Khosravi Mohsen, Mojtabaeian Seyyed Morteza, Zare Zahra
Shiraz University of Medical Sciences, Iran.
Health Inf Manag. 2025 May;54(2):190-201. doi: 10.1177/18333583241270484. Epub 2024 Aug 21.
The emergence of big data holds the promise of aiding healthcare providers by identifying patterns and converting vast quantities of data into actionable insights facilitating the provision of precision medicine and decision-making. This study aimed to investigate the factors influencing use of big data within healthcare services to facilitate their use. A systematic review was conducted in February 2024, adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Database searches for articles published between 01 January 2020 and 18 February 2024 and included PubMed, Scopus, ProQuest and Cochrane Library. The Authority, Accuracy, Coverage, Objectivity, Date, Significance ( AACODS) checklist was used to evaluate the quality of the included articles. Subsequently, a thematic analysis was conducted on the findings of the review, using the Boyatzis approach. A final selection of 46 studies were included in this systematic review. A significant proportion of these studies demonstrated acceptable quality, and the level of bias was deemed satisfactory. Thematic analysis identified seven major themes that influenced the use of big data in healthcare services. These themes were grouped into four primary categories: performance expectancy, effort expectancy, social influence, and facilitating conditions. Factors associated with "effort expectancy" were the most highly cited in the included studies (67%), while those related to "social influence" received the fewest citations (15%). This study underscored the critical role of "effort expectancy" factors, particularly those under the theme of "data complexity and management," in the process of using big data in healthcare services. Results of this study provide groundwork for future research to explore facilitators and barriers to using big data in health care, particularly in relation to data complexity and the efficient and effective management of big data, with significant implications for healthcare administrators and policymakers.
大数据的出现有望通过识别模式并将大量数据转化为可操作的见解来帮助医疗保健提供者,从而促进精准医疗和决策制定。本研究旨在调查影响医疗服务中大数据使用的因素,以促进其应用。2024年2月进行了一项系统综述,遵循系统综述和Meta分析的首选报告项目指南。对2020年1月1日至2024年2月18日期间发表的文章进行数据库检索,包括PubMed、Scopus、ProQuest和Cochrane图书馆。使用权威性、准确性、覆盖范围、客观性、日期、重要性(AACODS)清单来评估纳入文章的质量。随后,采用博亚齐斯方法对综述结果进行了主题分析。本系统综述最终纳入了46项研究。这些研究中有很大一部分显示出可接受的质量,偏差水平被认为是令人满意的。主题分析确定了影响医疗服务中大数据使用的七个主要主题。这些主题分为四个主要类别:绩效期望、努力期望、社会影响和促进条件。与“努力期望”相关的因素在纳入研究中被引用的频率最高(67%),而与“社会影响”相关的因素被引用的频率最低(15%)。本研究强调了“努力期望”因素,特别是“数据复杂性和管理”主题下的因素,在医疗服务中使用大数据过程中的关键作用。本研究结果为未来研究探索医疗保健中使用大数据的促进因素和障碍奠定了基础,特别是与数据复杂性以及大数据的高效管理有关的方面,这对医疗保健管理人员和政策制定者具有重要意义。