英格兰国家卫生服务中的数字能力,开源使用和互操作性标准:对医疗保健信托机构的调查
Matthew Russell Bennion1,2, Ross Spencer3, Roger K Moore1
1School of Computer Science, University of Sheffield, Regent Court, 211 Portobello, Sheffield, S1 4DP, United Kingdom, 44 1142221800.
JMIR human factors
|August 12, 2025
概括
全球数字典范 (GDE) 资助的信托与非资助的信托之间存在持续的差异. 需要进一步的研究来解决诸如有限的资源和技术专业知识等障碍,以实现数字能力的公平进展.
科学领域:
- 医疗信息学 医疗信息学
- 数字化健康转型
- 医疗保健服务研究 医疗服务研究
背景情况:
- 英国国家卫生服务 (NHS) 全球数字典范 (GDE) 计划旨在推动数字化转型,但导致GDE资助和非资助信托之间的数字成熟度差异.
- 卫生和社会护理部 (DHSC) 在2022年推出数据战略,以改善技术基础设施和数据架构,以有效利用数据.
- 现有的NHS数字能力,开源采用和互操作性标准的多样性阻碍了通过官方指导来实现有效的统一,应用程序开发团队的能力数据不足.
研究的目的:
- 记录和比较NHS信托所使用的数字能力和技术,区分标准资金和额外全球数字典范 (GDE) 资金.
- 为评估当前NHS数字实践和确定数字化转型倡议的改进领域提供基本理解.
主要方法:
- 利用了在2020年7月至2020年12月期间提交给NHS信托的信息自由 (FOI) 请求.
- 在2020年8月至2021年7月期间,对技术信息进行系统的网站搜索.
- 采用千平方测试来验证 FOI 数据并增强调查结果的可靠性.
主要成果:
- 191个NHS信托机构响应了自由信息请求 (84.5%的响应率),其中161个 (84%) 拥有专门的软件,应用程序,网站或创新团队.
- 112个团队 (69.6%) 开发了面向服务用户的网站/应用程序,150个团队 (93.2%) 与临床工作人员合作开发创新的想法.
- 138个信托 (86%) 披露了他们的技术,其中25个 (15.5%) 始终使用开源技术,24个 (17%) 披露了互操作性标准.
结论:
- 统一的战略和精确的政策对于NHS在数字化转型,开源技术采用和互操作性标准方面取得成功至关重要.
- 提出了五项建议,以加强NHS内部的组织互操作性.
- 未来的研究应该调查NHS信托机构的数字创新障碍,包括资源限制,组织文化和技术专业知识,以促进公平的进步.
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