국내 암관련 임상정보활용 현황분석 및 암임상정보시스템 구축관련 요구도 조사

Abstract

This study evaluated the utilization of clinical information on cancer in order to establish a systematic and efficient Cancer Clinical Information System (CCIS) in Korea. A mail survey was conducted among 141 clinical oncologists from 10 hospitals. The utilization of the information system, their capabilities in managing the information, and their opinions on establishing a nationalized CCIS were analyzed. The collected data was analyzed using descriptive statistical methods, a Chi-square test, a Kruskal-Wallis test, a t-test and ANOVA. The most popular way to obtain the appropriate clinical information on cancer was through paper charts. All the respondents stated that the cancer clinical information procured from the current information system was insufficient due to the lack of standardized clinical information, the absence of coded data and applicable information, and the inefficiency of the information system. Over 90% of respondents indicated the need to develop a well organized, specifically planned CCIS. Diagnosis, surgery and pathology were three most accessed subjects listed in the CCIS. Side effects and survival rates were excluded in the current CCIS. In conclusion, the existing information system has not been used effectively in extracting the requested information on clinical oncology. In order to develop a database, a higher priority should be placed on standardizing and continuously updating the contents, diversifying the search subjects and improving the security of the database system. The government needs to get involved in planning this CCIS to connect all the health care facilities across the country. Moreover, there must be some administrative support for the construction of a CCIS in order to achieve some technical advancement in hardware and software development and to regulate the clinical information.