MSH - Medical School Hamburg.
Research Centre for Health and Social Informatics, Osnabrück University of Applied Sciences, Germany.
Stud Health Technol Inform. 2024 Aug 30;317:11-19. doi: 10.3233/SHTI240832.
In the context of the telematics infrastructure, new data usage regulations, and the growing potential of artificial intelligence, cloud computing plays a key role in driving the digitalization in the German hospital sector.
Against this background, the study aims to develop and validate a scale for assessing the cloud readiness of German hospitals. It uses the TPOM (Technology, People, Organization, Macro-Environment) framework to create a scoring system. A survey involving 110 Chief Information Officers (CIOs) from German hospitals was conducted, followed by an exploratory factor analysis and reliability testing to refine the items, resulting in a final set of 30 items.
The analysis confirmed the statistical robustness and identified key factors contributing to cloud readiness. These include IT security in the dimension "technology", collaborative research and acceptance for the need to make high quality data available in the dimension "people", scalability of IT resources in the dimension "organization", and legal aspects in the dimension "macroenvironment". The macroenvironment dimension emerged as particularly stable, highlighting the critical role of regulatory compliance in the healthcare sector.
The findings suggest a certain degree of cloud readiness among German hospitals, with potential for improvement in all four dimensions. Systemically, legal requirements and a challenging political environment are top concerns for CIOs, impacting their cloud readiness.
在远程信息处理基础设施、新的数据使用法规以及人工智能日益增长的潜力的背景下，云计算在推动德国医院的数字化方面发挥着关键作用。
在此背景下，本研究旨在开发和验证一种评估德国医院云计算准备情况的量表。它使用 TPOM（技术、人员、组织、宏观环境）框架创建评分系统。对德国医院的 110 位首席信息官（CIO）进行了一项调查，随后进行了探索性因素分析和可靠性测试，以精简项目，最终确定了 30 个项目。
分析结果证实了统计稳健性，并确定了有助于云计算准备的关键因素。这些因素包括“技术”维度中的 IT 安全、“人员”维度中的协作研究和接受高质量数据可用性的必要性、“组织”维度中的 IT 资源可扩展性，以及“宏观环境”维度中的法律方面。宏观环境维度表现出特别的稳定性，突出了监管合规在医疗保健领域的关键作用。
研究结果表明，德国医院在一定程度上具备云计算准备，但在所有四个维度上都有改进的空间。从系统的角度来看，法律要求和充满挑战的政治环境是 CIO 最关心的问题，这影响了他们的云计算准备情况。
