Gonzales J, Cohen M B
Department of Pathology, School of Medicine, University of California, San Francisco 94143.
Arch Pathol Lab Med. 1988 Dec;112(12):1192-4.
The anatomic pathology services of 434 health care institutions in California were surveyed about their use of computers. Of 200 (46%) respondents, 106 (53%) did not use computers at all. Of 94 (47%) respondents who used computers, 77 (82%) used them for administrative purposes; 74 (79%), for any routine processing of surgical specimens; 43 (45%), for processing surgical specimens other than word processing (eg, database); 52 (55%), for processing cytology specimens; and 60 (63%), for processing autopsy specimens (including word processing). Computer use was slightly greater with higher work loads. Among nonusers, on a scale of 1 to 5 the average interest in using computers was 3.5 for surgical pathology data, 3.4 for cytology data, and 2.8 for autopsy data. The interest rate also increased with work load, and was nearly 4 for laboratories with greater than 4000 surgical or cytology cases per year. The average interest in controlling and/or making decisions about computer hardware and software was 3.9 for hardware and 4 for software. Reasons for low computer use in anatomic pathology despite interest in utilization are discussed, including the limited selection of affordable commercial software for anatomic pathology and difficulties of in-house software development.
对加利福尼亚州434家医疗机构的解剖病理学服务部门使用计算机的情况进行了调查。在200名（46%）受访者中，106名（53%）根本不使用计算机。在94名（47%）使用计算机的受访者中，77名（82%）将其用于行政目的；74名（79%）用于手术标本的任何常规处理；43名（45%）用于手术标本的处理（不包括文字处理，如数据库）；52名（55%）用于细胞学标本的处理；60名（63%）用于尸检标本的处理（包括文字处理）。工作量越大，计算机的使用频率略高。在未使用者中，在1至5的量表上，对使用计算机处理手术病理数据的平均兴趣为3.5，对细胞学数据为3.4，对尸检数据为2.8。兴趣率也随工作量增加，对于每年手术或细胞学病例超过4000例的实验室，兴趣率接近4。对计算机硬件和软件进行控制和/或决策的平均兴趣，对硬件为3.9，对软件为4。讨论了尽管对使用计算机有兴趣，但解剖病理学中计算机使用量低的原因，包括适用于解剖病理学的经济实惠的商业软件选择有限以及内部软件开发的困难。
