健康信息技术：谬误与清醒现实。
Health information technology: fallacies and sober realities.
机构信息
Department of Industrial and Systems Engineering and Systems Engineering Initiative for Patient Safety, University of Wisconsin, Madison, Wisconsin 53706, USA.
出版信息
J Am Med Inform Assoc. 2010 Nov-Dec;17(6):617-23. doi: 10.1136/jamia.2010.005637.
Abstract
Current research suggests that the rate of adoption of health information technology (HIT) is low, and that HIT may not have the touted beneficial effects on quality of care or costs. The twin issues of the failure of HIT adoption and of HIT efficacy stem primarily from a series of fallacies about HIT. We discuss 12 HIT fallacies and their implications for design and implementation. These fallacies must be understood and addressed for HIT to yield better results. Foundational cognitive and human factors engineering research and development are essential to better inform HIT development, deployment, and use.
摘要
目前的研究表明，健康信息技术（HIT）的采用率较低，而且 HIT 可能对医疗质量或成本没有宣传的那样有益。HIT 采用失败和 HIT 功效不佳这两个问题主要源于对 HIT 的一系列误解。我们讨论了 12 个 HIT 误区及其对设计和实施的影响。为了让 HIT 产生更好的效果，必须理解和解决这些误区。基础性认知和人类因素工程研究和开发对于更好地为 HIT 的开发、部署和使用提供信息至关重要。
相似文献
1
Health information technology: fallacies and sober realities.健康信息技术：谬误与清醒现实。
J Am Med Inform Assoc. 2010 Nov-Dec;17(6):617-23. doi: 10.1136/jamia.2010.005637.
2
Health information technology:Fallacies and Sober realities - Redux A homage to Bentzi Karsh and Robert Wears.健康信息技术：谬误与清醒现实——再版 向本齐·卡什和罗伯特·沃尔斯致敬。
Appl Ergon. 2020 Jan;82:102973. doi: 10.1016/j.apergo.2019.102973. Epub 2019 Oct 30.
3
Factors that affect health information technology adoption by seniors: A systematic review.影响老年人采纳健康信息技术的因素：系统综述。
Health Soc Care Community. 2020 Nov;28(6):1827-1842. doi: 10.1111/hsc.13011. Epub 2020 May 7.
4
Health information technology and implementation science: partners in progress in the VHA.卫生信息技术与实施科学：VA 中的合作进展
Med Care. 2013 Mar;51(3 Suppl 1):S6-12. doi: 10.1097/MLR.0b013e3182884509.
5
Adoption and use of health information technology in physician practice organisations: systematic review.医师执业机构中健康信息技术的采用与使用：系统评价
Inform Prim Care. 2010;18(4):245-58. doi: 10.14236/jhi.v18i4.780.
6
The metabolism of change.变化的新陈代谢。
Physician Exec. 2001 Jul-Aug;27(4):52-4.
7
Technological iatrogenesis: the manifestation of inadequate organizational planning and the integration of health information technology.技术医源性：组织规划不足与健康信息技术整合的表现。
Adv Health Care Manag. 2011;10:287-312. doi: 10.1108/s1474-8231(2011)0000010023.
8
Increased Health Information Technology Adoption and Use Among Small Primary Care Physician Practices Over Time: A National Cohort Study.随着时间推移，小型基层医疗医生诊所对健康信息技术的采用和使用增加：一项全国队列研究。
Ann Fam Med. 2017 Jan;15(1):56-62. doi: 10.1370/afm.1992. Epub 2017 Jan 6.
9
Organizational factors influencing health information technology adoption in long-term-care facilities.影响长期护理机构采用健康信息技术的组织因素。
Health Care Manag (Frederick). 2014 Jan-Mar;33(1):30-7. doi: 10.1097/01.HCM.0000440624.85255.8e.
10
Re-examining health IT policy: what will it take to derive value from our investment?重新审视健康信息技术政策：我们需要付出什么才能从投资中获得价值？
J Am Med Inform Assoc. 2015 Mar;22(2):459-64. doi: 10.1136/amiajnl-2014-003065. Epub 2014 Oct 17.
引用本文的文献
1
Physicians' Attitudes Toward Artificial Intelligence in Medicine: Mixed Methods Survey and Interview Study.医生对医学人工智能的态度：混合方法调查与访谈研究
J Med Internet Res. 2025 Aug 26;27:e74187. doi: 10.2196/74187.
2
Understanding Interventions to Address Infodemics Through Epidemiological, Socioecological, and Environmental Health Models: Framework Analysis.通过流行病学、社会生态和环境卫生模型应对信息疫情的干预措施理解：框架分析
JMIR Infodemiology. 2025 Mar 24;5:e67119. doi: 10.2196/67119.
3
Essential strategic principles for planning and developing digitally enabled interventions in health and care settings.在卫生和保健环境中规划和开发数字化干预措施的基本战略原则。
BMC Health Serv Res. 2024 Nov 13;24(1):1399. doi: 10.1186/s12913-024-11819-x.
4
AHRQ's digital healthcare research program: 20 years of advancing innovation and discovery.AHRQ 的数字医疗保健研究计划：20 年推动创新和发现。
J Am Med Inform Assoc. 2024 Nov 1;31(11):2766-2771. doi: 10.1093/jamia/ocae251.
5
Retrospective analysis of the human-centered design process used to develop a clinical decision support in the emergency department: PE Dx Study Part 2.用于开发急诊科临床决策支持的以人为本设计过程的回顾性分析：PE Dx研究第2部分
Hum Factors Health. 2023 Dec;4. doi: 10.1016/j.hfh.2023.100055. Epub 2023 Sep 30.
6
Failures and fallacies of eHealth initiatives: Are we finally able to overcome the underlying theoretical and practical orthodoxies?电子健康计划的失败与谬误：我们最终能否克服潜在的理论和实践正统观念？
Digit Health. 2024 May 15;10:20552076241254019. doi: 10.1177/20552076241254019. eCollection 2024 Jan-Dec.
7
Automation in health care: the need for an ergonomics-based approach.医疗保健中的自动化：基于工效学方法的需求。
Ergonomics. 2023 Nov;66(11):1768-1781. doi: 10.1080/00140139.2023.2286915. Epub 2024 Jan 2.
8
CancelRx case study: implications for clinic and community pharmacy work systems.取消 Rx 案例研究：对诊所和社区药房工作系统的影响。
BMC Health Serv Res. 2023 Dec 6;23(1):1360. doi: 10.1186/s12913-023-10396-9.
9
Assessing Usability and Ambulatory Clinical Staff Satisfaction with Two Electronic Health Records.评估两种电子健康记录在可用性和门诊临床人员满意度方面的情况。
Appl Clin Inform. 2023 May;14(3):494-502. doi: 10.1055/a-2074-1665. Epub 2023 Apr 14.
10
To explain or not to explain?-Artificial intelligence explainability in clinical decision support systems.解释还是不解释？——临床决策支持系统中的人工智能可解释性
PLOS Digit Health. 2022 Feb 17;1(2):e0000016. doi: 10.1371/journal.pdig.0000016. eCollection 2022 Feb.
本文引用的文献
1
Cognitive performance-altering effects of electronic medical records: An application of the human factors paradigm for patient safety.电子病历对认知表现的改变作用：将人因范式应用于患者安全
Cogn Technol Work. 2011 Mar;13(1):11-29. doi: 10.1007/s10111-010-0141-8.
2
Effect of bar-code technology on the safety of medication administration.条形码技术对给药安全的影响。
N Engl J Med. 2010 May 6;362(18):1698-707. doi: 10.1056/NEJMsa0907115.
3
Psychological research on equipment design in the AAF.美国陆军航空队装备设计的心理学研究
Am Psychol. 1947 Mar;2(3):93-8. doi: 10.1037/h0053785.
4
Physicians' beliefs about using EMR and CPOE: in pursuit of a contextualized understanding of health IT use behavior.医生对使用 EMR 和 CPOE 的信念：追求对健康信息技术使用行为的情境化理解。
Int J Med Inform. 2010 Feb;79(2):71-80. doi: 10.1016/j.ijmedinf.2009.12.003. Epub 2010 Jan 13.
5
The impact of computerized provider order entry on medication errors in a multispecialty group practice.计算机化医嘱录入系统对多专科医疗机构用药错误的影响。
J Am Med Inform Assoc. 2010 Jan-Feb;17(1):78-84. doi: 10.1197/jamia.M3285.
6
Tensions and paradoxes in electronic patient record research: a systematic literature review using the meta-narrative method.电子病历研究中的紧张局势和悖论：使用元叙述方法的系统文献回顾。
Milbank Q. 2009 Dec;87(4):729-88. doi: 10.1111/j.1468-0009.2009.00578.x.
7
Hospital computing and the costs and quality of care: a national study.医院计算与医疗成本和质量：一项全国性研究。
Am J Med. 2010 Jan;123(1):40-6. doi: 10.1016/j.amjmed.2009.09.004. Epub 2009 Nov 24.
8
9
Eight rights of safe electronic health record use.安全使用电子健康记录的八项权利。
JAMA. 2009 Sep 9;302(10):1111-3. doi: 10.1001/jama.2009.1311.
10
Describing and modeling workflow and information flow in chronic disease care.描述和建模慢性病护理中的工作流程和信息流。
J Am Med Inform Assoc. 2009 Nov-Dec;16(6):826-36. doi: 10.1197/jamia.M3000. Epub 2009 Aug 28.
Zotero 插件