台灣病歷管理從業人員對實施電子病歷之態度調查

An Attitude Review of Medical Record Management Professionals toward the Change-over to Electronic System in Taiwan

范碧玉(Bih-Yuh Fan) ； 劉珠嬋(Chu-Chan Liu) ； 周文鈺(Wen-Yu Chou) ； 劉怡伶(I-Ling Liu)

《病歷資訊管理》 9卷1期 (2009/09) Pp. 44-55

https://doi.org/10.29741/JMHIM.200909.0004

摘要

近年來國外各醫療機構都積極規劃電子病歷，我國行政院衛生署及各醫療院所也積極推動電子病歷，除了有效運用電子資訊科技，且可以節省人力、資源和空間。爲瞭解在這個轉變過程中，台灣病歷管理從業人員對於實施電子病歷之看法及因應，台灣病歷資訊管理學會於2007年年會時，針對998位會員進行問卷調查，回收率62.1%。調查結果顯示面對電子病歷的來臨，超過半數(58.2%)會員感到惶恐（含非常惶恐），甚至有24.2%擔心電子病歷實施會導致自己失業。而任職於三個不同層級的醫學中心、地區醫院及區域醫院者，則分別有39.5%、28.0%、24.8%會擔心電子病歷實施後會致使其失業，三者在統計上達顯著差異。面臨即將實施的電子病歷，超過半數以上病歷管理人員已開始預做準俑，其中以「學習電腦統計分析相關知識與技能」(64.8%)居多，其次依序爲「研習電腦相關知識與技術」(57.6%)、「學習第二專長」(55.0%)、「研習醫療相關課程」(52.4%)，可見多數病歷管理從業人員巳才是平進行相關因應，並培養相關專長。

關鍵字

電子病歷 ； 病歷管理 ； 病歷資訊管理 ； 健康資訊

並列摘要

In recent years, almost all healthcare institutions worldwide planned and adopted enthusiastically electronic medical record systems of their own. Our Department of Health of the Executive Yuan and all medical organizations, big and small, under its jurisdiction were no exception. The objectives of such jealous endeavor of taking advantage of modern electronic information techno logy were not only to enhance the efficiency and effectiveness of the age-old medical record system, but also to save manpower, resources and space.
In order to understand the points of view and responses of medical record management professionals toward the change-over to the new system during the course, Taiwan's Medical Information Management Association conducted a questionnaire survey on the issue in 2007. The subjects of the survey were 998 members of the Association who attend the annual meeting of that year, and the recovery rate was 62.1%. The result showed that over half (58.2% to be exact) of those responded were terrified (including ones very much so), and 24.2% of those responded were even worried about the possibility of losing their jobs due to the change-over.
When looking into the distribution of persons with such fear more closely, we found profound differences between members working at healthcare institutions of different levels, namely medical centers, district hospitals, and local hospitals, as the percentages of health workers at these three levels in this particular field harboring such thought were 39.5%, 28.0%, and 24.8%, respectively, and the differences turned out to be statistically significant.
As they faced the inevitable and approaching e-medical record system, over half of the medical record management professionals admitted that they did try to prepare themselves to cope with it. How? The most popular option they took was ”learning relevant knowledge and techniques of computer statistic analysis” (chosen by about 64.8% of the responders), and the second one was ”studying related computer know-how and skills” (about 57.6%), which was followed by ”learning to develop a second job specialty” (about 55.0%) and ”taking a new curriculum related to medical care” (about 52.4%)

並列關鍵字

electronic medical record ； medical record management ； medical information management ； health information