关于电子病历评价模式应用状况的文献计量学评价  

Application Status of Evaluation Methodology of Electronic Medical Record:Evaluation of Bibliometric Analysis

作　　者：林丹[1] 刘加林[1,2] 张睿[1] 黎勇[1] 黄婷婷[1] 

机构地区：[1]四川大学华西医院/华西临床医学院医学信息学教研室,成都610041 [2]四川大学华西医院耳鼻喉科,成都610041

出　　处：《生物医学工程学杂志》2015年第2期350-356,共7页Journal of Biomedical Engineering

基　　金：国家自然科学基金面上项目资助(71273182)

摘　　要：评价国内外电子病历评价模式的应用并比较优缺点,为我国电子病历应用效果的评价和评价体系的建立提供参考及理论指导。从Ovid-MEDLINE、EBSCOhost、EI、EMBASE、PubMed、IEEE以及中国生物医学文献数据库(CBM)和中国知网(CNKI)检索1990年1月-2012年12月的相关文献,并对这些文章的参考文献进行手工检索,共有1 736篇文章来自对以上数据库的计算机检索,通过手工检索另有16篇文章。按照纳入与排除标准选择文献,并对相关资料进行提取分析。在最终纳入的35篇文章中,美国在电子病历评价研究数量方面以54.28%处于领先位置,加拿大和日本分别以8.58%居于第二位。在评价模型应用方面,信息系统成功模型、技术接受模型(TAM)、创新扩散模型与成本-效益评估方法运用广泛,分别占25%、20%、12.5%和10%。本研究对电子病历评价模式的应用情况作了较全面的评估,为我国电子病历的相关评估工作提供借鉴。In order to provide a reference and theoretical guidance of the evaluation of electronic medical record（EMR）and establishment of evaluation system in China,we applied a bibliometric analysis to assess the application of methodologies used at home and abroad,as well as to summarize the advantages and disadvantages of them.We systematically searched international medical databases of Ovid-MEDLINE,EBSCOhost,EI,EMBASE,PubMed,IEEE,and China＇s medical databases of CBM and CNKI between Jan.1997 and Dec.2012.We also reviewed the reference lists of articles for relevant articles.We selected some qualified papers according to the pre-established inclusion and exclusion criteria,and did information extraction and analysis to the papers.Eventually,1 736 papers were obtained from online database and other 16 articles from manual retrieval.Thirty-five articles met the inclusion and exclusion criteria and were retrieved and assessed.In the evaluation of EMR,US counted for 54.28%in the leading place,and Canada and Japan stood side by side and ranked second with 8.58%,respectively.For the application of evaluation methodology,Information System Success Model,Technology Acceptance Model（TAM）,Innovation Diffusion Model and Cost-Benefit Access Model were widely applied with 25%,20%,12.5% and 10%,respectively.In this paper,we summarize our study on the application of methodologies of EMR evaluation,which can provide a reference to EMR evaluation in China.

关 键 词：电子病历 评价模式/方法 应用 

分 类 号：G353.1[文化科学—情报学] R197.323[医药卫生—卫生事业管理]