计算机技术在医学信息处理中的效率分析

Efficiency analysis of information technology in medical information treatment

目的：计算机已经成为医疗工作中的重要工具,但是IT系统的迅速发展与医院临床工作者计算机应用技能的进步却极不平衡。讨论如何适应信息技术及医疗信息系统,合理整合IT资源,基于调查,提出了对医院信息技术应用的一些看法。方法：追踪1例冠状动脉粥样硬化性心脏病患者,对从早期诊断治疗、介入治疗、以至最后冠脉搭桥手术及康复整个诊治链条中的各个环节进行了针对计算机相关信息的收集分析,主要对这个治疗团队中医务人员的计算机技能进行调查分析,抽测了调查对象的一般状况、计算机技能、知识结构、对计算机应用的接受程度。结果：该治疗链条中所有计算机相关数据的主要特征为软件变异性大,从属门类多;病历时间跨度大;数据的类型多,且为不常见数据类型;动态数据和三维数据较多。计算机知识调查可以明显看出医务人员个人IT技能不足使自己不能熟练地完成自己的本职工作。从自身IT知识自我评估结果来看,护理人员和技师似乎比医生在IT技能方面更为缺乏,部门教育、自学、互联网是他们的主要学习途径;住院医师和主治医师对IT办公系统比较熟悉,他们对目前应用的IT也比较满意。护士和多数高级别的教授或主任医师感觉IT学习不容易。但是,多数护士喜欢自己的办公系统。31-40岁的调查对象最容易接受IT系统。结论：加强计算机研究开发者与应用者的密切合作互动,在目前这个阶段非常重要。

OBJECTIVE： Computer has become an important tool in medical works. However, application skills of clinical physicians are imbalanced with the fast development of information technology （IT） system. Therefore, it is necessary to explore a bridge between researchers and integrate decentralized IT resources. Based on our survey, we provide some views concerning IT applying in medical procedures. METHODS： The correlated computer information was collected from a patient with coronary heart disease from early diagnosis, interventional therapy to coronary bypass surgery, until rehabilitation. The medical staffs were investigated from the general status, computer skills, knowledge structure, as well as the acceptance degree of computer application to measure computer skills. RESULTS： The correlated computer information was characterized by large soft variability, a large time span, and various date categories with more dynamic data or three-dimensional data. The investigation of computer knowledge demonstrated that the lack of IT knowledge result in poor result in their appointed tasks. From the view of self-assessment of IT knowledge, nursing staff and technician exhibited deficiency IT knowledge than doctors, whom learned from department training, self-study or internet. Resident physicians and attending physicians were familiar with office system, so they were satisfied with IT skills. In contrary, nurses and majority of high-ranking professor or chief physicians were found difficult to study IT skills. However, most nurses were fond of their office system. The results also demonstrated that people aged 31-40 years were easy to receive IT system. CONCLUSION： It is very important to enhance the cooperation between computer researchers and medical users.