检查卫生信息交换系统中的实施成果:一个范围审查
Bonnie Lum1, Navisha Weerasinghe1, Charlene H Chu1
1University of Toronto, Bloomberg Faculty of Nursing, 155 College Street, M5T 1P8 Toronto, Ontario, Canada.
Journal of biomedical informatics
|January 22, 2025
概括
这次范围审查发现,卫生信息交换 (HIE) 实施研究往往缺乏标准化的结果定义和理论框架. 未来的研究应该为成功的大规模HIE项目解决这些差距.
科学领域:
- 医疗信息学 医疗信息学
- 实施科学 实施科学
- 卫生信息交换 (HIE) 是一个医疗信息交换系统.
背景情况:
- 健康信息交换 (HIE) 对于医疗保健系统之间安全的数字健康数据共享至关重要.
- 实施健康IT项目,包括HIE,是复杂的,有不一致的定义和实施成功的评估.
- 没有先前的范围审查对HIE技术的实施结果进行了综合.
研究的目的:
- 综合报告的HIE解决方案和相关互操作性技术的实施结果.
- 识别HIE实施结果评估中的差距.
- 为未来的大规模HIE项目实施提供信息.
主要方法:
- 一个由Arksey和O'Malley框架指导的范围审查.
- 在2010年1月至2023年6月期间,搜索了四个数据库 (Medline,Embase,CINAHL,Web of Science).
- 包括对HIE或跨设置互操作性技术的实施成果框架 (IOF) 的实施成果评估研究.
主要成果:
- 包括37项研究",采用"是最常见的结果 (n=24).
- 在任何研究中都没有报告忠诚度和透结果.
- 很少有研究确定结果,详细实施阶段,或使用IOF或类似的框架.
结论:
- 在HIE/互操作性实施研究中,在结果定义和评估方面存在重大差距.
- 未来的研究应该利用理论框架和标准化结果语言.
- 需要对不同实施阶段的突出结果进行进一步的调查.
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