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移动医疗服务的开发和成功评估框架。

A framework for m-health service development and success evaluation.

机构信息

Faculty of Industrial and Systems Engineering, Tarbiat Modares University, Tehran, Iran.

Faculty of Industrial and Systems Engineering, Tarbiat Modares University, Tehran, Iran.

出版信息

Int J Med Inform. 2018 Apr;112:123-130. doi: 10.1016/j.ijmedinf.2018.01.003.

Abstract

The emergence of mobile technology has influenced many service industries including health care. Mobile health (m-Health) applications have been used widely, and many services have been developed that have changed delivery systems and have improved effectiveness of health care services. Stakeholders of m-Health services have various resources and rights that lends to a complexity in service delivery. In addition, abundance of different m-Health services makes it difficult to choose an appropriate service for these stakeholders that include customers, patients, users or even providers. Moreover, a comprehensive framework is not yet provided in the literature that would help manage and evaluate m-health services, considering various stakeholder's benefits. In this paper, a comprehensive literature review has been done on famous frameworks and models in the field of Information Technology and electronic health with the aim of finding different aspects of developing and managing m-health services. Using the results of literature review and conducting a stakeholder analysis, we have proposed an m-health evaluation framework which evaluates the success of a given m-health service through a three-stage life cycle: (1) Service Requirement Analysis, (2) Service Development, and (3) Service Delivery. Key factors of m-health evaluation in each step are introduced in the proposed framework considering m-health key stakeholder's benefits. The proposed framework is validated via expert interviews, and key factors in each evaluation step is validated using PLS model. Results show that path coefficients are higher than their threshold which supports the validity of proposed framework.

摘要

移动技术的出现已经影响了许多服务行业,包括医疗保健。移动健康(m-Health)应用已经得到了广泛的应用,许多服务已经开发出来,改变了服务交付系统,并提高了医疗服务的效果。m-Health 服务的利益相关者拥有各种资源和权利,这使得服务交付变得复杂。此外,不同的 m-Health 服务种类繁多,使得这些利益相关者(包括客户、患者、用户甚至提供者)难以选择合适的服务。此外,文献中尚未提供一个全面的框架,帮助管理和评估 m-health 服务,考虑到各种利益相关者的利益。在本文中,我们对信息技术和电子健康领域的著名框架和模型进行了全面的文献回顾,旨在找到开发和管理 m-health 服务的不同方面。利用文献回顾的结果并进行利益相关者分析,我们提出了一个 m-health 评估框架,通过三个阶段的生命周期来评估给定的 m-health 服务的成功:(1)服务需求分析,(2)服务开发,(3)服务交付。在提出的框架中,考虑到 m-health 关键利益相关者的利益,介绍了每个步骤中 m-health 评估的关键因素。该框架通过专家访谈进行了验证,并使用 PLS 模型验证了每个评估步骤中的关键因素。结果表明,路径系数高于其阈值,这支持了所提出框架的有效性。

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