%0期刊文章%@ 1438- 8871% I JMIR出版物%V 24卡塔尔世界杯8强波胆分析% N 8% P e34858 %T医生对秘鲁未来使用国家死亡信息系统的看法:横断面研究varga - herrera,Javier %A Meneses,Giovanni %A Cortez-Escalante,Juan %+国立圣马科斯大学预防医学和公共卫生系,阿梅扎加375,利马,15081,秘鲁,51 945029342,jvargash@unmsm.edu.pe %K死亡证书%K卫生信息系统%K死亡率%K生命统计%K技术验收模型%K模型%K验收模型%K证书%K信息系统%K医生%K预测因子%K横断面研究%K分析%K死亡%D 2022 %7 15.8.2022 %9原始论文%J J医学互联网Res %G英文%X背景:秘鲁实施了一种名为“国家死亡信息系统”的计算机应用程序,使医生可以准备电子格式的死亡证明,并在网上提供相关信息。2018年,秘鲁估计死亡人数中只有一半是通过SINADEF认证的。当以书面形式证明死亡时,输入死亡率数据库的概率就会降低。从用户的角度,了解能够影响SINADEF成功实施的因素是很重要的。SINADEF只有在知道医生是否认为它有用且易于操作时才能成功实施。目的:本研究的目的是确定医生的看法和其他因素作为他们使用SINADEF证明死亡的行为意图的预测因素。方法:本研究采用观察性横断面设计。 A survey was provided to physicians working in Peru, who used SINADEF to certify a death for a period of 12 months, starting in November 2019. A questionnaire was adapted based on the Technology Acceptance Model. The questions measured the dimensions of subjective norm, image, job relevance, output quality, demonstrability of results, perceived usefulness, perceived ease of use, and behavioral intention to use. Chi-square and logistic regression tests were used in the analysis, and a confidence level of 95% was chosen to support a significant association. Results: In this study, 272 physicians responded to the survey; 184 (67.6%) were men and the average age was 45.3 (SD 10.1) years. The age range was 24 to 73 years. In the bivariate analysis, the intention to use SINADEF was found to be associated with (1) perceived usefulness, expressed as “using SINADEF avoids falsifying a death certificate” (P<.001), “using SINADEF reduces the risk of errors” (P<.001), and “using SINADEF allows for filling out a certificate in less time” (P<.001); and (2) perceived ease of use, expressed as “I think SINADEF is easy to use” (P<.001). In the logistic regression, perceived usefulness (odds ratio [OR] 8.5, 95% CI 2.2-32.3; P=.002), perceived ease of use (OR 10.1, 95% CI 2.4-41.8; P=.001), and training in filling out death certificates (OR 8.3, 95% CI 1.6-42.8; P=.01) were found to be predictors of the behavioral intention to use SINADEF. Conclusions: The behavioral intention to use SINADEF was related to the perception that it is an easy-to-use system, the belief that it improves the performance of physicians in carrying out the task at hand, and with training in filling out death certificates. %M 35969435 %R 10.2196/34858 %U //www.mybigtv.com/2022/8/e34858 %U https://doi.org/10.2196/34858 %U http://www.ncbi.nlm.nih.gov/pubmed/35969435
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