综合护理环境下临床信息系统的障碍与关键成功因素的系统调查
A Systematic Investigation on Barriers and Critical Success Factors for Clinical Information Systems in Integrated Care Settings.
作者信息
Hoerbst A, Schweitzer M
机构信息
Alexander Hörbst, Research Division eHealth and Telemedicine, University for Health Sciences, Medical Informatics, and, Technology (UMIT), Eduard-Wallnoefer-Zentrum 1, 6060 Hall in Tirol, Austria, Tel.: +43 50 8648 3814, Fax: +43 50 8648 67 3814, E-mail:
出版信息
Yearb Med Inform. 2015 Aug 13;10(1):79-89. doi: 10.15265/IY-2015-018.
OBJECTIVES
Clinical Information Systems (CIS) have ever since the introduction of information technology in healthcare played an important role to support healthcare professionals and the process of treatment. With the rise of the concept of integrated care organizational borders, the sole focus on data aggregation or healthcare professionals as users disappear more and more. The manuscript discusses the concept of CISs and investigates critical success factors for CISs in the context of integrated care and in the course of time.
METHODS
In order to identify critical success factors and barriers for CISs a systematic literature review was conducted based on the results from PubMed and Cochrane, using MaxQDA. Search results were thereby limited to reviews or meta-analysis.
RESULTS
We have found 1919 references of which 40 met the inclusion criteria. The analysis of the manuscripts resulted in a comprehensive list of success factors and barriers related to CISs in integrated care settings. Most barriers were user-related whereas for the success factors an even distribution of organizational, technical and user-related factors was observed. The vast majority of publications was focused on healthcare professionals.
CONCLUSION
It is important to incorporate experiences made/ collected over time, as the problems encountered seem to remain almost unvaried. In order to support further systematic investigations on the topic it is necessary to rethink existing concepts and definitions to realign them with the ideas of integrated care.
目标
自从信息技术引入医疗保健领域以来，临床信息系统（CIS）在支持医疗保健专业人员和治疗过程中发挥了重要作用。随着综合护理组织边界概念的兴起，对数据聚合或作为用户的医疗保健专业人员的单一关注越来越少。本文讨论了临床信息系统的概念，并研究了综合护理背景下及随着时间推移临床信息系统的关键成功因素。
方法
为了确定临床信息系统的关键成功因素和障碍，基于PubMed和Cochrane的结果，使用MaxQDA进行了系统的文献综述。搜索结果仅限于综述或荟萃分析。
结果
我们找到了1919篇参考文献，其中40篇符合纳入标准。对手稿的分析得出了与综合护理环境中临床信息系统相关的成功因素和障碍的综合列表。大多数障碍与用户相关，而对于成功因素，观察到组织、技术和用户相关因素分布均匀。绝大多数出版物关注的是医疗保健专业人员。
结论
纳入长期积累的经验很重要，因为遇到的问题似乎几乎没有变化。为了支持对该主题的进一步系统研究，有必要重新思考现有概念和定义，使其与综合护理理念保持一致。
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