在公共卫生系统中导航大规模的EHR实施:从快速审查中吸取经验教训和建议
Louis Raymond1, Aude Motulsky2, Gregory Vial3
1Institut de recherche sur les PME, Université du Québec à Trois-Rivières, Trois-Rivières, QC, Canada.
Health informatics journal
|May 28, 2025
概括
成功实施国家电子健康记录 (NEHR) 需要利益相关者参与,机构协调和适应性技术. 参与式策略和灵活的治理提高了NEHR系统的可持续性和有效性.
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
- 实施科学 实施科学
背景情况:
- 国家电子健康记录 (NEHR) 计划旨在改善医疗保健服务.
- 在NEHR知识和实际实施之间仍然存在差距.
- 了解实施挑战对于优化NEHR系统至关重要.
研究的目的:
- 系统地综合过去NEHR倡议的经验证据.
- 识别NEHR知识与实践之间的关键差距.
- 为决策者,医疗IT领导者和从业人员提供可操作的见解.
主要方法:
- 快速审查方法.快速审查方法.
- 经验研究 (2010-2024) 的定性内容分析.
- 搜索了Scopus,PubMed,Medline和CINAHL数据库;分析了24项研究.
主要成果:
- 成功实施NEHR取决于利益相关方的参与,机构/文化调整和技术标准化.
- 有意义的临床医生参与和适应性领导力是采用的关键.
- 混合"中途"方法相比于严格的自上而下的方法,促进了更顺的过渡.
结论:
- NEHR的部署需要战略决策,持续的利益相关者参与和灵活的治理.
- 优先考虑参与式实施策略和适应性标准化,以提高NEHR的有效性.
- 代学习的机制对于提高NEHR系统的可持续性至关重要.
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