专家关于使用快速医疗保健互操作资源用于计算机化临床决策支持的观点
Kristen Shear1, Ann L Horgas, Robert Lucero
1Author Affiliations: Brooke Army Medical Center, San Antonio, TX (Dr Shear); Department of Biobehavioral Nursing Science, College of Nursing, University of Florida, Gainesville (Dr Horgas); and UCLA School of Nursing, Los Angeles, CA (Dr Lucero).
Computers, informatics, nursing : CIN
|July 10, 2023
概括
改善美国医疗保健需要克服数字健康互操作性障碍. 卫生级别七国际快速医疗互操作资源标准是关键,但采用面临诸如EHR变异和有限知识等挑战.
科学领域:
- 医疗信息学 医疗信息学
- 数字卫生系统 数字卫生系统
- 医疗保健互操作性 医疗保健互操作性
背景情况:
- 美国医疗保健系统的改进受到分散的数字健康信息和延迟的护理所阻碍.
- 数字卫生互操作性对于减少分散和提高系统结果至关重要.
- 健康七级国际快速医疗互操作资源 (FHIR) 是健康信息交换的领先标准.
研究的目的:
- 探索障碍和促进者,以扩大FHIR用于计算机化临床决策支持的采用.
- 分析有关当前挑战的专家意见和未来FHIR实施的建议.
主要方法:
- 对与健康信息学家的专家采访进行了定性分析.
- 修改了力场分析,以了解障碍和建议.
主要成果:
- 确定了关键障碍:电子健康记录 (EHR) 实施变化,有限的EHR供应商支持,本体学差异,员工知识差距和测试约束.
- 专家建议包括FHIR的资助者授权,一个"应用商店"模型,对组织和供应商的激励措施,以及FHIR认证.
结论:
- 解决已识别的障碍对于广泛采用FHIR至关重要.
- 需要进行战略干预,以促进互操作性和改进数字卫生系统.
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