A review on systematic reviews of health information system studies

被引:100
作者
Lau, Francis [1 ]
Kuziemsky, Craig [2 ]
Price, Morgan [3 ]
Gardner, Jesse [1 ]
机构
[1] Univ Victoria, Sch Hlth Informat Sci, Victoria, BC V8W 3P5, Canada
[2] Univ Ottawa, Telfer Sch Management, Ottawa, ON, Canada
[3] Univ British Columbia, Dept Family Practice, Vancouver, BC V5Z 1M9, Canada
关键词
CLINICAL DECISION-SUPPORT; PHYSICIAN ORDER ENTRY; ADVERSE DRUG EVENTS; ELECTRONIC MEDICAL-RECORDS; PATIENT OUTCOMES; PREVENTIVE CARE; CHEST-PAIN; IMPACT; PERFORMANCE; MANAGEMENT;
D O I
10.1136/jamia.2010.004838
中图分类号
TP [自动化技术、计算机技术];
学科分类号
0812 ;
摘要
The purpose of this review is to consolidate existing evidence from published systematic reviews on health information system (HIS) evaluation studies to inform HIS practice and research. Fifty reviews published during 1994-2008 were selected for meta-level synthesis. These reviews covered five areas: medication management, preventive care, health conditions, data quality, and care process/outcome. After reconciliation for duplicates, 1276 HIS studies were arrived,at as the non-overlapping corpus. On the basis of a subset of 287 controlled HIS studies, there is some evidence for improved quality of care, but in varying degrees across topic areas. For instance, 31/43 (72%) controlled HIS studies had positive results using preventive care reminders, mostly through guideline adherence such as immunization and health screening. Key factors that influence HIS success included having in-house systems, developers as users, integrated decision support and benchmark practices, and addressing such contextual issues as provider knowledge and perception, incentives, and legislation/policy.
引用
收藏
页码:637 / 645
页数:9
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