McMaster University, Hamilton, Canada.
Northern Ontario School of Medicine, Canada.
Health Informatics J. 2019 Sep;25(3):919-934. doi: 10.1177/1460458217733122. Epub 2017 Oct 9.
The use of Internet-enabled technology (information and communication technology such as smartphone applications) may enrich information exchange among providers and, consequently, improve health care delivery. The purpose of this systematic review was to gain a greater understanding of the role that Internet-enabled technology plays in enhancing communication among physicians. Studies were identified through a search in three electronic platforms: the Association for Computing Machinery Digital Library, ProQuest, and Web of Science. The search identified 5140 articles; of these, 21 met all inclusion criteria. In general, physicians were satisfied with Internet-enabled technology, but consensus was lacking regarding whether Internet-enabled technology improved efficiency or made a difference to clinical decision-making. Internet-enabled technology can play an important role in enhancing communication among physicians, but the extent of that benefit is influenced by (1) the impact of Internet-enabled technology on existing work practices, (2) the availability of adequate resources, and (3) the nature of institutional elements, such as privacy legislation.
利用互联网技术(如智能手机应用程序等信息和通信技术)可以丰富提供者之间的信息交流,从而改善医疗服务的提供。本系统评价的目的是更深入地了解互联网技术在增强医生之间沟通方面所起的作用。研究是通过在三个电子平台(美国计算机协会数字图书馆、ProQuest 和 Web of Science)中搜索确定的。搜索共确定了 5140 篇文章;其中,有 21 篇符合所有纳入标准。一般来说,医生对互联网技术感到满意,但对于互联网技术是否提高了效率或对临床决策有影响,尚未达成共识。互联网技术可以在增强医生之间的沟通方面发挥重要作用,但这种益处的程度受到以下因素的影响:(1)互联网技术对现有工作实践的影响;(2)是否有足够的资源;(3)机构因素的性质,如隐私立法。