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健康信息治理框架:范围综述。

A framework for health information governance: a scoping review.

机构信息

Department of Medical Library and Information Science, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.

Department of Global Health & Public Policy, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Health Res Policy Syst. 2024 Aug 15;22(1):109. doi: 10.1186/s12961-024-01193-9.

DOI:10.1186/s12961-024-01193-9
PMID:39148078
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11325756/
Abstract

BACKGROUND

As a newly emerged concept and a product of the twenty-first century, health information governance is expanding at a rapid rate. The necessity of information governance in the healthcare industry is evident, given the significance of health information and the current need to manage it. The objective of the present scoping review is to identify the dimensions and components of health information governance to discover how these factors impact the enhancement of healthcare systems and services.

METHODS

PubMed, Scopus, Web of Science, ProQuest and the Google Scholar search engine were searched from inception to June 2024. Methodological study quality was assessed using CASP checklists for selected documents. Endnote 20 was utilized to select and review articles and manage references, and MAXQDA 2020 was used for content analysis.

RESULTS

A total of 37 documents, including 18 review, 9 qualitative and 10 mixed-method studies, were identified by literature search. Based on the findings, six core categories (including health information governance goals, advantages and applications, principles, components or elements, roles and responsibilities and processes) and 48 subcategories were identified to form a unified general framework comprising all extracted dimensions and components.

CONCLUSIONS

Based on the findings of this scoping review, health information governance should be regarded as a necessity in the health systems of various countries to improve and achieve their goals, particularly in developing and underdeveloped countries. Moreover, in light of the undesirable effects of the coronavirus disease 2019 (COVID-19) pandemic in various countries, the development and implementation of health information governance models at organizational, national and international levels are among the pressing concerns. Researchers can use the present findings as a comprehensive model for developing health information governance models. A possible limitation of this study is our limited access to some databases.

摘要

背景

作为 21 世纪新兴的概念和产物,健康信息治理正在迅速发展。鉴于健康信息的重要性和当前对其管理的需求,医疗行业信息治理的必要性显而易见。本范围综述的目的是确定健康信息治理的维度和组成部分,以发现这些因素如何影响医疗保健系统和服务的提升。

方法

从创建到 2024 年 6 月,在 PubMed、Scopus、Web of Science、ProQuest 和 Google Scholar 搜索引擎中进行了搜索。使用 CASP 清单评估选定文献的方法学研究质量。使用 Endnote 20 选择和审查文章并管理参考文献,使用 MAXQDA 2020 进行内容分析。

结果

通过文献搜索共确定了 37 篇文献,包括 18 篇综述、9 篇定性研究和 10 篇混合方法研究。基于这些发现,确定了六个核心类别(包括健康信息治理目标、优势和应用、原则、组成部分或要素、角色和责任以及流程)和 48 个子类别,形成了一个包含所有提取维度和组成部分的统一通用框架。

结论

根据本范围综述的结果,健康信息治理应被视为各国医疗系统改善和实现其目标的必要条件,特别是在发展中和不发达国家。此外,鉴于 2019 年冠状病毒病(COVID-19)在各国的不良影响,在组织、国家和国际层面制定和实施健康信息治理模式是当务之急。研究人员可以使用本研究的结果作为开发健康信息治理模型的综合模型。本研究的一个可能限制是我们对某些数据库的访问有限。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/912a/11325756/a344f5be7749/12961_2024_1193_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/912a/11325756/5092de62cf54/12961_2024_1193_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/912a/11325756/3ca6c01726da/12961_2024_1193_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/912a/11325756/0bb131104fbb/12961_2024_1193_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/912a/11325756/ac3d9ac228fb/12961_2024_1193_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/912a/11325756/467568a3a3bf/12961_2024_1193_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/912a/11325756/a344f5be7749/12961_2024_1193_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/912a/11325756/5092de62cf54/12961_2024_1193_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/912a/11325756/3ca6c01726da/12961_2024_1193_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/912a/11325756/0bb131104fbb/12961_2024_1193_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/912a/11325756/ac3d9ac228fb/12961_2024_1193_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/912a/11325756/467568a3a3bf/12961_2024_1193_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/912a/11325756/a344f5be7749/12961_2024_1193_Fig6_HTML.jpg

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本文引用的文献

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Towards a Unified Framework for Information and Interoperability Governance.迈向信息和互操作性治理的统一框架。
Stud Health Technol Inform. 2024 Feb 19;312:49-53. doi: 10.3233/SHTI231310.
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Blockchain-based governance models for COVID-19 digital health certificates: A legal, technical, ethical and security requirements analysis.基于区块链的COVID-19数字健康证书治理模型:法律、技术、伦理和安全要求分析。
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Medwave. 2021 Mar 30;21(2):e8144. doi: 10.5867/medwave.2021.02.8144.
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Developing a Model for National Health Information Governance Program in Iran.伊朗国家卫生信息治理计划模型的开发。
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An investigation of the status and maturity of hospitals' health information governance in Victoria, Australia.澳大利亚维多利亚州医院健康信息治理的现状与成熟度调查。
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