TY - JOUR AU - van Gemert-Pijnen, Julia EWC AU - Nijland, Nicol AU - van Limburg, Maarten AU - Ossebaard, Hans C AU - Kelders, Saskia M AU - Eysenbach, Gunther AU - Seydel，Erwin R PY - 2011 DA - 2011/12/13 TI -一个整体框架,提高电子健康技术的吸收和影响乔- J地中海互联网Res SP - e111六世- 13 - 4 KW -电子健康KW -设计KW -参与KW -实现千瓦-评价KW -多学科方法千瓦健康2.0 KW -维基KW - e-collaboration AB -背景:许多电子健康技术不成功实现可持续的创新医疗实践。其中一个原因是，目前电子卫生技术的发展往往忽视了技术、人类特征和社会经济环境之间的相互依赖关系，导致技术对卫生保健实践的影响很小。为了克服电子保健设计和实施方面的障碍，需要采用一种新的、全面的方法来开发电子保健技术，这种方法要考虑到卫生保健的复杂性以及患者和其他利益攸关方的仪式和习惯。目的:这篇观点论文的目的是通过提倡对电子卫生技术的发展和最终融入卫生部门的整体方法来提高电子卫生技术的吸收和影响。方法:为了确定当前电子健康框架(1999-2009)的潜力和局限性，我们在以下电子数据库中进行了文献检索:PubMed、ScienceDirect、Web of Knowledge、PiCarta和Google Scholar。在被确定的60篇论文中，有44篇被选中进行全面审查。我们排除了那些没有描述电子健康技术设计、实施和评估的实践指南或质量标准的论文(28篇论文)。从检索到的结果中，我们确定了16个符合纳入标准的电子健康框架。研究结果用于制定电子健康技术发展的整体策略和原则; these principles underpin our holistic eHealth framework. Results: A total of 16 frameworks qualified for a final analysis, based on their theoretical backgrounds and visions on eHealth, and the strategies and conditions for the research and development of eHealth technologies. Despite their potential, the relationship between the visions on eHealth, proposed strategies, and research methods is obscure, perhaps due to a rather conceptual approach that focuses on the rationale behind the frameworks rather than on practical guidelines. In addition, the Web 2.0 technologies that call for a more stakeholder-driven approach are beyond the scope of current frameworks. To overcome these limitations, we composed a holistic framework based on a participatory development approach, persuasive design techniques, and business modeling. Conclusions: To demonstrate the impact of eHealth technologies more effectively, a fresh way of thinking is required about how technology can be used to innovate health care. It also requires new concepts and instruments to develop and implement technologies in practice. The proposed framework serves as an evidence-based roadmap. SN - 1438-8871 UR - //www.mybigtv.com/2011/4/e111/ UR - https://doi.org/10.2196/jmir.1672 UR - http://www.ncbi.nlm.nih.gov/pubmed/22155738 DO - 10.2196/jmir.1672 ID - info:doi/10.2196/jmir.1672 ER -