德国妇产科医院信息系统的现状：德国妇产科协会数字医学委员会的调查。
Current landscape of hospital information systems in gynecology and obstetrics in Germany: a survey of the commission Digital Medicine of the German Society for Gynecology and Obstetrics.
机构信息
Department of Obstetrics & Gynecology, Heidelberg University Hospital, Im Neuenheimer Feld 440, 69120, Heidelberg, Germany.
National Center for Tumor Diseases (NCT), German Cancer Research Center (DKFZ), Heidelberg, Germany.
出版信息
Arch Gynecol Obstet. 2023 Dec;308(6):1823-1830. doi: 10.1007/s00404-023-07223-1. Epub 2023 Sep 23.
PURPOSE
Hospital information systems (HIS) play a critical role in modern healthcare by facilitating the management and delivery of patient care services. We aimed to evaluate the current landscape of HIS in the specialty of gynecology and obstetrics in Germany.
METHODS
An anonymous questionnaire was distributed via the German Society of Gynecology and Obstetrics newsletter in December 2022. The questionnaire covered the domains baseline demographic information, satisfaction with daily use, satisfaction with implementation, and degree of digitization.
RESULTS
Ninety-one participants completed the survey. Median age was 34 years; 67.4% (60 of 89) were female, and 32.6% (29 of 89) were male. Of the survey participants, 47.7% (42 of 88) were residents, 26.1% (23 of 91) senior physicians, and 9.1% (8 of 88) medical directors. The degree of digitization of clinical documentation is mainly mixed digital and paper-based (64.0%, 57 of 89) while 16.9% (15 of 89) operate mainly paper-based. The current HIS has been in use on average for 9 years. The median number of different software systems used in daily routine is 4. About 33.7% (30 of 89) would likely or very likely recommend their current HIS to a colleague.
CONCLUSIONS
The current landscape of HIS in gynecology and obstetrics in Germany is characterized by a high heterogeneity of systems with low interoperability and long service life; thus, many healthcare professionals are not satisfied. There is both a need to enhance and an interest in modernizing the technological infrastructure to meet today's requirements for patient care.
目的
医院信息系统（HIS）在现代医疗保健中发挥着关键作用，有助于管理和提供患者护理服务。我们旨在评估德国妇科和产科专业中 HIS 的现状。
方法
2022 年 12 月，通过德国妇科和产科协会通讯以匿名问卷的形式进行调查。问卷涵盖了基本人口统计学信息、日常使用满意度、实施满意度和数字化程度等领域。
结果
91 名参与者完成了调查。中位数年龄为 34 岁；67.4%（89 人中的 60 人）为女性，32.6%（89 人中的 29 人）为男性。在调查参与者中，47.7%（88 人中的 42 人）为住院医师，26.1%（91 人中的 23 人）为高级医师，9.1%（88 人中的 8 人）为医疗主任。临床文档的数字化程度主要为混合数字化和纸质（64.0%，89 人中的 57 人），而 16.9%（89 人中的 15 人）主要采用纸质。目前的 HIS 的平均使用时间为 9 年。日常使用的不同软件系统数量中位数为 4 个。约 33.7%（89 人中的 30 人）可能或非常可能向同事推荐其当前的 HIS。
结论
德国妇科和产科 HIS 的现状特点是系统高度多样化，互操作性低，服务寿命长；因此，许多医疗保健专业人员对此并不满意。需要加强和有兴趣实现技术基础设施现代化，以满足当今患者护理的要求。
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