测量医院信息技术支出,进行跨机构比较:一个范围审查
Luka Leon Reincke1, Jan-David Liebe1
1Research Centre for Health and Social Informatics, Osnabrück University of Applied Sciences, Albrechtstraße 30, Osnabrück, 49076, Lower Saxony, Germany.
International journal of medical informatics
|May 24, 2025
概括
医院IT支出的衡量缺乏标准化,阻碍了数字化转型的比较. 本次审查提出了一个框架,以解决数据,指标和变量不一致性,以便更好地评估和研究.
科学领域:
- 医疗信息学 医疗信息学
- 信息技术管理 信息技术管理
- 医疗保健管理局的管理.
背景情况:
- 信息技术 (IT) 支出对于医院数字化转型至关重要.
- 衡量医院IT支出的方法论方法,用于跨机构比较,尚未得到充分研究.
- 不一致的定义,碎片化的数据和缺乏标准化的报告阻碍了对数字化投资的有效比较和评估.
研究的目的:
- 提供用于测量医院IT支出在跨机构比较中使用的方法的概述.
- 确定当前测量实践中的关键方法挑战.
- 提出一个概念框架,以便为未来的研究和评估提供标准化的跨机构比较.
主要方法:
- 根据Arksey和O'Malley的框架和PRISMA-ScR指南进行范围审查.
- 在PubMed,科学网络和Scopus上进行系统的文献搜索.
- 分析基于数据源,IT指标,控制变量和方法挑战的确定研究.
主要成果:
- 确定了10项研究,使用了IT资本,IT人员和IT运营费用等指标,但定义不一致.
- 主要依赖于次要,往往过时的数据,仅限于使用初级或混合方法方法.
- 经常使用结构控制变量,但很少考虑宏观经济和监管因素.
结论:
- 在医院IT支出的跨机构测量中存在显著的方法异质性.
- 对于有效的比较,需要基于理论的,经验可行的和情境敏感的方法.
- 拟议的概念框架为标准化医疗保健机构IT支出衡量的指导提供了指导.
更多相关视频
相关概念视频
01:30Health Information Technology and Healthcare Information System
811
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:
811
01:28Hospitals-I
797
Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...
797
01:11Purpose of Health Records I
1.2K
The vital purpose of health records is to provide a complete and accurate account of a patient's medical history, including communication, diagnostic and therapeutic orders, care planning, research, and quality review.
Here's a breakdown of how health records serve these purposes:
Here's a breakdown of how health records serve these purposes:
1.2K
01:20Integrated Healthcare System
1.5K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
1.5K
01:29Issues And Trends In Healthcare Delivery System
5.6K
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...
5.6K
00:59Hospitals-II
739
Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in...
Nurses that work in...
739