电子健康记录实施的挑战和促进因素:范围审查
Masume Dehghan1, Anahita Behzadi2, Mohammad Hossein Mehrolhassani2
1Department of Health Management, Policy and Economics, Faculty of Management and Medical Information Sciences, Kerman University of Medical Sciences, Kerman, Iran.
成功实施电子健康记录 (EHR) 需要解决治理,领导和基础设施方面的挑战. 关键的促进者包括强有力的政治支持,利益相关者的参与,以及为更好的医疗保健提供全面的培训计划.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健管理的管理
- 公共卫生政策 公共卫生政策
背景情况:
- 电子健康和电子健康记录 (EHR) 对现代医疗保健至关重要,提高了质量和协调.
- 成功实施EHR需要了解相关的挑战和促进者.
- 本研究确定了影响有效采用EHR的关键因素.
研究的目的:
- 进行范围审查,确定电子健康规范实施的挑战和促进者.
- 为有效的政策制定和管理策略提供信息,以便采用EHR.
- 使用SURE框架提供结构化分析.
主要方法:
- 从2010年1月到2024年1月的PRISMA指导的文献范围审查.
- 在主要数据库 (PubMed,科学网,Scopus,Embase,谷歌学者) 中进行搜索.
- 包含原始的定量和定性研究,由两个审查员进行独立选.
主要成果:
- 包括来自不同国家的23项研究,突出了国际范围.
- 在治理,政策,领导,人力资源,基础设施和运营方面确定了关键挑战.
- 促进者包括强有力的领导,政治支持,基础设施投资,利益相关者参与和培训.
结论:
- 成功实施EHR取决于强大的治理,领导力,熟练的人员,基础设施和互操作性.
- 政策建议包括国家路线图,可持续融资,标准化 (如ICD-10),持续培训和利益相关方参与.
- 这些洞察力旨在加快EHR的采用并提高卫生系统的性能.
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