基于态度及感知行为控制的医院管理信息系统设计与应用

The design and application of hospital management information system based on attitude and perceived behavioral control

目的:设计基于态度及感知行为控制的医院管理信息系统,探索医院管理信息系统的应用对医务人员工作绩效的影响。方法:构建医院管理信息系统,应用医务人员工作绩效模型,从态度、习惯、主观规范及感知行为控制角度设计调查问卷,对问卷中测量指标的内部一致性与量表有效性进行检验。采用统计建模和参数估计方法进行路径分析。结果:对应用信息系统管理前、中、后主要医疗指标变化情况进行初步评价,选择的变量可靠性较高,各变量的内部具有高度一致性。在实施信息系统管理前、中、后,出院人次、住院手术例次、专家门诊人次呈升高趋势,药占比、平均住院时间分别降低9.45%、3.36%和16.16%、4.27%。结论:医务人员的个人主观因素对于医院信息系统的使用与否具有重要影响。

Objective： To design a hospital management information system based on attitude and perceived behavior control, and to explore the influence of the application of hospital management information system on the work performance of medical personnel. Methods： Through constructed hospital management information system and applied the work performance model of medical personnel to design questionnaire from three points of view included attitude, habits, subjective norm and perceived behavior control. And then the internal consistency and validity of the scale of measurement indexes of the questionnaire were tested, and the methods of statistical modeling and parameter estimation were adopted to carry out path analysis. Results： The results of primary estimation for the change situation of main medical indexes of application information system in earlier, middle and later stage indicated that the reliability of variates that were selected in this research was higher, and the consistency of interior of various variates was higher. At the three stages, earlier, middle and later stage, that information system was implemented, the person-time of leaving hospital, the number of inpatient surgery and the outpatient amount of expert displayed rising trend. And the drug proportion, average stay time decreased 9.45%, 3.36% and 16.16% and 4.27% respectively. Conclusion： Whether the hospital information system can be applied, the personal subjective factors of medical personnel play an important role.