基于EHR探讨大学生健康档案管理模式

运用EHR(电子健康档案管理系统),能使大学生的健康数据信息化、系统化。该模式在健康档案管理中的应用,能使大学生的身心健康得到更加全面的监督,为校内健康环境的改善及大学生健康水平的提高打下基础。     

城市管理问题预警分析及模型构建研究

电子健康档案对缓解“看病难、看病贵”的重要意义,激发了全国多个城市进行电子健康档案实践,而理论 尤其是管理优化理论研究的缺乏加大了投入巨大的电子档案的实施风险。明确目标,将目标分解到有关主体和行动,再 具体分析行为和目标之间的桥梁和障碍,并削弱或者消除障碍,可以最大化电子健康档案的效用成本比。为此,夯实基 础、动态推进以及积极引导是电子健康档案实施管理中的关键,也是值得进一步深入研究的系统工程。     

从中美电子病历标准的比较看中国电子病历标准的发展和完善

标准化的电子病历是现代医疗机构所必需的重要临床信息资源,也是居民健康档案的主要信息来源。本文在借鉴美国电子病历标准基础上,对中美电子病历标准化的发展历史、现状和内容等进行分析比较,找出我国电子病历标准化存在的问题和解决方案,使我国的电子病历标准建设走向更加健康和规范的道路。     

Information quality life cycle in secondary use of EHR data

The paper argues that existing research on information quality (IQ) mainly focuses on the primary use of electronic health record (EHR) data, whereas IQ in secondary use of EHR data needs further deliberation. The current view of IQ in a healthcare context is static. It assumes that once the EHR system generates the information product, individual users may act on the information based on their subjective perception of its quality. However, this view ignores the complexities of secondary use of EHR data, in which users are actively involved in (re)generating and communicating the information product. Thus, IQ does not remain static but keeps on transforming through active engagement and interpersonal communication. To contribute to this debate, we conducted a qualitative case study in a Norwegian healthcare context by employing an IQ life cycle model. In conclusion, we enhanced the existing IQ model by (1) adding interpersonal communication, (2) showing the interrelations of the IQ dimensions, and (3) integrating the mechanisms of the transformation process for IQ in secondary use of EHR data. In doing so, we unfold the dynamics of IQ in the secondary use of EHR data.     

An integrated holistic model for an eHealth system: A national implementation approach and a new cloud-based security model

Although its structure and strategies are rapidly evolving, the impact of the eHealth on the healthcare services is evident. Implementing eHealth systems on a national level can drastically enhance the health practices and services provided to the patients and community. Hence, the engineering of a new model and a holistic framework for eHealth systems becomes a necessity in order to have an effective implementation of these systems. The vast and rapid development in computers, communication, and Internet technologies has significantly affected the contemporary health systems. However, the complexity of the healthcare environment, the abundance of information, the compatibility and the lack of unified eHealth framework creates real challenges to present efficient and attractive eHealth model that encompasses all these elements. Furthermore, the security of the health records and the secure access to the information add a new dimension of complexity. This work presents a new model and an integrated framework for an efficient implementation of eHealth systems at the national level. The proposed model and framework successfully incorporate all the success factors of efficient eHealth system along with a new security model to access the health records.     

Investigating factors influencing the physicians’ adoption of electronic health record (EHR) in healthcare system of Bangladesh: An empirical study

Electronic Health Record (EHR) can promote awareness or knowledge about healthcare among patients and healthcare professionals to improve collaboration between different governmental bodies, and enhance healthcare quality. The aim of the study is to identify the critical farctors affecting the physicians’ adoption of EHR in healthcare system of Bangladesh by extending the Unified Theory of Acceptance and Use of Technology (UTAUT) to include Personal Innovativeness in Information Technology and Resistance to Change. A cross-sectional survey questionnaire was used to collect data from 300 participants in different private and public hospitals in Dhaka, the capital city of Bangladesh. The study used partial least square (PLS) method, a statistical analysis technique based on the structural equation modeling (SEM), to analyze the collected data. The results of the study determined that Social Influence (β = 0.19, P < 0.05), Facilitating Conditions (β = 0.19, P < 0.05), and Personal Innovativeness in Information Technology (β = 0.19, P < 0.05) had a significant influence on physicians’ Behavioral Intention to adopt the EHR system, whereas Performance Expectancy (β = 0.08, P > 0.05), Effort Expectancy (β = -0.02, P > 0.05), and Resistance to Change (β = 0.03, P > 0.05) had no significant influence. The findings suggest that policymakers should increase the adoption of the EHR system by developing social strategies to encourage physicians to stimulate each other to use the EHR system and ensuring technical sufficiency, training to facilitate the use of the EHR system. In addition, the policymakers should identify physicians who possess a propensity to experiment with new information technologies as well as reduce existing challenges and barriers such as computers crush, poor infrastructure with erratic power supply etc. Moreover, we identify future research areas that provide scholars opportunities to push theoretical and empirical boundaries and offer further insights into the study of the EHR system.     

浅论高校人力资源管理的信息化建设

人力资源管理信息化是高校信息化的重要组成部分,是信息技术飞速发展下形成的资源管理模式.本文在传统人力资源管理弊端阐述及人力资源管理信息化的优越性和信息化建设思路分析的基础上,对EHR环境下的高校人力资源管理信息化建设的必要性进行了研究与探讨.     

区域医疗数字资源整合模式研究

在现有区域医疗数字资源整合模式研究的基础上,提出加入区域医学信息学术资源,即"N+M"整合新模式。从医疗服务人员、医学院校科研人员、公共卫生工作人员、卫生监管人员、社区居民和图书情报机构等多个用户角度阐述新模式研究的必要性,并从区域数据库和因特网医学资源两方面论证新模式的可行性。最后从整合资源、整合技术、整合界面三个方面提出新模式的具体整合方案,以促进区域医疗数字资源整合模式研究的进一步发展。