@Article{信息:doi 10.2196 / / jmir。5047,作者="Flott, Kelsey and Callahan, Ryan and Darzi, Ara and Mayer, Erik",标题="以患者为中心的卫生服务数字化成熟度评估框架:系统综述",期刊="J Med Internet Res",年="2016",月="Apr",日="14",卷="18",数="4",页数="e75",关键词="数字化成熟度;评估;卫生信息交流;背景:数字成熟度是指数字技术作为提供高质量医疗服务的推动因素的程度。关于如何评估数字成熟度的组成部分有大量的文献,但还没有用于设计一个全面的评估框架。因此,现有的测量系统仅限于评估一个服务或护理环境中的数字项目,这意味着数字成熟度评估不能考虑患者在其护理路径中的需求。目的:我们研究的目的是确定评估数字成熟度的最佳方法和指标,并创建一个新的、基于证据的工具,用于评估患者护理途径的数字成熟度。方法:我们系统地回顾了文献,以找到评估数字成熟度的最佳方法和指标。我们在PubMed数据库中搜索了所有与数字成熟度评估相关的论文。 Papers were selected if they provided insight into how to appraise digital systems within the health service and if they indicated the factors that constitute or facilitate digital maturity. Papers were analyzed to identify methodology for evaluating digital maturity and indicators of digitally mature systems. We then used the resulting information about methodology to design an evaluation framework. Following that, the indicators of digital maturity were extracted and grouped into increasing levels of maturity and operationalized as metrics within the evaluation framework. Results: We identified 28 papers as relevant to evaluating digital maturity, from which we derived 5 themes. The first theme concerned general evaluation methodology for constructing the framework (7 papers). The following 4 themes were the increasing levels of digital maturity: resources and ability (6 papers), usage (7 papers), interoperability (3 papers), and impact (5 papers). The framework includes metrics for each of these levels at each stage of the typical patient care pathway. Conclusions: The framework uses a patient-centric model that departs from traditional service-specific measurements and allows for novel insights into how digital programs benefit patients across the health system. Trial Registration: N/A ", issn="1438-8871", doi="10.2196/jmir.5047", url="//www.mybigtv.com/2016/4/e75/", url="https://doi.org/10.2196/jmir.5047", url="http://www.ncbi.nlm.nih.gov/pubmed/27080852" }
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