/1833358319847120
PMID:31046465
Abstract

BACKGROUND

Although in recent times the Saudi government has paid much attention to the adaptation of hospital information systems (HIS) and electronic medical records (EMR), the importance of utilising HIS to enhance medical research has been neglected.

OBJECTIVE

We aimed to (i) investigate the current state of medical research in Saudi Arabia, (ii) identify possible issues that hinder improvement of medical research and (iii) identify possible solutions to enhance the role of HIS in medical research in Saudi Arabia.

METHOD

We used a questionnaire and structured interview approach. Questionnaires were distributed to Saudi healthcare professionals. One hundred responses to our questionnaire were captured by the online Google Form designed specifically for our survey. Structured interviews with two IT professionals were conducted regarding technical aspects of their hospital data management systems.

RESULTS

Six themes contributing to the inefficacy of HIS in medical research in Saudi Arabia emerged from the data: incorrect datasets, difficult data collection and storage, poor data analytics, a lack of system interoperability across different HIS for universal access and negative perception of the usefulness of HIS for medical research.

CONCLUSION AND IMPLICATIONS

Our findings suggest (i) cloud-based HIS would support efficient, reliable and integrated data collection and storage across all hospitals in Saudi Arabia; (ii) EMR data sources should be seamlessly linked to avoid incomplete, fragmented or erroneous EMR in Saudi Arabia; and (iii) collaboration between all hospitals in Saudi Arabia to adopt a uniform standard to support interoperability and improve data exchange and integration is necessary.

摘要

背景

尽管近年来沙特政府非常重视医院信息系统(HIS)和电子病历(EMR)的适应,但利用 HIS 来增强医学研究的重要性却被忽视了。

目的

我们旨在(i)调查沙特阿拉伯医学研究的现状,(ii)确定可能阻碍医学研究改进的问题,以及(iii)确定可能增强 HIS 在沙特阿拉伯医学研究中的作用的解决方案。

方法

我们使用了问卷调查和结构化访谈的方法。问卷分发给沙特医疗保健专业人员。我们专门设计的在线 Google 表单收到了 100 份对我们问卷的回复。对两名 IT 专业人员进行了结构化访谈,以了解他们医院数据管理系统的技术方面。

结果

从数据中得出了导致 HIS 在沙特阿拉伯医学研究中效率低下的六个主题:不正确的数据集、数据收集和存储困难、数据分析能力差、不同 HIS 之间缺乏系统互操作性以实现通用访问,以及对 HIS 用于医学研究的实用性的负面看法。

结论和意义

我们的研究结果表明,(i)基于云的 HIS 将支持沙特阿拉伯所有医院高效、可靠和集成的数据收集和存储;(ii)EMR 数据源应无缝链接,以避免沙特阿拉伯的 EMR 不完整、碎片化或错误;以及(iii)沙特阿拉伯所有医院之间的合作是必要的,以采用统一标准来支持互操作性,并改善数据交换和集成。

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