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从卫生专业人员角度看健康信息系统使用的促进因素和障碍:一项范围综述

Facilitator and Barrier to Health Information System Use from Health Professionals Perspective: A Scoping Review.

作者信息

Yuliasih Nur, Khoiry Qisty A, Alfian Sofa D, Suwantika Auliya A, Abdulah Rizky

机构信息

Department of Pharmacology and Clinical Pharmacy, Faculty of Pharmacy, Universitas Padjadjaran, Jatinangor, Indonesia.

Drug Utilization and Pharmacoepidemiology Research Group, Center of Excellence for Pharmaceutical Care Innovation, Universitas Padjadjaran, Jatinangor, Indonesia.

出版信息

J Multidiscip Healthc. 2025 Jul 7;18:3901-3920. doi: 10.2147/JMDH.S515295. eCollection 2025.

Abstract

OBJECTIVE

This study aimed to present factors that potentially influenced system use by identifying facilitator or barrier to acceptance from the perspective of healthcare professionals.

METHODS

A scoping review was used in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines. The literature search was conducted on two electronic databases, Scopus and MEDLINE through PubMed, limiting the publication timeframe from January 2013 to December 2023. Moreover, a developed search strategy was used based on keywords and MeSH terms derived from the Population, Concept, and Context (PCC) components. The inclusion criteria were studies that discussed information system in healthcare, incorporated healthcare professionals who directly engaged with health information system (HIS), conducted within healthcare settings, identified facilitator or barrier to the use of information system in healthcare, and were available in full-text English. Barrier and facilitator were considered as factors impeding and promoting HIS use, respectively. The scoping review adopted a thematic analysis.

RESULTS

The results showed that a total of 79 studies met the inclusion criteria and were included in this review. A total of 16 distinct facilitators and 16 barriers were identified, which were then grouped into four categories, comprising colleague and social support, organizational, individual, as well as technological and technical contexts. The most frequently mentioned facilitator was usefulness and simplification of daily tasks, while the predominant barrier was lack of technical support.

CONCLUSION

The systematic mapping of facilitator and barrier provided a foundation for policymakers and healthcare professionals in decision-making processes to enhance acceptance HIS.

摘要

目的

本研究旨在通过从医疗保健专业人员的角度识别促进因素或接受障碍,来呈现可能影响系统使用的因素。

方法

根据系统评价和Meta分析扩展版的范围综述(PRISMA-ScR)指南进行范围综述。通过PubMed在两个电子数据库Scopus和MEDLINE上进行文献检索,将出版时间范围限制在2013年1月至2023年12月。此外,基于从人群、概念和背景(PCC)组件衍生的关键词和医学主题词(MeSH)术语,使用了一种制定好的检索策略。纳入标准为讨论医疗保健信息系统、纳入直接参与健康信息系统(HIS)的医疗保健专业人员、在医疗保健环境中进行、识别医疗保健中信息系统使用的促进因素或障碍且有英文全文的研究。障碍和促进因素分别被视为阻碍和促进HIS使用的因素。范围综述采用主题分析。

结果

结果显示,共有79项研究符合纳入标准并被纳入本综述。共识别出16个不同的促进因素和16个障碍,然后将它们分为四类,包括同事和社会支持、组织、个人以及技术和技术背景。最常提到的促进因素是日常任务的有用性和简化,而主要障碍是缺乏技术支持。

结论

促进因素和障碍的系统映射为政策制定者和医疗保健专业人员在决策过程中提高对HIS的接受度提供了基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d7c/12248237/9efe94937bdf/JMDH-18-3901-g0001.jpg

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