卫生信息系统的架构模式:系统性审查
Rene Casanova1, Fernan A Villa-Garzon1, John W Branch-Bedoya1
1Departamento de Ciencias de la Computación y la Decisión, Universidad Nacional de Colombia, Medellín, Colombia.
卫生信息系统 (HIS) 面临着碎片化的挑战. 本次审查强调了基于服务和分散的架构,但实现互操作的生态系统需要更多的多样性和协作.
科学领域:
- 数字健康数字健康
- 医疗信息学 医疗信息学
- 医疗保健系统工程 系统工程
背景情况:
- 健康信息系统 (HIS) 对于数字健康转型至关重要.
- 系统的碎片化和不良的互操作性阻碍了其采用和有效性.
- 解决这些挑战对于推进医疗保健至关重要.
研究的目的:
- 系统地审查HIS中的建筑模式.
- 根据生态系统层面的要求来评估这些模式.
- 识别HIS架构中的当前趋势和未来方向.
主要方法:
- 系统的文献审查遵循PRISMA 2020指南.
- 在Scopus,IEEE Xplore,PubMed和科学网络 (2020-2025) 中进行的搜索.
- 包括描述,评估或提出HIS解决方案的研究.
主要成果:
- 89项研究符合304个初始记录中的包含标准.
- 基于服务和分散/分布式账本架构占主导地位.
- 新兴趋势包括边缘计算,模块化设计和基于FHIR的接口.
- 在跨境护理,可持续性和人工智能集成方面发现了差距.
结论:
- 微服务目前主导着HIS架构.
- 实现弹性,可互操作的健康生态系统需要更大的建筑多样性.
- 跨部门的合作对于未来的HIS发展至关重要.
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