Current application of in-hospital informatized glucose monitoring system in Jiangsu

Abstract

"Objective To investigate the application of in-hospital informatized blood glucose monitoring system (IGMS) in Jiangsu and the satisfaction of medical staff to use IGMS. Methods From August 2021 to July 2022, a survey was conducted among medical staff in 119 secondary and tertiary hospitals in Jiangsu Province. The survey included questions on the application status of IGMS, such as the year of initiation and the medical units using it, and the satisfaction with the use of IGMS in medical staff was investigated by a 5-level Likert scale. Results (1) Utilization rate of IGMS: among the 119 hospitals, 58 (48.7%) utilized IGMS. The utilization rate in Southern Jiangsu (61.0%) was significantly higher than that in Central Jiangsu (34.8%) and Northern Jiangsu (37.8%) (χ2=7.113,P=0.029). (2) Distribution of medical units using IGMS: utilization rate in internal medicine department (96.6%) was significantly higher than that in surgical department (51.7%) and ICU (39.7%) (χ2=44.550,P＜0.01), with the highest utilization rate observed in endocrinology department (96.6%). (3) Satisfaction survey: the satisfaction scale had a Cronbach's alpha of 0.702 and a KMO value of 0.742, and Bartlett's sphericity test yielded aχ2 value of 298.268 (P＜0.01). Two initial factors with eigenvalues greater than 1 accounted for 72.5% of the variance. Following a scree plot analysis, two factors were extracted ,and the items were deleted according to the reliability and validity, and the satisfaction scale containing two factors and seven items was finally determined. Ninety-seven medical staff completed the scale with a score of 29.0 (25.5, 31.0). There was no significant difference in personal satisfaction with IGMS among medical staff in different regions, hospitals of grades and titles (P＞0.05). Conclusion The utilization rate of IGMS in secondary and tertiary hospitals in Jiangsu is approximately 48.7%, with a higher rate in Southern Jiangsu. Endocrinology departments have the highest rate of IGMS usage. Medical staff are satisfied with the use of IGMS, and put forward higher expectations for the stability of networking and the standardization of training."

Keywords

• informatized glucose monitoring system，blood glucose data，real-time display， cloud sharing， blood glucose management，regional distribution， distribution of medical units， satisfaction