Department of Science, Research and Development, Austrian Association of Dietitians, Grüngasse 9, 1050 Vienna, Austria.
Centre for Intelligent Healthcare, Coventry University, Priory Street, Coventry CV1 5FB, UK.
Int J Environ Res Public Health. 2022 Feb 22;19(5):2491. doi: 10.3390/ijerph19052491.
Managing routinely collected data in health care and public health is important for evaluation of interventions and answering research questions using "real life" and "big data". In addition to the technical requirements of information systems, both standardized terminology and standardized processes are needed. The aim of this project was to analyse and assess the integration of standardized terminology and document templates for a dietetic care process (DCP) into the health information system (HIS) in a hospital in Austria. Using an action research approach, the DCP was analysed through four expert interviews and the integration into the HIS through two expert interviews with observations. Key strengths and weaknesses for the main criteria ("integration of the ICF catalogue", "adaption of the document templates", "adaption of the DCP", and the "adaption of the user authorizations") were presented and proposals for improvement given. The system and process integration of the DCP is possible, and the document templates can be adapted with the software currently in use. Although an increase in resources and finances required is to be expected initially, the integration of a standardized dietetic terminology in combination with a standardized process is likely to improve the quality of care and support outcomes management and research.
在医疗保健和公共卫生中管理常规收集的数据对于使用“真实生活”和“大数据”评估干预措施和回答研究问题非常重要。除了信息系统的技术要求外，还需要标准化术语和标准化流程。该项目的目的是分析和评估将饮食护理流程 (DCP) 的标准化术语和文档模板集成到奥地利一家医院的健康信息系统 (HIS) 中的情况。使用行动研究方法，通过四次专家访谈对 DCP 进行了分析，并通过两次带有观察的专家访谈对 HIS 进行了集成。提出了主要标准（“ICF 目录的集成”、“文档模板的适配”、“DCP 的适配”和“用户授权的适配”）的主要优势和劣势，并提出了改进建议。DCP 的系统和流程集成是可行的，并且可以使用当前使用的软件来适配文档模板。虽然最初预计会增加资源和财务投入，但结合标准化饮食术语和标准化流程的集成有望提高护理质量，并支持成果管理和研究。
