Salma F. Elharish, I. Denna, Abdelsalam M. Maatuk, Ebitisam K. Elberkawi
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引用次数: 12
摘要
电子健康档案(Electronic Health Records, EHRs)是健康信息学的众多扩展之一。它是一个计算机系统,用于收集、存储和显示患者信息。虽然有很多好处,但也有很多障碍影响着这些系统的实施。这些障碍可以是技术上的、财务上的、组织上的、个人的,甚至是法律上的。本研究旨在确定与在综合诊所实施电子健康档案相关的重要障碍,并测量医护人员对该系统的认知及其知识。本研究采用自行编制的修正问卷对100名被试进行调查。问卷由三部分组成:第(A)部分涉及人口统计数据,第(B)部分涉及知识/态度和候选人对电子健康档案的看法,而第(C)部分侧重于电子健康档案的实际实施,例如志愿者对实施该系统的好处和关注点的看法。参与研究的医护人员有不同的意见、观点和看法。然而,所有参与者对延迟利比亚实施电子病历系统的因素达成了普遍共识。结果显示,采用电子病历的成本高,缺乏使用计算机的经验,使用电子病历系统的安全问题,抵制改变和采用新技术是实施和采用电子病历的重大障碍。
Application of Electronic Health Records in Polyclinics: Barriers & Benefits
Electronic Health Records (EHRs) is one of many enlargements in health informatics. It is a computerized system to collect, store, and display patient information. Although with the many benefits, many barriers affect the implementation of these systems. Such barriers can be technical, financial, organizational, individual, or even legal. This study aims to identify the important barriers associated with the implementation of EHR in polyclinics and to measure the perception of healthcare staff and their knowledge about this system. A self-prepared modified questionnaire and 100 participants were involved in this study. The questionnaire was composed of three sections: section (A) was concerned with demographic data, Section (B) was related to the knowledge/attitude and the candidates' perception towards EHR, and whereas Section (C) was focused on the practical implementation of the e-health record such as what volunteer's perception about the benefits and concerns of the implementation of the system. There were different opinions, views, and perceptions among the health care staff who participated in the study. However, there is a general agreement among all participants to the factors that delay the implementation of the EHRs system in Libya. The results show a high cost of adopting EHRs, lack of experience with the use of computers, security concerns regarding the use of EHR systems, resistance to change and adopt new technology to be significant barriers when it comes to EHRs implementation and adoption.