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发展中国家的卫生信息学:综述的系统评价。国际医学信息学协会发展卫生信息学工作组的贡献。

Health Informatics in Developing Countries: Systematic Review of Reviews. Contribution of the IMIA Working Group Health Informatics for Development.

作者信息

Luna D, Otero C, Marcelo A

机构信息

Health Informatics Department, Hospital Italiano de Buenos Aires, Gascon 450, CABA, Buenos Aires, Argentina (C1181ACH). E-mail:

出版信息

Yearb Med Inform. 2013;8:28-33.

Abstract

OBJECTIVES

An evidence-base is important for medicine and health informatics. Despite numerous publications showing the benefits of health informatics, the emergence of health information systems in developing countries has been slower than expected. The aim of this paper is to identify systematic reviews on the domain of health informatics in developing countries, and classify the different types of applications covered.

METHODS

A systematic review of reviews was conducted. The literature search spanned the time period between 2000 and 2012 and included PubMed, EMBASE, CINAHL, Scopus, Cochrane Systematic Reviews, LILACS, and Google Scholar. The search term was 'systematic reviews of health informatics in developing countries', and transparent and systematic procedures were applied to limit bias at all stages.

RESULTS

Of the 982 identified articles, only 10 met the inclusion criteria and one more article was added in a second manual search, resulting in a total of 11 systematic reviews for the analysis.

CONCLUSIONS

Although it was difficult to find high quality resources on the selected domain, the best evidence available allowed us to generate this report and create an incipient review of the state of the art in health informatics in the developing countries. More studies will be needed to optimize the results.

摘要

目标

循证基础对于医学和健康信息学而言至关重要。尽管众多出版物都表明了健康信息学的益处,但发展中国家健康信息系统的出现却比预期要慢。本文旨在识别关于发展中国家健康信息学领域的系统评价,并对所涵盖的不同类型应用进行分类。

方法

开展了一项对综述的系统评价。文献检索涵盖了2000年至2012年的时间段,包括PubMed、EMBASE、CINAHL、Scopus、Cochrane系统评价、LILACS和谷歌学术。检索词为“发展中国家健康信息学的系统评价”,并采用了透明且系统的程序以在各个阶段限制偏倚。

结果

在识别出的982篇文章中,仅有10篇符合纳入标准,在第二次人工检索中又增加了1篇文章,最终共有11篇系统评价用于分析。

结论

尽管在所选领域难以找到高质量资源,但现有最佳证据使我们能够生成本报告,并对发展中国家健康信息学的现状进行初步综述。还需要更多研究来优化结果。

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