Sadoughi Farahnaz, Erfannia Leila
Health Information Management Department, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Health Information Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Stud Health Technol Inform. 2017;236:290-297.
Healthcare as a worldwide industry is experiencing a period of growth based on health information technology. The capabilities of cloud systems make it as an option to develop eHealth goals. The main objectives of the present study was to evaluate the advantages and limitations of health information systems implementation in a cloud-computing context that was conducted as a systematic review in 2016. Science direct, Scopus, Web of science, IEEE, PubMed and Google scholar were searched according study criteria. Among 308 articles initially found, 21 articles were entered in the final analysis. All the studies had considered cloud computing as a positive tool to help advance health technology, but none had insisted too much on its limitations and threats. Electronic health record systems have been mostly studied in the fields of implementation, designing, and presentation of models and prototypes. According to this research, the main advantages of cloud-based health information systems could be categorized into the following groups: economic benefits and advantages of information management. The main limitations of the implementation of cloud-based health information systems could be categorized into the 4 groups of security, legal, technical, and human restrictions. Compared to earlier studies, the present research had the advantage of dealing with the issue of health information systems in a cloud platform. The high frequency of studies conducted on the implementation of cloud-based health information systems revealed health industry interest in the application of this technology. Security was a subject discussed in most studies due to health information sensitivity. In this investigation, some mechanisms and solutions were discussed concerning the mentioned systems, which would provide a suitable area for future scientific research on this issue. The limitations and solutions discussed in this systematic study would help healthcare managers and decision-makers take better and more efficient advantages of this technology and make better planning to adopt cloud-based health information systems.
作为一个全球性产业，医疗保健正基于健康信息技术经历一段增长期。云系统的能力使其成为实现电子健康目标的一个选项。本研究的主要目的是评估在云计算环境中实施健康信息系统的优势和局限性，该研究于2016年作为一项系统评价开展。根据研究标准检索了科学Direct、Scopus、科学网、电气与电子工程师协会、医学期刊数据库和谷歌学术。在最初找到的308篇文章中，21篇文章进入最终分析。所有研究都将云计算视为有助于推进健康技术的积极工具，但没有一项研究过多强调其局限性和威胁。电子健康记录系统大多在模型和原型的实施、设计及展示领域进行了研究。根据这项研究，基于云的健康信息系统的主要优势可分为以下几类：经济效益和信息管理优势。基于云的健康信息系统实施的主要局限性可分为安全、法律、技术和人为限制这4类。与早期研究相比，本研究的优势在于处理云平台中的健康信息系统问题。对基于云的健康信息系统实施进行的高频研究表明了健康行业对该技术应用的兴趣。由于健康信息的敏感性，安全是大多数研究中讨论的一个主题。在这项调查中，讨论了有关上述系统的一些机制和解决方案，这将为该问题的未来科学研究提供一个合适的领域。本系统研究中讨论的局限性和解决方案将有助于医疗保健管理人员和决策者更好、更有效地利用这项技术，并做出更好的规划以采用基于云的健康信息系统。
