远程监控数据在数字健康解决方案中的互操作性:一个范围审查
Diogo Martins1, Simon Lewerenz1, Anderson Carmo1
1ISCTE Business School, University Institute of Lisbon, Lisbon, Portugal.
Frontiers in digital health
|May 7, 2025
概括
远程监控系统的跨境互操作性受到各种技术标准和缺乏共同的数据交换协议的阻碍. 需要进一步的研究和欧洲一级的标准,以实现无跨境医疗保健.
科学领域:
- 医疗信息学 医疗信息学
- 数字健康数字健康
- 医疗保健系统工程 系统工程
背景情况:
- 远程监控系统为改善医疗保健提供提供了潜力.
- 跨境医疗保健环境对数据交换提出了独特的挑战.
- 互操作性对于无的远程监控集成至关重要.
研究的目的:
- 探索跨境医疗保健中远程监控系统互操作性的文献.
- 确定远程监控数据交换的技术标准,支持者和障碍.
- 突出现有研究中关于运营,组织和法律方面的差距.
主要方法:
- 使用了一个范围审查方法.
- 在多个数据库 (MEDLINE,PubMed等) 中进行了系统的搜索. 从2000年1月到2023年5月.
- 纳入标准侧重于针对远程监控在跨境环境中的互操作性进行同行评审的研究,结果从861个已识别的研究中包含了25项研究.
主要成果:
- 在远程监控系统中使用了各种技术标准 (例如HL7 FHIR,ISO/IEEE 11073,IHE配置文件).
- 在了解跨境远程监控的运营,组织和法律挑战方面存在重大差距.
- 没有确定设备数据交换的共同标准,尽管提到各种数据传输类型.
结论:
- 技术标准的协调对于克服远程监控中的互操作性障碍至关重要.
- 需要进一步研究跨境远程监控系统的实际部署和整合.
- 制定共同标准,特别是在欧洲一级,对于推进跨境远程监控服务和患者护理至关重要.
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