Department of Management Science and Technology, International Hellenic University, Kavala, Greece.
IT Department, General Hospital of Kavala, Kavala, Greece.
Technol Health Care. 2024;32(6):4187-4201. doi: 10.3233/THC-232042.
The global implementation of Electronic Health Records has significantly enhanced the quality of medical care and the overall delivery of public health services. The incorporation of Evidence-Based Medicine offers numerous benefits and enhances the efficacy of decision-making in areas such as prevention, prognosis, diagnosis, and therapeutic approaches.
The objective of this paper is to propose an architectural design of an Evidence-Based Medicine information system based on the Electronic Health Record, taking into account the existing and future level of interoperability of health information systems in Greece.
A study of the suggested evidence-based medicine architectures found in the existing literature was conducted. Moreover, the interoperability architecture of health information systems in Greece was analyzed. The architecture design reviewed by specialized personnel and their recommendations were incorporated into the final design of the proposed architecture.
The proposed integrated architecture of an Evidence-Based Medicine system based on the Electronic Health Record integrates and utilizes citizens' health data while leveraging the existing knowledge available in the literature.
Taking into consideration the recently established National Interoperability Framework, which aligns with the European Interoperability Framework, the proposed realistic architectural approach contributes to improving the quality of healthcare provided through the ability to make safe, timely and accurate decisions by physicians.
全球范围内电子健康记录的实施显著提高了医疗质量和整体公共卫生服务水平。循证医学的纳入带来了诸多益处，并增强了预防、预后、诊断和治疗方法等领域决策的效果。
本文旨在提出一种基于电子健康记录的循证医学信息系统的架构设计，考虑到希腊现有和未来的卫生信息系统互操作性水平。
对现有文献中提出的循证医学架构进行了研究。此外，还分析了希腊卫生信息系统的互操作性架构。由专业人员审查架构设计，并将他们的建议纳入建议架构的最终设计中。
提出的基于电子健康记录的循证医学系统集成架构集成并利用了公民的健康数据，同时利用了文献中现有的知识。
考虑到最近建立的符合欧洲互操作性框架的国家互操作性框架，所提出的现实架构方法有助于通过医生能够做出安全、及时和准确的决策来提高医疗质量。
