识别和优化影响快速医疗互操作性资源加速器实施的因素:使用实施综合框架进行定性研究 实施变革方法的研究-专家建议
Jane Li1, Emma Maddock1, Michael Hosking1
1Australian e-Health Research Centre, CSIRO, Brisbane, Australia.
JMIR medical informatics
|May 27, 2025
概括
这项研究确定了Sparkled快速医疗互操作资源 (FHIR) 加速程序的关键组件和影响因素. 它提供了加强FHIR采用和改善健康信息交换的策略.
科学领域:
- 医疗信息学 医疗信息学
- 卫生信息交换健康信息交换
- 数字健康标准 数字健康标准
背景情况:
- 分散的健康信息共享会对患者的护理产生负面影响.
- 快速医疗互操作性资源 (FHIR) 是健康信息交换的全球标准.
- 澳大利亚的Sparked等FHIR加速器计划旨在加快采用,但缺乏实施研究.
研究的目的:
- 确定Sparked FHIR加速器的关键组件.
- 确定影响其实施的因素.
- 提出提高方案交付的策略.
主要方法:
- 使用半结构面试对17个Sparked利益相关者进行定性研究.
- 使用干预描述和复制模板 (TIDieR) 检查清单描述的干预组件.
- 使用实施研究综合框架 (CFIR) 分析的实施因素 2.0.0.
- 通过将CFIR因素映射到实施变革专家建议 (ERIC) 工具中确定的战略.
主要成果:
- 确定了八个关键的CFIR影响因素:吸引力,创新设计,需求评估,当地条件,获得知识和信息,伙伴关系和联系,能力和工作基础设施.
- 加强实施的五个战略集群:适应和定制上下文,发展利益相关者相互关系,支持参与者,培训和教育利益相关者,并使用评估和代策略.
- 在CFIR-ERIC的方法产生了专家知情的建议.
结论:
- 定义了Spark FHIR加速器的核心组件和影响因素.
- CFIR-ERIC的方法为生成实施建议提供了一个框架.
- 研究人员的见解是必要的,以补充现有的工具,以提供最佳的建议.
- 对于决策者和实施者在健康信息交换倡议中的有价值的见解.
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