Mazzoleni M C, Baiardi P, Giorgi I, Franchi G, Marconi R, Cortesi M
Medical Informatics Service, Salvatore Maugeri Foundation, IRCCS, Medical Center of Pavia, Italy.
Proc AMIA Annu Fall Symp. 1996:752-6.
The present study deals with the assessment of the subjective perception of the clinical core of the hospital information system (HIS) we are building. This HIS is not in use on a voluntary basis, but physicians and nurses use it for all the aspects of their inpatient care that have been informatized. Two questionnaires, aimed at the assessment of users perceived usefulness and ease of use of information technology, were utilized to: obtain feedback of the actual users' satisfaction as a predictive factor for the future life of the system, assess the real influence of the often-mentioned problems of age and unfamiliarity with computers of potential users, learn about the aspects which would enhance users' acceptance. The analysis of answers to the questionnaires has indicated a substantially positive perception of the system in terms of both usefulness and ease of use. This constitutes a good reason to keep on investing in the project. Even though this study has the intrinsic limit of the small dimension of the inquired population (53 users, equivalent to 98% of the personnel of the assessed clinical units), our data confirm the inconsistency of the relationship between perception of usefulness and age, and show "unfamiliarity with computers" as commonplace. On the other hand, it seems that the keystone for usefulness perception is the knowledge the users have of the system. An effort by the technical personnel in establishing a broader collaboration with the users, and in providing more exhaustive training and support may well be worthwhile.
本研究旨在评估我们正在构建的医院信息系统(HIS)临床核心部分的主观感受。该HIS并非自愿使用,而是医生和护士在其住院护理的所有信息化方面都要使用它。我们使用了两份旨在评估用户对信息技术的感知有用性和易用性的问卷,以:获取实际用户满意度的反馈,作为系统未来使用情况的预测因素;评估潜在用户中经常提到的年龄问题和对计算机不熟悉问题的实际影响;了解哪些方面可以提高用户的接受度。对问卷答案的分析表明,用户对该系统在有用性和易用性方面的感知基本是积极的。这构成了继续对该项目进行投资的充分理由。尽管本研究存在调查人群规模较小(53名用户,相当于被评估临床科室人员的98%)这一固有局限性,但我们的数据证实了有用性感知与年龄之间关系的不一致性,并表明“对计算机不熟悉”很常见。另一方面,似乎有用性感知的关键在于用户对系统的了解程度。技术人员努力与用户建立更广泛的合作,并提供更详尽的培训和支持可能是值得的。