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电子病历在提高医疗服务质量中的作用:对比研究。

The role of electronic medical records in improving the quality of health care services: Comparative study.

机构信息

King Hussein Cancer Center, Quality and Patient Safety, Department of Nursing, Jordan.

King Hussein Cancer Center, Nursing Research Unit, Jordan and Harvard Medical School, United States.

出版信息

Int J Med Inform. 2019 Jul;127:63-67. doi: 10.1016/j.ijmedinf.2019.04.014. Epub 2019 Apr 19.

Abstract

PURPOSE

The purpose of this study is to identify the quality of health care services' differences between adopted Electronic Medical Record (EMR) and paper-based record hospitals. Moreover, to identify how the quality of electronic medical records affect the quality of health care services.

METHODS

A cross-sectional, descriptive, and comparative design was utilized between two groups in this study. The study was conducted in two public hospitals in Jordan. One hospital which had adopted the EMR system in their works and another hospital that had paper-based record. A convenience sampling technique was used to select 410 health professionals from the selected hospitals (205 participants from each hospital). SERVQUAL and E-S-QUAL questionnaires were adopted to collect the data about the quality of EMR and quality of health care service. Statistical Package for the Social Sciences (SPSS) Version 21 was deployed to analyze the collected data.

RESULT

The results indicate that the quality of health care services (expectation and perception) in EMRs adopted hospital is higher than the quality of health care services in the hospital using paper-based record. Quality of EMRs and its domains (efficiency, availability, fulfilment, and privacy) are high in both perception and expectation of health care professionals in EMR-adopted hospitals. Moreover, there is a significant relationship between the whole perception of the quality of electronic medical records and the quality of services, and between each domain of quality of EMRs and total perception of quality of services.

CONCLUSION

Adoption of a high quality of EMR has a significant impact on improving the quality of health care services.

摘要

目的

本研究旨在识别采用电子病历(EMR)和纸质病历的医院之间医疗服务质量的差异。此外,确定电子病历的质量如何影响医疗服务的质量。

方法

本研究采用了横断面、描述性和比较设计,在两组之间进行。研究在约旦的两家公立医院进行。一家医院在其工作中采用了 EMR 系统,另一家医院则采用了纸质记录。采用便利抽样技术从选定的医院中选择了 410 名卫生专业人员(每家医院 205 名参与者)。采用 SERVQUAL 和 E-S-QUAL 问卷收集有关 EMR 质量和医疗服务质量的数据。使用统计软件包 for the Social Sciences (SPSS) Version 21 分析收集的数据。

结果

结果表明,采用 EMR 的医院的医疗服务质量(期望和感知)高于使用纸质记录的医院。在采用 EMR 的医院中,卫生专业人员对 EMR 质量及其各个领域(效率、可用性、履行和隐私)的感知和期望都很高。此外,电子病历质量的整体感知与服务质量之间,以及 EMR 质量的各个领域与服务质量的整体感知之间存在显著关系。

结论

采用高质量的 EMR 对提高医疗服务质量有重大影响。

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