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医疗保健中的人力资源信息系统:系统评价方案

Human Resource Information Systems in Health Care: Protocol for a Systematic Review.

作者信息

Tursunbayeva Aizhan, Pagliari Claudia, Bunduchi Raluca, Franco Massimo

机构信息

Department of Economics, Management, Society, and Institutions, University of Molise, Campobasso, Italy.

出版信息

JMIR Res Protoc. 2015 Dec 1;4(4):e135. doi: 10.2196/resprot.4922.

DOI:10.2196/resprot.4922
PMID:26627591
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4704957/
Abstract

BACKGROUND

Compared with the eHealth literature as a whole, there has been relatively little published research on the use and impact of information and communication technologies (ICTs) designed to support business functions within health organizations. Human resource information systems (HRISs) have the potential to improve organizational efficiency and effectiveness by facilitating workforce planning, financial and operational administration, staff training, and management analytics. However, the evidence base regarding HRIS in health care is widely distributed across disciplinary boundaries and previous reviews have been somewhat limited in scope. This rigorous systematic review will identify, appraise, and synthesize existing international research on the implementation and impacts of HRIS in health organizations, to provide insights and recommendations that may guide future purchasers, commissioners, implementers, evaluators, and users of such systems.

OBJECTIVE

The objectives of this review are threefold: (1) to determine the prevalence and scope of existing research and evaluation pertaining to HRIS in health organizations; (2) to analyze, classify, and synthesize existing evidence on the processes and impacts of HRIS development, implementation, and adoption; and (3) to generate recommendations for HRIS research, practice, and policy, with reference to the needs of different stakeholders and communities of practice.

METHODS

A high-level scoping review was first undertaken to inform a draft search strategy, which was refined through several cycles of piloting and iteration to optimize its sensitivity and specificity. This was used by the first author, with the help of a medical librarian, to search international electronic databases indexing medical, business, ICT, and multi-disciplinary research. Sources of gray literature and reference lists of included studies were also searched. There were no restrictions on language or publication year. Two reviewers are now screening and coding titles and abstracts for potentially eligible studies, for which full text articles will be retrieved. Reasons for exclusion will be noted for the remaining articles. A structured form will be used to summarize and classify the articles. Any disagreements between reviewers will be resolved through consensus or arbitration by a third reviewer. A PRISMA flow diagram will illustrate the study selection process and ensure transparency of the review. Finally, content experts will be consulted to ensure that important articles have not been missed.

RESULTS

The initial searches have now been completed and the results are being analyzed. The review is expected to be completed and published by the end of 2015.

CONCLUSIONS

By synthesizing the existing evidence base, identifying areas in which knowledge is currently lacking, and generating recommendations for research and practice, this review will be a useful resource for decision makers and managers considering or implementing HRIS, as well as encouraging new research in this area.

TRIAL REGISTRATION

PROSPERO International Prospective Register of Systematic Reviews: CRD42015023581; http://www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42015023581#.VYu1BPlVjDU (Archived by WebCite at http://www.webcitation.org/6ckJCDdCL).

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eca7/4704957/0153bd31d360/resprot_v4i4e135_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eca7/4704957/0153bd31d360/resprot_v4i4e135_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eca7/4704957/0153bd31d360/resprot_v4i4e135_fig1.jpg
摘要

背景

与整体电子健康文献相比,针对旨在支持卫生组织业务功能的信息通信技术(ICT)的使用和影响所开展的已发表研究相对较少。人力资源信息系统(HRIS)有潜力通过促进劳动力规划、财务与运营管理、员工培训及管理分析来提高组织效率和效能。然而,关于医疗保健领域HRIS的证据基础广泛分布于不同学科领域,且以往的综述在范围上有所局限。本严谨的系统综述将识别、评估并综合关于卫生组织中HRIS实施与影响的现有国际研究,以提供可能指导此类系统未来采购者、委托方、实施者、评估者及使用者的见解和建议。

目的

本综述有三个目标:(1)确定有关卫生组织中HRIS的现有研究和评估的普遍性及范围;(2)分析、分类并综合关于HRIS开发、实施和采用的过程及影响的现有证据;(3)参照不同利益相关者和实践社群的需求,为HRIS研究、实践和政策提出建议。

方法

首先进行了一项高层次的范围综述,以形成初步的检索策略,该策略经多次试点和迭代循环进行完善,以优化其敏感性和特异性。第一作者在医学图书馆员的帮助下,使用该策略检索索引医学、商业、ICT及多学科研究的国际电子数据库。还检索了灰色文献来源及纳入研究的参考文献列表。对语言和出版年份没有限制。现在有两名评审人员正在筛选和编码标题及摘要,以查找可能符合条件的研究,对于这些研究将检索全文。将记录其余文章被排除的原因。将使用结构化表格对文章进行总结和分类。评审人员之间的任何分歧将通过由第三位评审人员达成共识或进行仲裁来解决。PRISMA流程图将说明研究选择过程并确保综述的透明度。最后,将咨询内容专家以确保未遗漏重要文章。

结果

初步检索现已完成,结果正在分析中。预计该综述将于2015年底完成并发表。

结论

通过综合现有证据基础、识别当前知识欠缺的领域并为研究和实践提出建议,本综述将成为考虑或实施HRIS的决策者和管理人员的有用资源,同时也会鼓励该领域的新研究。

试验注册

PROSPERO国际系统综述前瞻性注册库:CRD42015023581;http://www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42015023581#.VYu1BPlVjDU(由WebCite存档于http://www.webcitation.org/6ckJCDdCL)

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