A Study on Patients'' Perception to the Impact of Electronic MedicalRecords on Healthcare Quality: an Example of a Teaching Hospital

• Main Authors: I-Min Liu, 劉義民
• Other Authors: WeirSen Lin
• Format: Others
• Language: zh-TW
• Published: 2011
• Online Access: http://ndltd.ncl.edu.tw/handle/15202043682745427605

碩士 === 嘉南藥理科技大學 === 醫療資訊管理研究所 === 99 === In recent years, with the rapid development on information technology and medical industry, the implementation of National Health Insurance system inevitably gives fresh impetus to electronic medical records. Putting electronic medical records into practice not only effectively enhances the competitiveness of the healthcare institutions, but also benefits the medical care for their daily clinical tasks. In the current healthcare environment, the innovation of healthcare services should depend on the thought of providing best healthcare service to patients in order to meet the goal of “patient-centered”. No more than their subjective response, perception is also a way to measure patients’ attitude toward the implementation of electronic medical records. The purpose of this study aims at exploring the consent degree of patients and their families towards electronic medical records and their impact on the healthcare quality. This study employs a structured questionnaire survey approach to collect data. 250 questionnaires were distributed and the questionnaires were requested to be completed by patients and their families from outpatient departments in a teaching hospital. Of the 250 returned questionnaires, 50 are incomplete. The remaining 200 valid and complete questionnaires were used for the quantitative analysis. It represents a useable response rate of 80.0%. Data analysis is conducted by performing descriptive statistics, t-test, correlation analysis and multiple regression analysis. The results show that the implementation of electronic medical records is positively associated with high consent degree in terms of improving patient safety, avoiding repetitive examination and drug doses, sharing clinical information, and reducing waste of medical resources. All these results also show that patients identify with the healthcare quality after the implementation of electronic medical records. However, respondents are more concerned with patients’ privacy and information security. Therefore, the issues how to strengthen the access control for electronic medical records and to assurance patients’ privacy should be pay much more attention.