TY -的盟Adjekum Afua AU - Blasimme,亚历山德罗盟——Vayena埃菲PY - 2018 DA - 2018/12/13 TI -元素的信任在数字医疗系统:范围审查乔- J地中海互联网Res SP - e11254六世- 20 - 12 KW -数字健康KW -数字卫生技术千瓦医疗KW -卫生系统KW -信任AB -背景:信息和通信技术早已成为突出的卫生系统的组件。据预测，过去几年数字技术和数据科学的快速发展将对医疗保健服务产生巨大影响，并将范式转变为现在通常所说的数字健康。为了遏制不断上升的医疗成本，提高医疗系统的效率和安全性，数字医疗的成功在很大程度上依赖于专业最终用户、管理人员和患者的信任。然而，迄今为止，数字卫生系统的信任基石仍未得到充分探索。目的:本研究的目的是分析相关利益相关者认为的数字健康信任的促进因素和障碍。方法:我们进行了范围审查，以确定对数字健康的信任。为了确定相关的数字健康研究，我们检索了5个电子数据库。使用关键词和医学主题词，我们将所有相关研究作为目标，并没有设定出版年份的界限，以允许广泛的研究被识别。研究由2名审稿人筛选，然后采用预定义的数据提取策略并记录相关主题。结果:总体而言，本综述纳入了1998年至2017年间在40个国家发表的278项定性、定量、混合方法和英语干预研究。 Patients and health care professionals were the two most prominent stakeholders of trust in digital health; a third—health administrators—was substantially less prominent. Our analysis identified cross-cutting personal, institutional, and technological elements of trust that broadly cluster into 16 enablers (altruism, fair data access, ease of use, self-efficacy, sociodemographic factors, recommendation by other users, usefulness, customizable design features, interoperability, privacy, initial face-to-face contact, guidelines for standardized use, stakeholder engagement, improved communication, decreased workloads, and service provider reputation) and 10 impediments (excessive costs, limited accessibility, sociodemographic factors, fear of data exploitation, insufficient training, defective technology, poor information quality, inadequate publicity, time-consuming, and service provider reputation) to trust in digital health. Conclusions: Trust in digital health technologies and services depends on the interplay of a complex set of enablers and impediments. This study is a contribution to ongoing efforts to understand what determines trust in digital health according to different stakeholders. Therefore, it offers valuable points of reference for the implementation of innovative digital health services. Building on insights from this study, actionable metrics can be developed to assess the trustworthiness of digital technologies in health care. SN - 1438-8871 UR - //www.mybigtv.com/2018/12/e11254/ UR - https://doi.org/10.2196/11254 UR - http://www.ncbi.nlm.nih.gov/pubmed/30545807 DO - 10.2196/11254 ID - info:doi/10.2196/11254 ER -