TY - JOUR AU - Flott, Kelsey AU - Callahan, Ryan AU - Darzi, Ara AU - Mayer, Erik PY - 2016 DA - 2016/04/14 TI -以患者为中心的评估卫生服务数字成熟度的框架:系统综述JO - J Med Internet Res SP - e75 VL - 18 IS - 4kw -数字成熟度KW -评估KW -健康信息交换KW -以患者为中心的护理AB -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。然后，我们使用所得到的关于方法学的信息来设计一个评估框架。 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 SN - 1438-8871 UR - //www.mybigtv.com/2016/4/e75/ UR - https://doi.org/10.2196/jmir.5047 UR - http://www.ncbi.nlm.nih.gov/pubmed/27080852 DO - 10.2196/jmir.5047 ID - info:doi/10.2196/jmir.5047 ER -