Research On The Attitudes And Influencing Factors Of Doctors In Medical Consortium To Share Electronic Medical Records

Research BackgroundThe construction and development of Medical Association is conducive to optimizing the structural layout of medical and health resources,improving the service capacity of primary medical institutions,and meeting the growing demand of medical and health services.However,the current cooperation mode of Medical Association in China is mainly loose,and the cooperation between medical institutions is not close.With the rapid development of the Internet plus medical era,we can give full play to the sharing,optimization and integration of big data and Internet in the allocation of medical resources.Electronic medical record(EMR)enables patients’ diagnosis and treatment information to be shared,which is an important support point to realize diagnosis and treatment data sharing and business collaboration among medical institutions of the Medical Association.Through sharing electronic medical records,the medical institutions of medical alliance can improve the degree of contact between hospitals,work efficiency and quality of diagnosis and treatment to a certain extent;For patients,it can save certain medical expenses and provide convenience for two-way referral.As medical service providers,doctors have a better understanding of collaboration links,methods and information needs with other medical institutions,and their sharing attitude will affect the promotion of EMR sharing.PurposesThis research takes doctors from a medical consortium medical institution in Shandong as the main survey object,aims to understand the current situation of electronic medical record sharing in medical consortium medical institutions,explore the factors that affect doctors’ attitudes towards sharing electronic medical records,and promote the sharing of electronic medical records in medical consortium medical institutions.The work provides empirical evidence.MethodsThis study uses a combination of qualitative and quantitative research methods to consult and collect domestic and foreign documents related to electronic medical records sharing research in the early stage,and design medical consortium doctors electronic medical record sharing behavior questionnaires and interview outlines to collect basic information of doctors and electronic medical records sharing attitudes Influencing factors,the current status of electronic medical record sharing,and suggestions for electronic medical record sharing.Based on the data obtained from the questionnaire,the influencing factors of electronic medical record sharing behavior are analyzed through difference test and multiple linear regression analysis.Using thematic framework analysis method to analyze the interview materials,further analyze the factors that affect the electronic medical record sharing behavior.The data collation and analysis of this study are mainly done through Epidata,SPSS and NVIVO software.Result(1)A total of 915 questionnaires were collected in this study,of which 55%were women;the 31-45 age group accounted for 61.6%at most;the work unit was mostly in secondary hospitals,47.9%;the education level accounted for the highest proportion of undergraduates 71.8%,followed by a master’s degree accounted for 15.7%;from the perspective of technical titles,intermediate titles accounted for 49%at most;departments and departments accounted for up to 33.3%,followed by surgery accounted for 18.5%;distribution from the region From a point of view,Heze City accounted for 19.2%,followed by Zibo City,which accounted for 17.3%.Interviews were in charge of 5 deans,2 directors of the medical department,1 director of the pathology department,1 director of the group office,and 1 person in charge of the information department.(2)The measurement results of the questionnaire showed that doctors’ shared attitude score was 4.05±0.71,and they agreed with the sharing of electronic medical records as a whole;the lowest shared security score was 3.29±0.84,and they were worried about the security of electronic medical record sharing;the highest score of reciprocity was 4.18±0.56,after the electronic medical records are shared,there is a high demand for clinical diagnosis,treatment and scientific research;the timeliness and ease of use scores are 3.90±0.64,3.99±0.59,and the overall requirement for the electronic medical record sharing platform is that the sharing platform can be simple and easy Operate and upload diagnosis and treatment information in time.(3)Doctors differ in their individual characteristics,working departments and regions,and their attitudes towards sharing electronic medical records,safety,timeliness,ease of use and reciprocity will be different.Electronic medical records sharing safety,timeliness,and reciprocity will be different.Usability,data availability and reciprocity are the main factors that affect the attitude of sharing.National policy guidance and financial support,the handling of medical disputes after sharing,and patient informed consent are also the reasons that hinder the sharing of electronic medical records.Conclusions and policy recommendationsThis study investigated the current factors affecting the sharing behavior of electronic medical records of medical consortia doctors through a combination of qualitative and quantitative methods.Through data analysis,it is found that the individual characteristics of doctors will affect the sharing behavior of electronic medical records.Doctors generally agree with the sharing of electronic medical records.The security,timeliness,ease of use and reciprocity of electronic medical record sharing will affect the sharing attitude.The results of the study put forward the following recommendations:Promote the standardization of medical record data and realize the integrated use of electronic medical record data;establish a sharing mechanism between medical consortium hospitals to promote assistance and cooperation;improve the security and application system of electronic medical record sharing systems;cultivate professional information talents;improve electronic medical record sharing informed consent Work;strengthen government guidance and financial support.