Brommeyer Mark, Whittaker Maxine, Mackay Mark, Ng Fowie, Liang Zhanming
James Cook University, Townsville, Queensland, Australia; Flinders University, Adelaide, Australia.
James Cook University, Townsville, Queensland, Australia.
Int J Med Inform. 2023 Jan;169:104909. doi: 10.1016/j.ijmedinf.2022.104909. Epub 2022 Nov 1.
Health informatics and digital health, two rapidly growing disciplines, are becoming increasingly important to the sustainability of health service provision, highlighted especially through the COVID-19 pandemic. To maximise the benefits of the adoption and growth of health informatics and digital health, health service managers play a critical role in leading and managing the implementation and transformation of the system, both strategically and operationally, whilst still needing to manage 'business as usual'.
The objectives of the paper are to present and discuss the findings from a scoping review identifying: 1) competencies required for health service managers leading the implementation and transformation of informatics and digital technology in the health sector; and 2) factors that are critical to building the management workforce capacity in the era of health informatics and digital health.
A scoping review of the literature was conducted in 2020 focussing on identifying empirical articles published in the English language since the year 2000 using a number of keywords such as 'health informatics', 'digital health', 'electronic health', 'competencies', 'capability', 'proficiency', 'qualification', 'certification', 'health manager', 'health executive' and 'health administrator'. The literature search was guided by a PRISMA approach searching within eight databases: Scopus, ProQuest, Web of Science, ACM Digital Library, CINAHL, PubMed, Google Scholar and ProQuest Dissertations.
After duplicates were removed, 941 publications were included for title screening as the result of an initial review. Title screening selected 185 articles to be included for abstract screening by two reviewers confirming 19 papers relevant to the focus of the current paper which were included in data extraction and content analysis. The analysis identified the additional competency of 'information and data management' be included as a core competency for health service managers. The analysis also confirmed additional elements for the following four core management competencies that are important to health service managers working in the digital health context, including: 1) leadership; 2) operational and resource management; 3) personal, interpersonal and professional qualities, and 4) understanding the industry and environment. Factors that are critical to developing the system and organization capacity in the use of health informatics and digital health technology, and leading and managing the adoption in the healthcare organizations were identified in three categories: 1) policy/system; 2) organizational structure and processes; and 3) people factors.
This paper has taken an important step in confirming the competency requirements for health services managers that are relevant to leading and managing in the health informatics and digital health space, consequently indicating the directions for developing a competent workforce in meeting the existing and emerging healthcare delivery challenges, both now and in the future.
健康信息学和数字健康这两个迅速发展的学科，对卫生服务提供的可持续性正变得越来越重要，在新冠疫情期间这一点尤为凸显。为了最大限度地发挥健康信息学和数字健康应用与发展带来的益处，卫生服务管理者在战略和运营层面领导并管理系统的实施与变革方面发挥着关键作用，同时仍需维持日常业务的运转。
本文的目标是呈现并讨论一项范围综述的结果，该综述确定了：1）卫生服务管理者在卫生部门领导信息学和数字技术的实施与变革所需的能力；2）在健康信息学和数字健康时代构建管理劳动力能力的关键因素。
2020年对文献进行了范围综述，重点是识别自2000年以来以英文发表的实证文章，使用了多个关键词，如“健康信息学”“数字健康”“电子健康”“能力”“能力”“熟练程度”“资格”“认证”“卫生经理”“卫生高管”和“卫生管理人员”。文献检索以PRISMA方法为指导，在八个数据库中进行搜索：Scopus、ProQuest、科学网、美国计算机协会数字图书馆、护理学与健康领域数据库、医学期刊数据库、谷歌学术和ProQuest学位论文数据库。
在去除重复项后，初步筛选出941篇出版物用于标题筛选。标题筛选选出185篇文章进行摘要筛选，由两名评审员确认19篇与本文重点相关的论文纳入数据提取和内容分析。分析确定“信息和数据管理”这一额外能力应作为卫生服务管理者的核心能力。分析还确认了以下四项对在数字健康环境中工作的卫生服务管理者很重要的核心管理能力的额外要素，包括：1）领导力；2）运营和资源管理；3）个人、人际和专业素质；4）了解行业和环境。在三个类别中确定了对发展使用健康信息学和数字健康技术的系统和组织能力以及在医疗保健组织中领导和管理采用该技术至关重要的因素：1）政策/系统；2）组织结构和流程；3）人员因素。
本文在确定与在健康信息学和数字健康领域进行领导和管理相关的卫生服务管理者的能力要求方面迈出了重要一步，从而为培养一支有能力的劳动力队伍指明了方向，以应对当前和未来现有的及新出现的医疗服务提供挑战。
