Wikis and Collaborative Writing Applications in Health Care: A Scoping Review

被引：48

作者：

Archambault, Patrick M. ^{[1
,2
,3
,4
]}

van de Belt, Tom H. ^{[5
,6
]}

Grajales, Francisco J., III ^{[7
,8
]}

Faber, Marjan J. ^{[9
]}

Kuziemsky, Craig E. ^{[10
]}

Gagnon, Susie ^{[2
]}

Bilodeau, Andrea ^{[2
]}

Rioux, Simon ^{[2
]}

Nelen, Willianne L. D. M. ^{[5
]}

Gagnon, Marie-Pierre ^{[4
,11
]}

Turgeon, Alexis F. ^{[4
,12
]}

Aubin, Karine ^{[13
]}

Gold, Irving ^{[14
]}

Poitras, Julien ^{[1
,15
]}

Eysenbach, Gunther ^{[16
,17
,18
]}

Kremer, Jan A. M. ^{[5
,9
]}

Legare, France ^{[1
,4
,19
]}

机构：

[1] Univ Laval, Dept Med Familiale & Med Urgence, Quebec City, PQ, Canada

[2] Ctr Hosp Affilie Univ Levis, Ctr Rech, Ctr Sante & Serv Sociaux Alphonse Desjardins, Levis, PQ G6V 3Z1, Canada

[3] Univ Laval, Div Soins Intensifs, Quebec City, PQ, Canada

[4] CHU Quebec, Ctr Rech, Quebec City, PQ, Canada

[5] Radboud Univ Nijmegen Med Ctr, Dept Obstet & Gynecol, Nijmegen, Netherlands

[6] Radboud Univ Nijmegen Med Ctr, Radboud REshape & Innovat Ctr, Nijmegen, Netherlands

[7] Int Med Informat Assoc, Social Media Working Grp, Geneva, Switzerland

[8] Univ British Columbia, Fac Med, eHlth Strategy Off, Vancouver, BC, Canada

[9] Radboud Univ Nijmegen Med Ctr, Sci Inst Qual Healthcare, Nijmegen, Netherlands

[10] Univ Ottawa, Telfer Sch Management, Ottawa, ON, Canada

[11] Univ Laval, Fac Sci Infirm, Quebec City, PQ, Canada

[12] Univ Laval, Dept Anesthesiol, Div Soins Intensifs, Quebec City, PQ, Canada

[13] Univ Quebec Rimouski, Levis, PQ, Canada

[14] Assoc Fac Med Canada, Ottawa, ON, Canada

[15] Ctr Hosp Affilie Univ Levis, Ctr Sante & Serv Sociaux Alphonse Desjardins, Levis, PQ, Canada

[16] Ctr Global EHlth Innovat & Techna Inst, Univ Hlth Network, Toronto, ON, Canada

[17] Univ Toronto, Inst Hlth Policy Management & Evaluat, Toronto, ON, Canada

[18] JMIR Publicat Inc, Toronto, ON, Canada

[19] Canada Res Chair Implementat Shared Decis Making, Quebec City, PQ, Canada

来源：

JOURNAL OF MEDICAL INTERNET RESEARCH | 2013年 / 15卷 / 10期

关键词：

collaborative writing applications; collaborative authoring; knowledge management; crowdsourcing; medical informatics; ehealth; Internet; Wiki; Wikipedia; Google Docs; Google Knol; Web; 2.0; knowledge translation; evidence-based medicine; participatory med; SOCIAL MEDIA USE; WEB; 2.0; TOOLS; INFORMATION RESOURCES; WIKIPEDIA CONTENT; DECISION-MAKING; PATIENT-CARE; EDUCATION; UNDERGRADUATE; KNOWLEDGE; SUPPORT;

D O I：

10.2196/jmir.2787

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Background: Collaborative writing applications (eg, wikis and Google Documents) hold the potential to improve the use of evidence in both public health and health care. The rapid rise in their use has created the need for a systematic synthesis of the evidence of their impact as knowledge translation (KT) tools in the health care sector and for an inventory of the factors that affect their use. Objective: Through the Levac six-stage methodology, a scoping review was undertaken to explore the depth and breadth of evidence about the effective, safe, and ethical use of wikis and collaborative writing applications (CWAs) in health care. Methods: Multiple strategies were used to locate studies. Seven scientific databases and 6 grey literature sources were queried for articles on wikis and CWAs published between 2001 and September 16, 2011. In total, 4436 citations and 1921 grey literature items were screened. Two reviewers independently reviewed citations, selected eligible studies, and extracted data using a standardized form. We included any paper presenting qualitative or quantitative empirical evidence concerning health care and CWAs. 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.

引用

页码：4 / 38

页数：35

共 286 条

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