van der Loo R P, van Gennip E M, Bakker A R, Hasman A, Rutten E F
BAZIS, Central Development and Support Group Hospital Information Systems, Leiden, The Netherlands.
Medinfo. 1995;8 Pt 2:1081-5.
The results of a literature search show that most of the evaluation studies of automated information systems are dealing with structure measures. Only 15 of 91 studies investigated effects on the outcome of the care process. Probably one of the reasons for this lack of investigated "outcome" measures is the fact that many of the evaluated systems were not in routine use at the moment of evaluation. It is, however, possible to obtain indicators of outcome measures by investigating the relationship between process measures and outcome measures. In the context of many developments, such as the trend of increasing attention to the evaluation of outcomes of the care process and the increasing costs of health care, the effect of automated information systems on the outcome of the health care process becomes more and more important. In the attempts to develop guidelines for the evaluation of automated information systems, it is therefore important to pay attention to the relationship between process and outcome.
文献检索结果表明，大多数自动化信息系统评估研究都在处理结构指标。91项研究中只有15项调查了对护理过程结果的影响。缺乏对“结果”指标进行调查的原因之一可能是，许多被评估系统在评估时并未投入常规使用。然而，通过研究过程指标与结果指标之间的关系，可以获得结果指标。在许多发展背景下，如对护理过程结果评估的关注度不断提高以及医疗保健成本不断增加的趋势，自动化信息系统对医疗保健过程结果的影响变得越来越重要。因此，在尝试制定自动化信息系统评估指南时，关注过程与结果之间的关系很重要。
