轉診醫療資訊查詢系統之使用調查－某醫學中心提供基層醫療院所網路平台之三年經驗

An Investigation of the Use of a Patient Referral Medical Information System: Three Years of Experience Using a Web-Based System Provided to Primary Healthcare Facilities by a Medical Center

楊逸菊(Yi-Chu Yang) ； 曾景平(Ching-Ping Tseng) ； 徐嘉吟(Chia-Yin Hsu) ； 洪焜隆(Kun-Long Hung)

《輔仁醫學期刊》 11卷4期 (2013/12) Pp. 259-266

摘要

背景和目的：調查基層醫療院所對某醫學中心轉診醫療資訊平台的使用滿意度，並探討使用者的性別、年齡等與滿意度之相關性。方法：以郵寄方式進行問卷收集，共回收34份有效問卷，回收率為22%。以描述性統計、無母數考驗、克－瓦二氏單因子等級變異數分析進行統計分析。結果：34份問卷中有使用過轉診資訊系統者為20家，14家從未使用過。在20家使用過轉診資訊系統的診所中，對於「操作介面難易度」、「轉診患者清單完整度」、「資訊時效性」、「可加強轉診意願」、「整體運作良好」這幾項，皆大於70%為非常滿意或滿意。而「醫療資訊內容」的滿意度較低（55%）。年紀與性別對各項滿意度並無有統計意義的趨勢。結論：本研究發現在系統使用的滿意度上，大致為非常滿意或滿意，且與使用者性別、年紀無顯著相關。滿意度最低的項目為醫療資訊內容，因此若能加強資訊完整性，可能有助於提昇基層醫療院所使用此系統之滿意度。

關鍵字

轉診 ； 轉診資訊系統 ； 基層醫療院所 ； 滿意度 ； 醫療資訊交換

並列摘要

Objective: The purpose of the study is to investigate the level of satisfaction among referring medical facility personnel using the web-based patient referral medical information system provided by a medical center, and to examine whether a correlation existed between characteristics of the users and their level of satisfaction. Methodology: Questionnaires were collected via mail, with a total of 34 valid copies recovered, yielding a respond rate of 22%. Statistical analyses were carried out using descriptive statistics, Mann-Whitney U test, and Kruskal-Wallis test. Results: 20 out of the 34 facilities had previously used the system. Over 70% of the users from these 20 facilities reported being ”Very Satisfied” or ”Satisfied” with the ”Simplicity of Operation Interface”, ”Integrity of the Referred Patients List”, ”Timely Information Delivery”, ”Enhancing Willingness to Refer Patients”, and ”Overall User Experience”. Satisfaction with ”Content Quality of Medical Record”, however, was relatively low (55%). There were no significant gender or age differences in every aspect. Conclusion: This study found that users were generally ”Very Satisfied” or ”Satisfied” with the system and that no significant correlation existed between level of satisfaction and the users' gender and age. Content of medical information was reported as the least satisfying area. Boosting the integrity of available information could increase the level of satisfaction among users of the system in primary healthcare facilities.

並列關鍵字

patient referral ； patient referral medical information system ； primary healthcare facility ； satisfaction ； health information exchange