Delone&McleanDelone&Mclean模型在医疗信息技术领域应用的系统评价  

A Systematic Evaluation of Delone & Mclean Model Applied in Health Information Technology

作　　者：林丹[1] 刘加林[1,2] 

机构地区：[1]四川大学华西医院医学信息学教研室,成都610041 [2]四川大学华西医院耳鼻咽喉-头颈外科,成都610041

出　　处：《华西医学》2015年第8期1442-1446,共5页West China Medical Journal

基　　金：国家自然科学基金(71273182)~~

摘　　要：目的系统评价Delone&Mclean(D&M)模型在国外医疗信息领域的应用,归纳总结各个变量在侧重评价医疗信息技术时的应用情况,形成符合国情的医院信息系统评估体系,并用于临床实践。方法计算机检索Ovid-Medline、Embase、Pub Med、Engineering Village、Web of Science、EBSCO和万方数据库、中国知网(CNKI)以及维普数据库中关于D&M模型在医疗信息技术方面应用的研究文献,检索时限均从1993年1月-2015年4月。由2名评价者按照纳入和排除标准独立选择文献、提取资料和质量评价,采用Endnote软件进行文献管理。结果最终共纳入14个研究,欧美洲国家在评价研究数量方面,以64.29%位居第一;其次是大洋洲,占28.57%;亚洲以7.1%居于末尾。因此借鉴国外的研究发展具有一定的指导意义。同时在数据回收方法方面,调查研究运用最为广泛,以91.7%位于首位。医疗信息技术的系统质量、信息质量以及服务质量对用户使用、满意度以及净效益呈正相关。结论 D&M模型是一个多维度评价医疗信息系统成功的良好工具。Objective To evaluate the application of Delone ＆ Mclean （D＆M） model in foreign health information technology （HIT）, summarize each variable with its emphasis on HIT, in order to provide a reference and theoretical guidance for the evaluation HIT in clinical practice in China. Methods Ovid-medline, Embase, PubMed, Engineering Village, Web of Science, EBSCO, Wanfang Data, Chinese National Knowledge Infrastructure and VIP databases were searched from January 1993 to April 2015. Included articles focused on studies about D＆M model applied in HIT. Two reviewers independently screened titles and abstracts to determine inclusion status. The process was completed by Endnote X6. Results Finally, there were 14 eligible full-text papers. In the evaluation, Europe and US accounted for 64.29% in the leading place, Australasia ranked second with 28.57%, and Asia was at last with 7.1%. So it is significant to draw lessons from foreign research. For the methods of data collection, survey was widely used （91.7%）. The system quality, information quality and service quality had a significant positive correlation with users＇ satisfaction and net benefit. Conclusion D＆M Model is a good tool to assess HIT.

关 键 词：Delone&Mclean模型 医疗信息技术 系统评价 

分 类 号：R197.324[医药卫生—卫生事业管理]