Department of Automatic Control and Systems Engineering, University of Sheffield, Sheffield, UK.
Department of Automatic Control and Systems Engineering, University of Sheffield, Sheffield, UK.
Int J Med Inform. 2020 Oct;142:104217. doi: 10.1016/j.ijmedinf.2020.104217. Epub 2020 Jun 25.
Health information systems (HIS) are expected to be effective and efficient in improving healthcare services, but empirical observation of HIS reveals that most perform poorly in terms of these metrics. Theoretical factors of HIS performance are widely studied, and solutions to mitigate poor performance have been proposed. In this paper we implement effective methods to eliminate some common drawbacks of HIS design and demonstrate the synergy between the methods. JointCalc, the first comprehensive patient-facing web-based decision support tool for joint replacement, is used as a case study for this purpose.
User-centred design and thorough end-user involvement are employed throughout the design and development of JointCalc. This is supported by modern software production paradigms, including continuous integration/continuous development, agile and service-oriented architecture. The adopted methods result in a user-approved application delivered well within the scope of project.
This work supports the claims of high potential efficiency of HIS. The methods identified are shown to be applicable in the production of an effective HIS whilst aiding development efficiency.
健康信息系统（HIS）有望在改善医疗服务方面发挥高效、有效的作用，但对 HIS 的实证观察表明，大多数系统在这些指标方面表现不佳。HIS 性能的理论因素得到了广泛研究，并提出了缓解性能不佳的解决方案。在本文中，我们实施了有效的方法来消除 HIS 设计中的一些常见缺陷，并展示了这些方法之间的协同作用。为此，我们使用联合计算器（JointCalc）作为案例研究，这是第一个针对关节置换的全面面向患者的基于网络的决策支持工具。
在 JointCalc 的设计和开发过程中，始终采用以用户为中心的设计和彻底的终端用户参与。这得到了现代软件生产范例的支持，包括持续集成/持续开发、敏捷和面向服务的架构。所采用的方法产生了一个经过用户批准的应用程序，在项目范围内交付得很好。
这项工作支持了 HIS 具有高效潜力的说法。所确定的方法在生产有效 HIS 的同时提高了开发效率方面具有适用性。
