在使用医疗信息技术中信息共享的价值:系统性审查
1Department of Management, College of Business and Economics, California State University, Fullerton, California.
概括
医疗信息技术 (HIT) 主要改善内部运营,对组织间信息共享的影响有限. 更广泛的连接和整合,如信任交换框架和共同协议,对于增强患者护理和效率至关重要.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健服务研究 医疗服务研究
- 信息系统信息系统信息系统
背景情况:
- 2009年"经济和临床健康健康健康信息技术法案"刺激了电子健康记录 (EHR) 采用和先进技术的显著增长.
- 尽管广泛采用,但对医疗信息技术 (HIT) 应用如何创造价值和影响绩效结果,特别是通过信息共享,仍然难以清晰地理解.
研究的目的:
- 系统地审查HIT应用对医疗保健组织内部和医疗保健组织之间信息共享的影响.
- 评估HIT驱动的信息共享对各种组织绩效结果的影响.
主要方法:
- 系统性审查遵循系统性审查和元分析 (PRISMA-P 2020) 首选报告项目方法.
- 包括66项经验研究,评估HIT的使用和采用,以便在HCO内部或之间共享信息.
- 分析使用波特的价值链框架来检查组织内部和组织间的活动.
主要成果:
- HIT应用主要增强内部HCO操作 (55%的研究),仅限于跨组织信息共享 (14%).
- 生产力是最常被研究的结果变量 (33%),超过了质量改善和成本降低等预期结果.
- 大多数研究是在美国进行的 (67%),研究的主要用户是医生.
结论:
- 现有的HIT主要支持内部流程,创建孤岛并限制更广泛的医疗保健生态系统连接.
- 值得信赖的交换框架和共同协议 (TEFCA) 提供了一个可扩展的解决方案,用于所有利益相关者普遍共享信息.
- 医疗保健领导者必须优先考虑TEFCA整合,标准化指标,并促进合作,以改善患者护理和运营效率.
相关概念视频
01:30Health Information Technology and Healthcare Information System
786
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
786
01:25Ethical Standards I
768
The American Nurses Association (ANA) created and implemented the first nationally accepted Code of Ethics for Nurses with Interpretive Statements. The Code of Ethics is a living document regularly updated by the ANA and establishes an ethical standard that is non-negotiable for nurses in all roles and settings.
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
768
01:23Ethical Standards II
639
Ethical standards are the backbone of nursing practice, guiding nurses as they interact with patients, families, and colleagues. These standards are crucial for providing safe, empathetic care centered on the patient's needs.
Nurses are entrusted with upholding various ethical principles and standards. Nurses forge solid therapeutic relationships using trust, empathy, autonomy, confidentiality, and professional competence.
Confidentiality is crucial, embodying respect for individual privacy...
Nurses are entrusted with upholding various ethical principles and standards. Nurses forge solid therapeutic relationships using trust, empathy, autonomy, confidentiality, and professional competence.
Confidentiality is crucial, embodying respect for individual privacy...
639
01:29Issues And Trends In Healthcare Delivery System
5.5K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.5K
01:27Nursing Clinical Information System
744
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
744
01:19Purpose of Health Records II
959
Health records serve various essential purposes in the healthcare system. Here are some key purposes:
959