中医师对电子健康记录互通系统(eHRSS)中医药信息共享的接受度:一项混合方法研究

IF 3.4 3区 医学 Q1 HEALTH POLICY & SERVICES
Junjie Huang , Sze Chai Chan , Fung Yu Mak , Yuet Yan Wong , Corey Lam , Kam Fung Chung , Luva Lui , Clement SK Cheung , Wing Nam Wong , Ngai Tseung Cheung , Martin CS Wong
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引用次数: 0

摘要

背景及目的 電子健康記錄互通系統的第二階段發展旨在擴闊可互通資料的範圍,並提升中醫 藥資訊互通的技術能力。本研究旨在評估中醫採用電子健康記錄互通的程度、認知到的困難及其對中醫服務的影響。通过多元逻辑回归模型进行描述性分析,包括年龄、性别、社会经济地位和既往病史。此外,研究人员还对 "中医药通 "用户和向 "电子健康记录系统 "上传中医药信息的医疗保健提供者(HCP)进行了深入访谈。大多数受访者年龄在 31-40 岁之间(133 人,占 31.7%),在私人诊所执业(311 人,占 74.0%)。同意扩大共享范围对各利益相关方有帮助的受访者对加入电子健康记录系统感兴趣的可能性是其他受访者的五倍(aOR = 5.01, 95 % CI = 2.73-9.20, p <0.001)。研究 2 发现,电子病历系统允许中医分享和记录医疗数据,并查阅患者的西医病历,但应考虑到中西医医疗系统的不一致性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Acceptability of Chinese Medicine Information Sharing in electronic Health Record Sharing System (eHRSS) in Chinese medicine practitioners: A mixed-method study

Background and objectives The Stage Two Development of eHRSS aimed to broaden the scope of sharable data and advance technical capability for sharing of Chinese Medicine (CM) information. This study aims to evaluate the adoption level and perceived difficulties of Chinese medicine practitioners (CMPs) towards EC Connect, and its impact on CM services.

Methods All registered or listed CMPs were recruited in study 1. Descriptive analysis included age, gender, socioeconomic status, and past medical history was performed with multiple logistic regression models. In-depth interviews were conducted among EC Connect Users and Healthcare Providers (HCP) who upload information of Chinese Medicine to eHRSS.

Results A total of 420 participants were included in this study. The majority of the respondents were in the 31–40 years age group (N = 133, 31.7 %) and practicing in private clinic (N = 311, 74.0 %). Respondents whom agreed that the expansion of sharing scope would be helpful to various stakeholders were 5 times more likely to be interested in joining eHRSS (aOR = 5.01, 95 % CI = 2.73–9.20, p < 0.001). Study 2 found that eHRSS allowed CMPs to share and record medical data, and to access patients’ western medical records while inconsistency of medical systems between Western and Chinese medicine should be considered.

Conclusions We found that accessing and sharing medical records was important to CMPs. eHRSS helped to facilitate more accurate association between Western and Chinese medical doctors, while more efforts were needed to increase the acknowledgement among the general public.

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来源期刊
Health Policy and Technology
Health Policy and Technology Medicine-Health Policy
CiteScore
9.20
自引率
3.30%
发文量
78
审稿时长
88 days
期刊介绍: Health Policy and Technology (HPT), is the official journal of the Fellowship of Postgraduate Medicine (FPM), a cross-disciplinary journal, which focuses on past, present and future health policy and the role of technology in clinical and non-clinical national and international health environments. HPT provides a further excellent way for the FPM to continue to make important national and international contributions to development of policy and practice within medicine and related disciplines. The aim of HPT is to publish relevant, timely and accessible articles and commentaries to support policy-makers, health professionals, health technology providers, patient groups and academia interested in health policy and technology. Topics covered by HPT will include: - Health technology, including drug discovery, diagnostics, medicines, devices, therapeutic delivery and eHealth systems - Cross-national comparisons on health policy using evidence-based approaches - National studies on health policy to determine the outcomes of technology-driven initiatives - Cross-border eHealth including health tourism - The digital divide in mobility, access and affordability of healthcare - Health technology assessment (HTA) methods and tools for evaluating the effectiveness of clinical and non-clinical health technologies - Health and eHealth indicators and benchmarks (measure/metrics) for understanding the adoption and diffusion of health technologies - Health and eHealth models and frameworks to support policy-makers and other stakeholders in decision-making - Stakeholder engagement with health technologies (clinical and patient/citizen buy-in) - Regulation and health economics
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