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了解爱尔兰的健康信息状况:一项使用社会技术方法的定性研究。

Understanding the state of health information in Ireland: A qualitative study using a socio-technical approach.

机构信息

Health Research Board, Dublin, Ireland.

School of Social Policy, Social Work and Social Justice, University College, Dublin, Ireland.

出版信息

Int J Med Inform. 2018 Jun;114:1-5. doi: 10.1016/j.ijmedinf.2018.03.001. Epub 2018 Mar 11.

Abstract

OBJECTIVES

The objective of this paper is to add to the broader literature on socio-technical theory and its value and/or relevance to health information in Ireland. The paper focuses on three factors that can impact on health information; those of policy, infrastructure and people (PIP) and examines how Ireland compares with other countries in relation to these factors.

MATERIALS AND METHODS

Qualitative methods (documentary analysis and semi-structured interviews) were used. Key policy and strategy documents, and original research articles from Australia, Canada, Ireland, the UK and the US were analysed from a comparative perspective. The dimensions of policy, infrastructure and people were then explored through semi-structured interviews with health information experts in Ireland. Their perceptions were compared with and contrasted against the findings from the documentary analysis, and examined thematically.

FINDINGS

The views of health information experts support the findings of the review of Ireland's development in this area compared with other countries and that Ireland lags behind others in policy and practice terms.

CONCLUSIONS

The paper concludes that the three dimensions of policy, infrastructure and people do indeed help to frame the understanding of health information in Ireland and that a socio-technical perspective, combined with a comparative approach, can also help both policy makers and practitioners in identifying the scope for improvement in health information.

摘要

目的

本文旨在为社会技术理论及其在爱尔兰健康信息中的价值和/或相关性的更广泛文献做出贡献。本文重点关注可能影响健康信息的三个因素,即政策、基础设施和人员(PIP),并考察了爱尔兰在这些因素方面与其他国家的比较情况。

材料和方法

采用定性方法(文献分析和半结构化访谈)。从比较的角度分析了来自澳大利亚、加拿大、爱尔兰、英国和美国的关键政策和战略文件以及原始研究文章。然后,通过对爱尔兰健康信息专家的半结构化访谈,探讨了政策、基础设施和人员的各个方面。将他们的看法与文献分析的结果进行比较和对比,并进行主题分析。

结果

健康信息专家的观点支持对爱尔兰在这一领域与其他国家的发展进行的审查结果,即爱尔兰在政策和实践方面落后于其他国家。

结论

本文的结论是,政策、基础设施和人员这三个维度确实有助于爱尔兰健康信息的理解,并结合比较方法,也有助于政策制定者和实践者确定健康信息改进的范围。

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