Tang P C, Jaworski M A, Fellencer C A, LaRosa M P, Lassa J M, Lipsey P, Marquardt W C
Northwestern Memorial Hospital, Chicago, Illinois, USA.
Proc Annu Symp Comput Appl Med Care. 1995:630-4.
Clinical information systems that provide physicians with relevant information at the time and place where decisions are being made can positively affect the quality and cost of health care. We have developed an assessment methodology to study clinicians' information needs in the context of the work flow and operational constraints of the ambulatory care practice environment. We employed a combination of methods, including observational studies, process flowcharting, semi-structured interviews, and surveys to comprehensively define clinicians' needs. Results from our study point to functional requirements not commonly found in hospital-based systems, such as access to problem lists and medications, computer-based support for health-care team communications, and patient-specific instructions and education.
能够在医生做出决策的时间和地点为其提供相关信息的临床信息系统，可对医疗保健的质量和成本产生积极影响。我们开发了一种评估方法，以在门诊护理实践环境的工作流程和操作限制背景下研究临床医生的信息需求。我们采用了多种方法相结合，包括观察性研究、流程绘制、半结构化访谈和调查，以全面界定临床医生的需求。我们的研究结果指出了基于医院的系统中不常见的功能需求，例如访问问题列表和药物信息、基于计算机的医疗团队沟通支持以及针对患者的指导和教育。
