%0期刊文章%@ 1438-8871 %I JMIR出版物%V 21%卡塔尔世界杯8强波胆分析 N 9 %P e14005 %T互联医疗服务:影响评估框架%A Chouvarda,Ioanna %A Maramis,Christos %A Livitckaia,Kristina %A Trajkovik,Vladimir %A Burmaoglu,Serhat %A Belani,Hrvoje %A Kool,Jan %A Lewandowski,Roman %A，计算，医学信息和生物医学成像技术实验室，医学院，健康科学学院，塞萨洛尼基亚里士多德大学校园，16d栋，塞萨洛尼基，54124，希腊，30 2310999247，ioanna@med.auth.gr %K互联健康%K健康影响评估%K框架%K结果评估%K促进因素和障碍%D 2019 %7 03.09.2019 %9原文% jj Med Internet Res %G英文%X互联健康作为一种新模式，通过利用各种技术，以整体方式管理个人和社区健康，并有可能将远程保健和综合护理服务结合起来，涵盖针对健康主体和慢性病患者的所有健康相关服务。围绕个人或公民的服务重组预计将在医疗保健领域产生重大影响。有一系列的问题(例如，影响护理模式影响的环境因素，与卫生解决方案相关的成本节约，卫生生态系统的可持续性)应该更好地解决，以使卫生技术更成功地接触利益相关者。总的来说，有必要有效地建立对CH影响概念的理解。由于基于卫生技术的服务超出了医疗设备或医疗的标准临床干预和评估，因此在研究卫生影响时，需要标准化和新的测量和评估方法。目的:本研究旨在引入卫生服务影响框架(CHIF)，作为评估卫生服务影响的一种方法。方法:本研究侧重于卫生保健的子集，包括直接针对患者和公民的疾病或健康管理服务。 The CHIF was developed through a multistep procedure and various activities. These included, as initial steps, a literature review and workshop focusing on knowledge elicitation around CH concepts. Then followed the development of the initial version of the framework, refining of the framework with the experts as a result of the second workshop, and, finally, composition and deployment of a questionnaire for preliminary feedback from early-stage researchers in the relevant domains. Results: The framework contributes to a better understanding of what is CH impact and analyzes the factors toward achieving it. CHIF elaborates on how to assess impact in CH services. These aspects can contribute to an impact-aware design of CH services. It can also contribute to a comparison of CH services and further knowledge of the domain. The CHIF is based on 4 concepts, including CH system and service outline, CH system end users, CH outcomes, and factors toward achieving CH impact. The framework is visualized as an ontological model. Conclusions: The CHIF is an initial step toward identifying methodologies to objectively measure CH impact while recognizing its multiple dimensions and scales. %M 31482857 %R 10.2196/14005 %U //www.mybigtv.com/2019/9/e14005/ %U https://doi.org/10.2196/14005 %U http://www.ncbi.nlm.nih.gov/pubmed/31482857