de Almeida Mello Johanna, Wellens Nathalie Ih, Hermans Kirsten, De Stampa Matthieu, Cerase Valérie, Vereker Natalie, Jónsson Pálmi V, Finne-Soveri Harriet, Meehan Brigette, Declercq Anja
LUCAS - Centre for Care Research and Consultancy, KU Leuven, Leuven, Belgium.
Department of Oral Health, KU Leuven, Leuven, Belgium.
Int J Integr Care. 2023 Feb 13;23(1):8. doi: 10.5334/ijic.6968. eCollection 2023 Jan-Mar.
In the past years, governments from several countries have shown interest in implementing integrated health information systems. The interRAI Suite of instruments fits this concept, as it is a set of standardised, evidence-based assessments, which have been validated for different care settings. The system allows the electronic transfer of information across care settings, enabling integration of care and providing support for care planning and quality monitoring. The main purpose of this research is to describe the recent implementation process of the interRAI instruments in seven countries: Belgium, Switzerland, France, Ireland, Iceland, Finland and New Zealand.
The study applied a case study methodology with the focus on the implementation strategies in each country. Principal investigators gathered relevant information from multiple sources and summarised it according to specific aspects of the implementation process, comparing them across countries. The main implementation aspects are described, as well as the main advantages and barriers perceived by the users.
The seven case studies showed that adequate staffing, appropriate information technology, availability of hardware, professional collaboration and continuous training are perceived as important factors which can contribute to the implementation of the interRAI instruments. In addition, the use of electronic standardised assessment instruments such as the interRAI Suite provided evidence to improve decision-making and quality of care, enabling resource planning and benchmarking.
In practice, the implementation of health information systems is a process that requires a cultural shift of policymakers and professional caregivers at all levels of health policy and service delivery. Information about the implementation process of the interRAI Suite in different countries can help investigators and policymakers to better plan this implementation. This research sheds light on the advantages and pitfalls of the implementation of the interRAI Suite of instruments and proposes approaches to overcome difficulties.
在过去几年中，多个国家的政府对实施综合健康信息系统表现出兴趣。interRAI工具套件符合这一概念，因为它是一组标准化的、基于证据的评估工具，已在不同的护理环境中得到验证。该系统允许跨护理环境进行信息的电子传输，实现护理整合，并为护理计划和质量监测提供支持。本研究的主要目的是描述interRAI工具在七个国家（比利时、瑞士、法国、爱尔兰、冰岛、芬兰和新西兰）的近期实施过程。
本研究采用案例研究方法，重点关注每个国家的实施策略。主要研究者从多个来源收集相关信息，并根据实施过程的具体方面进行总结，在各国之间进行比较。描述了主要的实施方面以及用户所感知到的主要优势和障碍。
七个案例研究表明，充足的人员配备、适当的信息技术、硬件可用性、专业协作和持续培训被视为有助于interRAI工具实施的重要因素。此外，使用诸如interRAI套件之类的电子标准化评估工具为改善决策和护理质量提供了证据，有助于资源规划和基准测试。
在实践中，健康信息系统的实施是一个需要政策制定者和各级健康政策与服务提供中的专业护理人员进行文化转变的过程。关于interRAI套件在不同国家实施过程的信息可以帮助研究者和政策制定者更好地规划这一实施过程。本研究揭示了interRAI工具套件实施的优势和陷阱，并提出了克服困难的方法。
