TY -的盟Archambault帕特里克·M AU - van de带汤姆H AU - Grajales三世,Francisco J AU -法伯,Marjan J AU - Kuziemsky,克雷格•E盟——Gagnon苏茜AU - Bilodeau,安德里亚盟——Rioux西蒙盟——Nelen Willianne LDM AU - Gagnon,显示非盟-鲟鳇鱼,亚历克西斯F AU -奥宾,Karine盟——黄金,欧文盟——Poitras朱利安AU - Eysenbach,冈瑟AU -克雷默,1月是AU - Legare,法国PY - 2013 DA - 2013/10/08 TI - wiki和协作编写应用程序在卫生保健:JO - J Med Internet Res SP - e210 VL - 15 IS - 10kw -协同写作应用程序KW -协同创作KW -知识管理KW -众包KW -医疗信息学KW -电子健康KW -互联网KW - Wiki KW -维基KW -谷歌Docs KW -谷歌Knol KW - Web 2.0 KW -知识翻译KW -循证医学KW -参与式医学AB -背景:协作写作应用程序(如wiki和谷歌文档)具有改善公共卫生和卫生保健领域证据使用的潜力。它们的使用迅速增加，因此有必要系统地综合它们作为知识转化工具在卫生保健部门的影响的证据，并对影响它们使用的因素进行盘点。目的:通过Levac六阶段方法，进行范围审查，以探索关于在医疗保健中有效、安全、合乎道德地使用wiki和协作写作应用程序(CWAs)的证据的深度和广度。方法:采用多种策略进行研究定位。从2001年到2011年9月16日，我们查询了7个科学数据库和6个灰色文献来源，查询了维基和CWAs上发表的文章。共筛选引文4436篇，灰色文献1921篇。两名审稿人独立审阅引文，选择合格的研究，并使用标准化表格提取数据。我们纳入了任何关于卫生保健和CWAs的定性或定量实证证据的论文。 We defined a CWA as any technology that enables the joint and simultaneous editing of a webpage or an online document by many end users. We performed qualitative content analysis to identify the factors that affect the use of CWAs using the Gagnon framework and their effects on health care using the Donabedian framework. Results: Of the 111 studies included, 4 were experimental, 5 quasi-experimental, 5 observational, 52 case studies, 23 surveys about wiki use, and 22 descriptive studies about the quality of information in wikis. We classified them by theme: patterns of use of CWAs (n=26), quality of information in existing CWAs (n=25), and CWAs as KT tools (n=73). A high prevalence of CWA use (ie, more than 50%) is reported in 58% (7/12) of surveys conducted with health care professionals and students. However, we found only one longitudinal study showing that CWA use is increasing in health care. Moreover, contribution rates remain low and the quality of information contained in different CWAs needs improvement. We identified 48 barriers and 91 facilitators in 4 major themes (factors related to the CWA, users’ knowledge and attitude towards CWAs, human environment, and organizational environment). We also found 57 positive and 23 negative effects that we classified into processes and outcomes. Conclusions: Although we found some experimental and quasi-experimental studies of the effectiveness and safety of CWAs as educational and KT interventions, the vast majority of included studies were observational case studies about CWAs being used by health professionals and patients. More primary research is needed to find ways to address the different barriers to their use and to make these applications more useful for different stakeholders. SN - 14388871 UR - //www.mybigtv.com/2013/10/e210/ UR - https://doi.org/10.2196/jmir.2787 UR - http://www.ncbi.nlm.nih.gov/pubmed/24103318 DO - 10.2196/jmir.2787 ID - info:doi/10.2196/jmir.2787 ER -