基于生存分析法的医疗电子病历系统采纳与扩散研究
发布时间：2019-04-09 14:02
【摘要】：医疗电子病历系统作为中国医疗信息化建设的核心,关注其采纳与扩散机理,对推进医疗卫生信息化建设,以及实现有意义地使用具有重要的理论和实践意义。基于云南省222家医院信息化建设的调研数据,运用半参数生存分析法即Cox回归模型探讨医院采纳电子病历系统的影响因素及扩散机理。研究表明,教学状态、医院规模和建院时间均为有利因素,即这三个因素积极促进医院采纳电子病历系统;时间×规模为不利因素,即它对医院采纳电子病历系统有负向影响;地理位置在分层和删减样本的模型分析中均表现为不利因素;医院等级影响并不明显。
[Abstract]:As the core of China's medical information construction, the medical electronic medical record system is concerned with its adoption and diffusion mechanism, and it is of great theoretical and practical significance to promote the construction of medical and health information and to realize the meaningful use. Based on the investigation data of 222 hospital information construction in Yunnan Province, the influence factors and the diffusion mechanism of the hospital's electronic medical record system were discussed by means of semi-parametric survival analysis (Cox regression model). The research shows that the state of teaching, the scale of the hospital and the time of the establishment of the hospital are the favorable factors, that is, the three factors actively promote the hospital's adoption of the electronic medical record system, the time and scale are the unfavorable factors, that is, it has a negative effect on the hospital's adoption of the electronic medical record system; The geographical location is a negative factor in the model analysis of the stratified and deleted samples; the effect of the hospital level is not obvious.
【作者单位】： 昆明理工大学管理与经济学院;
【基金】：国家自然科学基金项目《基于示能性视角的信息系统有效使用研究:维度、影响因素和形成机制》(71461016);国家自然科学基金项目《信息系统采纳后影响用户行为的关键因素及作用机理研究》(71061009) 昆明理工大学管理与经济学院硕博生科研项目预研计划资助
【分类号】：O212.1;R197.323
，
本文编号：2455244
[Abstract]:As the core of China's medical information construction, the medical electronic medical record system is concerned with its adoption and diffusion mechanism, and it is of great theoretical and practical significance to promote the construction of medical and health information and to realize the meaningful use. Based on the investigation data of 222 hospital information construction in Yunnan Province, the influence factors and the diffusion mechanism of the hospital's electronic medical record system were discussed by means of semi-parametric survival analysis (Cox regression model). The research shows that the state of teaching, the scale of the hospital and the time of the establishment of the hospital are the favorable factors, that is, the three factors actively promote the hospital's adoption of the electronic medical record system, the time and scale are the unfavorable factors, that is, it has a negative effect on the hospital's adoption of the electronic medical record system; The geographical location is a negative factor in the model analysis of the stratified and deleted samples; the effect of the hospital level is not obvious.
【作者单位】： 昆明理工大学管理与经济学院;
【基金】：国家自然科学基金项目《基于示能性视角的信息系统有效使用研究:维度、影响因素和形成机制》(71461016);国家自然科学基金项目《信息系统采纳后影响用户行为的关键因素及作用机理研究》(71061009) 昆明理工大学管理与经济学院硕博生科研项目预研计划资助
【分类号】：O212.1;R197.323
，
本文编号：2455244
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