TY -非盟的海波伦对于非盟- Kaipio Johanna盟——Heponiemi Tarja盟——Laaveri Tinja AU -阿尔托,Anna-Mari盟——Vanska Jukka盟——Elovainio Marko PY - 2019 DA - 2019/05/16相比TI -发展中国家注重可用性的卫生信息系统规模医生:验证研究乔- J地中海互联网Res SP - e12875六世- 21 - 5 KW -医生KW -卫生信息系统KW -问卷KW -验证研究AB -背景:卫生信息系统可用性的问题是公认的，但研究仍然缺乏一个有效的问卷来测量和监测卫生信息系统可用性的不同维度。从最终用户体验的角度来看，不仅需要进行研究，而且也需要开发HISs的可用性。目的:本研究的目的是开发和测试问卷的有效性测量国家可用性为重点的卫生保健量表(NuHISS)在全国代表性的芬兰医生样本。方法:我们利用2014年随机抽取的芬兰医生的2个横断面数据(N=3781;其中2340例(61.9%)为女性)和2017例(N=4018;其中2604例(64.8%)为女性。采用探索性和验证性因素分析(结构方程模型[SEM])来检验NuHISS的结构有效性。采用边际结构模型，采用参与者自述的电子健康档案系统整体质量(学校年级)作为并行效度测量。结果:Varimax旋转探索性因子分析表明，7因子解决方案确实可以很好地拟合两个样本的数据(2014年C2=2136.14, 2017年C2=2109.83, P均<.001)。 Moreover, structural equation modelling analyses, using comparative fit index (CFI), Tucker-Lewis Index (TLI), Normed Fit Index (NFI), root mean squared error of approximation (RMSEA), and Standardized Root Mean square Residual (SRMR), showed that the 7-factor solution provided an acceptable fit in both samples (CFI=0.92/0.91, TLI=0.92/0.91, NFI=0.92/0.91, RMSEA=0.048/0.049, and SRMR=0.040/0.039). In addition, concurrent validity of this solution was shown to be acceptable. Ease of use, but also all other dimensions, was especially associated with overall quality reports independent of measured confounders. The 7-factor solution included dimensions of technical quality, information quality, feedback, ease of use, benefits, internal collaboration, and cross-organizational collaboration. Conclusions: NuHISS provides a useful tool for measuring usability of HISs among physicians and offers a valid measure for monitoring the long-term development of HISs on a large scale. The relative importance of items needs to be assessed against national electronic health policy goals and complemented with items that have remained outside the NuHISS from the questionnaire when appropriate. SN - 1438-8871 UR - //www.mybigtv.com/2019/5/e12875/ UR - https://doi.org/10.2196/12875 UR - http://www.ncbi.nlm.nih.gov/pubmed/31099336 DO - 10.2196/12875 ID - info:doi/10.2196/12875 ER -