Institute for Public Health and Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, United States.
Appl Clin Inform. 2021 Mar;12(2):399-406. doi: 10.1055/s-0041-1728770. Epub 2021 May 19.
After the outbreak of the coronavirus disease 2019 (COVID-19) pandemic, Chinese hospitals and health information technology (HIT) vendors collaborated to provide comprehensive information technology support for pandemic prevention and control. This study aims to describe the responses from the health information systems (HIS) to the COVID-19 pandemic and provide empirical evidence in the application of emerging health technologies in China.
This observational descriptive study utilized a nationally representative, cross-sectional survey of hospitals in China ( = 1,014) from 30 provincial administrative regions across the country. Participants include hospital managers, hospital information workers, and health care providers.
Among all the responses, the most popular interventions and applications include expert question-and-answer sessions and science popularization (61.74%) in online medical consultation, online appointment registration (58.97%) in online medical service, and remote consultation (75.15%) in telehealth service. A total of 63.71% of the participating hospitals expanded their fever clinics during the pandemic, 15.38% hospitals used new or upgraded mobile ward rounds systems, and 44.68% hospitals applied online self-service systems. Challenges and barriers include protecting network information security (57.00%) since some hospitals experienced cybersecurity incidents. 71.79% participants hope to shorten wait time and optimize the treatment process. Health care workers experienced increased amount of work during the pandemic, while hospital information departments did not experience significant changes in their workload.
In the process of fighting against the COVID-19, hospitals have widely used traditional and emerging novel HITs. These technologies have strengthened the capacity of prevention and control of the pandemic and provided comprehensive information technology support while also improving accessibility and efficiency of health care delivery.
2019 年冠状病毒病（COVID-19）大流行爆发后，中国医院和卫生信息技术（HIT）供应商合作，为疫情防控提供全面的信息技术支持。本研究旨在描述卫生信息系统（HIS）对 COVID-19 大流行的反应，并提供中国新兴卫生技术应用的经验证据。
本观察描述性研究利用全国代表性的横断面调查，对中国（n=1014）30 个省级行政区的医院进行调查。参与者包括医院管理人员、医院信息工作者和医疗保健提供者。
在所有的反应中，最受欢迎的干预措施和应用包括在线医疗咨询中的专家问答环节和科学普及（61.74%）、在线医疗服务中的在线预约挂号（58.97%）和远程医疗服务中的远程咨询（75.15%）。共有 63.71%的参与医院在疫情期间扩大了发热门诊，15.38%的医院使用了新的或升级的移动查房系统，44.68%的医院应用了在线自助服务系统。挑战和障碍包括保护网络信息安全（57.00%），因为一些医院遭遇了网络安全事件。71.79%的参与者希望缩短等待时间并优化治疗流程。疫情期间，医护人员的工作量增加，而医院信息部门的工作量没有明显变化。
在抗击 COVID-19 的过程中，医院广泛应用了传统和新兴的新型 HIT。这些技术增强了大流行防控能力，提供了全面的信息技术支持，同时提高了医疗服务的可及性和效率。
