期刊文章@ 1438- 8871% I JMIR Publicatio卡塔尔世界杯8强波胆分析ns Inc.一个以患者为中心的评估医疗服务数字成熟度的框架:系统回顾%A Flott,Kelsey %A Callahan,Ryan %A Darzi,Ara %A Mayer,Erik %+卫生政策中心，全球卫生创新研究所，伦敦帝国理工学院，圣玛丽校区，伦敦普瑞德街，W2 1NY，英国，44 7909248515,k.flott14@imperial.ac.uk %K数字成熟度%K评估%K健康信息交换%K以患者为中心的护理%D 2016 %7 14.04.2016 %9原始论文%J J Med Internet Res %G英文%X背景:数字成熟度是指将数字技术用作提供高质量卫生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。如果论文提供了关于如何评估卫生服务中的数字系统的见解，并且指出了构成或促进数字成熟的因素，那么就会选择它们。论文进行了分析，以确定评估数字成熟度的方法和数字成熟系统的指标。 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 %M 27080852 %R 10.2196/jmir.5047 %U //www.mybigtv.com/2016/4/e75/ %U https://doi.org/10.2196/jmir.5047 %U http://www.ncbi.nlm.nih.gov/pubmed/27080852