Kadın Hastalıkları ve Doğum Uzmanlarının Klinik Karar Destek Sistemlerini Kullanımı Utilization af Clinical Decision Support Systems Among Obstetricians and Gynaecologists

Year 2020, Volume: 29 Issue: 3, 153 - 160, 10.06.2020

Raziye Özdemir İbrahim Gülhan Gökhan Tosun İbrahim Uyar Aşkın Doğan Yüksel Kurban Suna Yıldırım Karaca Bülent Kılıç

https://doi.org/10.17942/sted.623476

Abstract

Amaç: Bu çalışmanın amacı, Türkiye’de üç
metropolde görev yapan kadın hastalıkları ve doğum uzmanlarının
(KHDU) klinik karar destek sistemlerini (KKDS) kullanım düzeyinin belirlenmesidir.

Gereç ve Yöntemler:
Kesitsel tipteki
araştırmanın çalışma grubunu, İzmir, Ankara ve İstanbul illerinde görev yapan
872 KHDU’nun 178’i
(%20.4) oluşturdu. KHDU’lar ile yüz yüze görüşme yoluyla toplanan veriler, yüzde
dağılım biçiminde özetlendi. KKDS kullanımı ile bağımsız
değişkenler arasındaki ilişki ki-kare testi ile değerlendirildi.  

Bulgular: Uzmanların %71.9’u çalışma saatlerinde en az bir KKDS
kullanmaktaydı. Her gün KKDS kullananların yüzdesi 14,8 idi.  KKDS kullanma yüzdesi genç
hekimlerde (p<0,001), kadınlarda (p<0,001), uzmanlık süresi 15 yıldan az olanlarda (p<0,001),
akademik unvana sahip olanlarda (p= 0,012), kamu sektöründe (p= 0,005) ve III. basamak
sağlık kuruluşunda çalışanlarda (p<0,001) yüksekti.

Sonuç: KHDU’ların
büyük bölümü KKDS kullanmasına
karşın, her gün düzenli olarak kullananlar düşük düzeydedir. KKDS uygulamaları konusunda
uzmanlık dernekleri tarafından tanıtım ve eğitim yapılması önerilebilir.

Abstract

Objective: The aim of this study was to determine level of use of
clinical decision support systems (CDSS) by obstetricians and gynaecologists (OB/GYNs) who work in three metropolises of
Turkey.

Methods:
The study population of this cross-sectional study consisted of 178 (20.4%) of
872 OB/GYNs working in İzmir, Ankara and İstanbul. Data collected through
face-to-face interviews with OB/GYNs were summarized in percentage
distribution. Chi-square test was used to evaluate the relationship between the
use of CDSS and independent variables.

Results:
71.9% of the OB/GYN used at least one CDSS during
working hours. The percentage of those using CDSS every day was 14.8. The
percentage of using CDSS was higher in young physicians (p<0.001), women
(p<0.001), those with less than 15 years of expertise (p<0.001), those
with academic titles (p= 0.012), and those working in the public sector (p=
0.005) and tertiary healthcare institutions (p<0.001).

Conclusion:
Although most of the OB/GYNs use CDSS, the proportion of OB/GYNs who use it regularly every day is low. It can be recommended
that specialization associations should provide promotion and training about CDSS
applications.

Key words:
e-health, clinical decision support systems, obstetricians and gynaecologist

Keywords

e-sağlık, karar destek sistemi, , kadın hastalıkları ve doğum uzmanı

Supporting Institution

Yoktur

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