我国医疗机构临床决策支持系统应用现状研究

Application of clinical decision support system in medical institutions in China

目的分析我国医疗机构临床决策支持系统(clinical decision support system,CDSS)的应用现状及存在问题,并提出相应建议。方法2020年4—5月,对全国31个省份的1013所医疗机构进行了问卷调研,问卷内容包括CDSS安装部署现状、建立目的、知识库来源、需要设计优化的内容和阻碍使用的因素。结果199所(19.64%)医疗机构有CDSS,其中123所在全院使用,76所在局部科室使用;426所医疗机构未使用CDSS,但已有使用计划。调研发现,目前CDSS系统存在认知差别大、知识缺乏权威性、数据治理难度高、缺乏行业标准等问题。结论未来要从提高意识、树立知识权威性、建立标准等方面推动CDSS在医疗机构的规范使用。

Objective To analyze the application status and problems of clinical decision support system(CDSS)in medical institutions in China,and put forward corresponding suggestions.Methods From April to May in 2020,a questionnaire survey was conducted in 1013 medical institutions in 31 provinces of China.The contents of the questionnaire included the current situation of CDSS installation and deployment,the purpose of establishment,the source of knowledge base,the content to be optimized and the factors hindering the use.Results 199(19.64%)medical institutions had CDSS,among which 123 were used in the whole hospital and 76 in some departments;426 medical institutions did not use CDSS,but had plans to use it.It was found that the current CDSS system had setbacks,such as big cognitive difference,lack of authority in knowledge,high difficulty in data governance,lack of industry standards and so on.Conclusions In the future,the standardized use of CDSS in medical institutions could be promoted from the aspects of raising awareness,establishing knowledge authority and establishing standards.