联合医院基金关于评估健康信息交换的会议。
The United Hospital Fund meeting on evaluating health information exchange.
作者信息
Hripcsak George, Kaushal Rainu, Johnson Kevin B, Ash Joan S, Bates David W, Block Rachel, Frisse Mark E, Kern Lisa M, Marchibroda Janet, Overhage J Marc, Wilcox Adam B
机构信息
Department of Biomedical Informatics, Columbia University, 622 West 168th Street, VC5, New York, NY 10032, USA.
出版信息
J Biomed Inform. 2007 Dec;40(6 Suppl):S3-10. doi: 10.1016/j.jbi.2007.08.002. Epub 2007 Aug 30.
Health information exchange (HIE) projects are sweeping the nation, with hopes that they will lead to high quality, efficient care, yet the literature on their measured benefits remains sparse. To the degree that the field adopts a common set of evaluation strategies, duplicate work can be reduced and meta-analysis will be easier. The United Hospital Fund sponsored a meeting to address HIE evaluation. HIE projects are diverse with many kinds of effects. Assessment of the operation of the HIE infrastructure and of usage should be done for all projects. The immediate business case must be demonstrated for the stakeholders. Rigorous evaluation of the effect on quality may only need to be done for a handful of projects, with simpler process studies elsewhere. Unintended consequences should be monitored. A comprehensive study of return on investment requires an assessment of all effects. Program evaluation across several projects may help set future policy.
健康信息交换（HIE）项目正在席卷全国，人们希望这些项目能带来高质量、高效的医疗服务，但关于其实际效益的文献仍然稀少。如果该领域采用一套通用的评估策略，就可以减少重复工作，也更便于进行荟萃分析。联合医院基金主办了一次会议来讨论HIE评估问题。HIE项目多种多样，会产生多种效果。所有项目都应对HIE基础设施的运行情况和使用情况进行评估。必须向利益相关者展示直接的商业案例。可能只需对少数项目进行关于质量影响的严格评估，其他地方进行较简单的过程研究即可。应监测意外后果。对投资回报率进行全面研究需要评估所有影响。对多个项目进行项目评估可能有助于制定未来政策。
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