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作为电子健康基础设施的教育:推进国家电子健康议程的考量因素

Education as ehealth infrastructure: considerations in advancing a national agenda for ehealth.

作者信息

Hilberts Sonya, Gray Kathleen

机构信息

Lead Vantage P/L, Sydney, Australia.

出版信息

Adv Health Sci Educ Theory Pract. 2014 Mar;19(1):115-27. doi: 10.1007/s10459-013-9442-z. Epub 2013 Jan 25.

Abstract

This paper explores the role of education as infrastructure in large-scale ehealth strategies-in theory, in international practice and in one national case study. Education is often invisible in the documentation of ehealth infrastructure. Nevertheless a review of international practice shows that there is significant educational investment made in implementing national ehealth agendas. Disparate views about the role of education are implicit in the ehealth strategy literature, while there is a shortage of evidence-based accounts of ehealth education. In the case of Australia, the benefits and challenges of a broadly collaborative approach to ehealth education are highlighted through activities of various types occurring on many levels to support the implementation of a national ehealth system. This paper concludes that although evidence-based practice is a given in other areas of healthcare, and although there are many published evaluations of ehealth usability and acceptance in the health informatics literature, there is surprisingly little evidence about what works and doesn't work with regard to the ehealth education.

摘要

本文探讨了教育作为基础设施在大规模电子健康战略中的作用——从理论、国际实践以及一个国家案例研究的角度。在电子健康基础设施的文献记录中,教育常常不被重视。然而,对国际实践的回顾表明,在实施国家电子健康议程方面进行了大量的教育投资。电子健康战略文献中隐含着对教育作用的不同观点,而关于电子健康教育的循证描述却很匮乏。以澳大利亚为例,通过多层次开展的各类活动来支持国家电子健康系统的实施,凸显了广泛协作的电子健康教育方法所带来的益处和挑战。本文得出结论,尽管循证实践在医疗保健的其他领域是既定要求,尽管健康信息学文献中有许多关于电子健康可用性和接受度的已发表评估,但令人惊讶的是,关于电子健康教育中哪些有效、哪些无效的证据却很少。

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