在电子病历系统中实施观察性医疗成果合作模式:使用因素分析和决策试验及评估实验室--最佳--最差方法的评估研究。

IF 3.1 3区 医学 Q2 MEDICAL INFORMATICS JMIR Medical Informatics Pub Date : 2024-09-27 DOI:10.2196/58498
Ming Luo, Yu Gu, Feilong Zhou, Shaohong Chen
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引用次数: 0

摘要

背景:电子病历系统(EMR)是医疗保健领域收集和存储病人医疗数据的重要工具。它们为医生和护理人员提供重要信息,有助于改进决策和病人护理。尽管其意义重大,但优化电子病历系统对提高医疗质量至关重要。实施观察性医疗结果伙伴关系(OMOP)共享数据模型是提高 EMR 性能和整体医疗结果的一种可行方法:本研究旨在评估在 EMR 系统中实施 OMOP 共享数据模型的效果,并评估其对提高医疗质量的影响:本研究采用三种不同的方法探讨医疗信息系统的各个方面。首先,利用因子分析来研究 EMR 系统与对 OMOP 的态度之间的相关性。其次,采用最佳-最差法(BWM)确定标准和次级标准的权重。最后,使用决策试验和评估实验室技术来说明已确定标准之间的相互作用和相互依存关系:在这项研究中,我们通过对 98 名用户和从业人员进行调查,评估了阿里健康 EMR 系统的有效性和用户满意度。研究显示,在所有组成部分中,"电子病历解析度 "的重要性最高,权重为 0.31007783,突出了其在评价中的重要作用。相反,"电子病历易用性 "的权重最低,为 0.1860467,这表明利益相关者在评估电子病历系统时,优先考虑的是分辨率而不是易用性:研究结果突出表明,利益相关者优先考虑电子病历系统的某些方面,其中 "电子病历分辨率 "是最受重视的组成部分。
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Implementation of the Observational Medical Outcomes Partnership Model in Electronic Medical Record Systems: Evaluation Study Using Factor Analysis and Decision-Making Trial and Evaluation Laboratory-Best-Worst Methods.

Background: Electronic medical record (EMR) systems are essential in health care for collecting and storing patient medical data. They provide critical information to doctors and caregivers, facilitating improved decision-making and patient care. Despite their significance, optimizing EMR systems is crucial for enhancing health care quality. Implementing the Observational Medical Outcomes Partnership (OMOP) shared data model represents a promising approach to improve EMR performance and overall health care outcomes.

Objective: This study aims to evaluate the effects of implementing the OMOP shared data model in EMR systems and to assess its impact on enhancing health care quality.

Methods: In this study, 3 distinct methodologies are used to explore various aspects of health care information systems. First, factor analysis is utilized to investigate the correlations between EMR systems and attitudes toward OMOP. Second, the best-worst method (BWM) is applied to determine the weights of criteria and subcriteria. Lastly, the decision-making trial and evaluation laboratory technique is used to illustrate the interactions and interdependencies among the identified criteria.

Results: In this research, we evaluated the AliHealth EMR system by surveying 98 users and practitioners to assess its effectiveness and user satisfaction. The study reveals that among all components, "EMR resolution" holds the highest importance with a weight of 0.31007783, highlighting its significant role in the evaluation. Conversely, "EMR ease of use" has the lowest weight of 0.1860467, indicating that stakeholders prioritize the resolution aspect over ease of use in their assessment of EMR systems.

Conclusions: The findings highlight that stakeholders prioritize certain aspects of EMR systems, with "EMR resolution" being the most valued component.

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来源期刊
JMIR Medical Informatics
JMIR Medical Informatics Medicine-Health Informatics
CiteScore
7.90
自引率
3.10%
发文量
173
审稿时长
12 weeks
期刊介绍: JMIR Medical Informatics (JMI, ISSN 2291-9694) is a top-rated, tier A journal which focuses on clinical informatics, big data in health and health care, decision support for health professionals, electronic health records, ehealth infrastructures and implementation. It has a focus on applied, translational research, with a broad readership including clinicians, CIOs, engineers, industry and health informatics professionals. Published by JMIR Publications, publisher of the Journal of Medical Internet Research (JMIR), the leading eHealth/mHealth journal (Impact Factor 2016: 5.175), JMIR Med Inform has a slightly different scope (emphasizing more on applications for clinicians and health professionals rather than consumers/citizens, which is the focus of JMIR), publishes even faster, and also allows papers which are more technical or more formative than what would be published in the Journal of Medical Internet Research.
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