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沙特阿拉伯医学生获取病历的经历:一项描述性研究。

Medical students' experience with accessing medical records in Saudi Arabia: a descriptive study.

作者信息

Almulhem Jwaher A

机构信息

Medical Informatics and E-learning Unit, Medical Education Department, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia.

出版信息

BMC Med Educ. 2021 May 12;21(1):272. doi: 10.1186/s12909-021-02715-7.

Abstract

BACKGROUND

Medical students can enhance their knowledge by accessing patients' medical records and documenting patient care. This study assessed medical students' access to paper medical records and electronic health records (EHRs) in Saudi Arabia and compared students' experience of accessing paper medical records and EHR from their perspective.

METHODS

This cross-sectional study enrolled second-year to intern medical students randomly from different medical colleges in Saudi Arabia. A self-developed survey was administered to them. It comprised 28 items in three sections: general information about medical students and their level of accessing medical records, their experience with the medical record system used in hospitals, and their preference for the medical record type.

RESULTS

62.8% of participants had access to medical records, with 66.1% of them having access to EHRs and 83.27% had read-only access. The EHR group and paper group mostly liked being able to reach medical records effortlessly (70.1% and 67.1%, respectively). The EHR group had a better experience compared to the paper group with U = 5200, Mean Rank = 122.73, P = .04. Students who trained in University - owned and National Guard hospitals had better experiences compared to students who trained in other hospitals with Mean Ranks =122.35, and 147.99, respectively.

CONCLUSION

Incorporating EHR access into the medical curriculum is essential for creating new educational opportunities that are not otherwise available to medical students.

摘要

背景

医学生可以通过查阅患者病历和记录患者护理情况来增加知识。本研究评估了沙特阿拉伯医学生对纸质病历和电子健康记录(EHR)的访问情况,并从学生的角度比较了他们访问纸质病历和EHR的体验。

方法

这项横断面研究从沙特阿拉伯不同医学院随机招募了二年级至实习医学生。对他们进行了一项自行开发的调查。该调查包括三个部分的28个项目:医学生的一般信息及其访问病历的水平、他们在医院使用的病历系统方面的经验以及他们对病历类型的偏好。

结果

62.8%的参与者可以访问病历,其中66.1%可以访问EHR,83.27%只有只读访问权限。EHR组和纸质病历组大多喜欢能够轻松获取病历(分别为70.1%和67.1%)。与纸质病历组相比,EHR组的体验更好,U = 5200,平均秩 = 122.73,P = 0.04。在大学附属医院和国民警卫队医院接受培训的学生比在其他医院接受培训的学生体验更好,平均秩分别为122.35和147.99。

结论

将EHR访问纳入医学课程对于创造医学生无法通过其他方式获得的新教育机会至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8ab/8117651/e81c3ca52198/12909_2021_2715_Fig1_HTML.jpg

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