医院数字化成熟度维度的综合：系统评价。
Synthesizing Dimensions of Digital Maturity in Hospitals: Systematic Review.
机构信息
School of Information Systems, Queensland University of Technology, Brisbane, Australia.
Centre for Health Services Research, The University of Queensland, Herston, Australia.
出版信息
J Med Internet Res. 2022 Mar 30;24(3):e32994. doi: 10.2196/32994.
BACKGROUND
Digital health in hospital settings is viewed as a panacea for achieving the "quadruple aim" of health care, yet the outcomes have been largely inconclusive. To optimize digital health outcomes, a strategic approach is necessary, requiring digital maturity assessments. However, current approaches to assessing digital maturity have been largely insufficient, with uncertainty surrounding the dimensions to assess.
OBJECTIVE
The aim of this study was to identify the current dimensions used to assess the digital maturity of hospitals.
METHODS
A systematic literature review was conducted of peer-reviewed literature (published before December 2020) investigating maturity models used to assess the digital maturity of hospitals. A total of 29 relevant articles were retrieved, representing 27 distinct maturity models. The articles were inductively analyzed, and the maturity model dimensions were extracted and consolidated into a maturity model framework.
RESULTS
The consolidated maturity model framework consisted of 7 dimensions: strategy; information technology capability; interoperability; governance and management; patient-centered care; people, skills, and behavior; and data analytics. These 7 dimensions can be evaluated based on 24 respective indicators.
CONCLUSIONS
The maturity model framework developed for this study can be used to assess digital maturity and identify areas for improvement.
背景
医院环境中的数字健康被视为实现医疗保健“四重目标”的万能药，但结果基本上没有定论。为了优化数字健康成果，需要采取战略方法，这需要进行数字成熟度评估。然而，目前评估数字成熟度的方法在很大程度上还不够完善，评估维度存在不确定性。
目的
本研究旨在确定当前用于评估医院数字成熟度的维度。
方法
对同行评议文献（发表于 2020 年 12 月之前）进行了系统的文献回顾，调查了用于评估医院数字成熟度的成熟度模型。共检索到 29 篇相关文章，代表 27 个不同的成熟度模型。对这些文章进行了归纳分析，并提取了成熟度模型维度，并将其整合到一个成熟度模型框架中。
结果
综合成熟度模型框架包括 7 个维度：战略；信息技术能力；互操作性；治理和管理；以患者为中心的护理；人员、技能和行为；数据分析。这 7 个维度可以根据 24 个各自的指标进行评估。
结论
本研究开发的成熟度模型框架可用于评估数字成熟度并确定需要改进的领域。
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