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首页> 外文期刊>BMC Medical Informatics and Decision Making >Evaluating the success of the tele-pathology system in governmental hospitals in Kuwait: an explanatory sequential mixed methods design
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Evaluating the success of the tele-pathology system in governmental hospitals in Kuwait: an explanatory sequential mixed methods design

机译：评估科威特政府医院远程病理系统的成功：解释性顺序混合方法设计

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Telepathology is the practice of reviewing and exchanging pathological images through telecommunication systems to obtain diagnoses remotely. Studying the factors that make such a system successful and favourable is important to ensure the merits of its implementation in clinical practice. This study aims to evaluate the success of a telepathology system from the users’ perspectives, using specific evaluation criteria, namely: system quality, information quality, technical service quality, user satisfaction, and benefits. A sequential explanatory mixed methods design was adopted in this study, which consists of two phases. Initially, a questionnaire was distributed via WhatsApp to all of the pathologists (total: 45) working at governmental hospitals in Kuwait. Followed by, semi-structured interviews with ten senior pathologists. Forty pathologists responded to the questionnaire, giving an 89% response rate. There were 42.5% of the respondents aged between 35–44?years old, and 52.5% were male. The quantitative results reveal that most of the respondents were satisfied with the quality of the telepathology system with a mean of 2.6025 (Standard Deviation (SD)?=?0.47176), whereas they were dissatisfied with the quality of the information with a mean of 2.4100 (SD?=?1.580) and the technical support services with a mean of 2.2750 (SD?=?0.99535). In addition, there was disagreement on the benefits of telepathology in clinical practice among the pathologists with a mean of 2.4667 (SD?=?0.77552). The qualitative results indicate that the lack of interest in and little experience with using the system were behind the general dissatisfaction of most of the respondents. All of the interviewees were satisfied with the performance of the telepathology system and considered it successful; however, the quality of the technical support services, including training workshops, was deemed deficient. This study concluded that telepathology system in Kuwait is functioning well and has been successful in its implementation; however, pathologists are dissatisfied with it, mainly due to the deficient quality of the technical support services provided. In addition, the successful implementation of such advanced technologies requires careful steps to be taken on multiple levels: technical, organisational, and managerial. Recommendations were suggested.
机译：远程传神是通过电信系统审查和交换病理图像的做法，以远程获得诊断。研究使这种系统成功和有利的因素是确保其在临床实践中实施的优点是重要的。本研究旨在使用特定的评估标准来评估远程监视系统的成功，即：系统质量，信息质量，技术服务质量，用户满意度和福利。该研究采用了顺序解释性混合方法设计，由两个阶段组成。最初，调查问卷通过Whatsapp向科威特政府医院工作的所有病理学家（总数：45）分发。其次是，与十名高级病理学家的半结构化访谈。四十个病理学家回应问卷，给予89％的响应率。有42.5％的受访者年龄在35-44岁之间，岁月为52.5％是男性。定量结果表明，大多数受访者对具有2.6025的平均值（标准偏差（SD）？= 0.47176）的远程感应系统的质量满足，而它们对信息的质量不满意为2.4100 （SD？=？1.580）和均值为2.2750的技术支持服务（SD？= 0.99535）。此外，对临床实践中的临床实践中的临床实践中的益处分别是2.4667（SD？= 0.77552）。定性结果表明，使用该系统的缺乏兴趣和少量经验落后于大多数受访者的一般不满。所有受访者对远程感应系统的表现感到满意，并考虑成功;但是，技术支持服务的质量，包括培训讲习班，被视为缺陷。本研究得出结论，科威特的远程感应系统运作良好，在其实施中取得了成功;然而，病理学家对其不满意，主要是由于提供的技术支持服务的质量不足。此外，此类先进技术的成功实施需要仔细介绍多个层面：技术，组织和管理。建议建议。

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