有意义地履行互操作性任务:对技术政策助理秘书的审查 现实世界测试实践
Jessica L Handley1, Alicia Farlese2, Sophia Lager3
1MedStar Health National Center for Human Factors in Healthcare, Washington, DC, 20008, United States.
JAMIA open
|June 12, 2025
概括
医疗IT开发人员没有为互操作性提供有意义的真实世界测试结果. 这种缺乏透明度阻碍了对认证医疗IT合规性和遵守21世纪治疗法案的理解.
科学领域:
- 医疗信息学 医疗信息学
- 卫生信息技术 信息技术
- 软件工程 软件工程 软件工程
背景情况:
- "21世纪疗法法"要求卫生IT透明度.
- 现实世界测试 (RWT) 对于评估医疗IT互操作性至关重要.
- 利益相关者需要明确的RWT结果来评估认证的健康IT合规性.
研究的目的:
- 分析领先的医疗IT开发人员的RWT结果.
- 确定RWT是否为互操作性评估提供了有意义的背景.
- 为了识别认证健康IT的RWT报告中的差距.
主要方法:
- 对RWT结果的定性分析.
- 专注于拥有最大市场份额的开发商 (5人住院,5人门诊).
- 检查技术政策助理秘书的关怀转变标准.
主要成果:
- 开发人员提交了互操作性措施.
- 没有开发人员提出了具有足够背景的RWT结果,以了解互操作性.
- 观察到RWT报告中缺乏透明度.
结论:
- 认证的医疗IT开发人员没有满足RWT的透明度要求.
- 目前的RWT实践与"21世纪治疗法"的意图不一致.
- 需要改进开发人员指导和更严格地审查RWT报告.
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