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财务资源对沙特阿拉伯初级保健中心实施大规模电子健康记录的影响:混合方法。

The impact financial resources on implementation of large-scale electronic health records in the Saudi Arabia's primary healthcare centers: Mixed methods.

机构信息

Department of Health Informatics, College of Public Health and Health Informatics, Qassim University, Albukayriyah, Saudi Arabia.

Department of Health Administration, College of Public Health and Health Informatics, Qassim University, Albukayriyah, Saudi Arabia.

出版信息

Front Public Health. 2022 Dec 12;10:1037675. doi: 10.3389/fpubh.2022.1037675. eCollection 2022.

Abstract

INTRODUCTION

There is worldwide demand for the implementation of electronic health systems and a transformation to electronic transactions in healthcare organizations. This move to e-health transformation stems from the perceived positive impact that e-health systems have in improving the quality of healthcare and, in turn, reducing expenses. Despite this, more than half of previous Electronic Health Record System (EHRS) implementation projects have failed due to several barriers and challenges such as cost.

AIM OF THE STUDY

To evaluate the impact of financial resources (FR) on the implementation of the EHRS in PHCs in SA.

METHODS

A mixed methods approach was implemented. SPSS and AMOS-SEM are used to test reliability and validity and hypotheses. Thirty-one (59%) out of 51 policy makers at the MoH filled and returned the questionnaire while 13 policymakers were interviewed using semi-structure interviews.

RESULTS

Results revealed that both measurement model and structural models met the threshold. All scales are found reliable and valid. Furthermore financial resources have positive impact on EHRS implementation. Findings from both studies show that financial resources have a very positive impact to facilitate large-scale EHRs implementation and overcome barriers that may lead to the failure of the project.

摘要

简介

在全球范围内,人们都希望在医疗保健机构中实施电子健康系统并实现电子交易。这种向电子健康转型的举措源于人们认为电子健康系统在提高医疗质量方面具有积极影响,并能相应地降低成本。尽管如此,由于成本等多种障碍和挑战,超过一半的先前电子健康记录系统 (EHRS) 实施项目都以失败告终。

研究目的

评估财务资源 (FR) 对南非初级卫生保健中心 (PHC) 中 EHRS 实施的影响。

研究方法

采用混合方法进行研究。使用 SPSS 和 AMOS-SEM 来检验可靠性和有效性假设。在卫生部的 51 位决策者中,有 31 位(59%)填写并返回了问卷,而另外 13 位决策者则通过半结构化访谈接受了采访。

研究结果

结果表明,度量模型和结构模型都符合标准。所有的量表都具有可靠性和有效性。此外,财务资源对 EHRS 的实施有积极影响。两项研究的结果均表明,财务资源对于促进大规模的电子病历系统实施和克服可能导致项目失败的障碍具有非常积极的作用。

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