探索实施电子健康的挑战：一项对综述的系统评价进行更新的方案
Exploring the challenges of implementing e-health: a protocol for an update of a systematic review of reviews.
作者信息
Ross Jamie, Stevenson Fiona, Lau Rosa, Murray Elizabeth
机构信息
e-Health Unit, Research Department of Primary Care and Population Health, University College London, London, UK.
出版信息
BMJ Open. 2015 Apr 13;5(4):e006773. doi: 10.1136/bmjopen-2014-006773.
INTRODUCTION
There is great potential for e-health to deliver cost-effective, quality healthcare and spending on e-health systems by governments and healthcare systems is increasing worldwide. However, the literature often describes problematic and unsuccessful attempts to implement these new technologies into routine clinical practice. To understand and address the challenges of implementing e-health, a systematic review was conducted in 2009, which identified several conceptual barriers and facilitators to implementation. As technology is rapidly changing and new e-health solutions are constantly evolving to meet the needs of current practice, an update of this review is deemed necessary to understand current challenges to the implementation of e-health. This research aims to identify, summarise and synthesise currently available evidence, by undertaking a systematic review of reviews to explore the barriers and facilitators to implementing e-health across a range of healthcare settings.
METHODS AND ANALYSIS
This is a protocol for an update of a systematic review of reviews. We will search MEDLINE, EMBASE, CINAHL, PSYCINFO and The Cochrane Library for studies published between 2009 and 2014. We will check reference lists of included studies for further studies. Two authors will independently screen the titles and abstracts identified from the search; any discrepancies will be resolved by discussion and consensus. Full-text papers will be obtained and relevant reviews will be selected against inclusion criteria. Eligible reviews have to be based on the implementation of e-health technologies. Data from eligible reviews will be extracted using a data abstraction form. A thematic analysis of barriers and facilitators to e-health implementation will be conducted.
ETHICS AND DISSEMINATION
Ethical approval is not required. The permission of the original authors to update the review was sought and granted.
TRIAL REGISTRATION NUMBER
PROSPERO CRD42015017661.
引言
电子健康在提供具有成本效益的优质医疗保健方面具有巨大潜力，世界各国政府和医疗保健系统在电子健康系统上的支出也在不断增加。然而，文献中经常描述在将这些新技术应用于常规临床实践时存在问题且未成功的尝试。为了理解和应对实施电子健康的挑战，2009年进行了一项系统评价，确定了实施过程中的几个概念性障碍和促进因素。由于技术在迅速变化，新的电子健康解决方案也在不断发展以满足当前实践的需求，因此认为有必要对该评价进行更新，以了解当前电子健康实施面临的挑战。本研究旨在通过对综述进行系统评价，识别、总结和综合现有证据，以探讨在一系列医疗保健环境中实施电子健康的障碍和促进因素。
方法与分析
这是一项对综述进行更新的系统评价方案。我们将检索MEDLINE、EMBASE、CINAHL、PSYCINFO和考克兰图书馆，查找2009年至2014年发表的研究。我们将检查纳入研究的参考文献列表以获取更多研究。两位作者将独立筛选检索到的标题和摘要；任何差异将通过讨论和达成共识来解决。将获取全文论文，并根据纳入标准选择相关综述。符合条件的综述必须基于电子健康技术的实施。将使用数据提取表从符合条件的综述中提取数据。将对电子健康实施的障碍和促进因素进行主题分析。
伦理与传播
无需伦理批准。已寻求并获得原作者对更新该综述的许可。
试验注册号
PROSPERO CRD42015017661。
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