Governance structures impact on eHealth
Governance structures impact on eHealth
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DOI：
10.1016/j.hlpt.2014.10.016
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发表时间：
2015-03-01
影响因子：
6
通讯作者：
Kierkegaard, Patrick
中科院分区：
文献类型：
--
作者：
Kierkegaard, Patrick
背景资料：国家电子卫生实施工作需要超越将技术作为主要重点的范围，而是考虑可能阻碍或促进电子卫生采用的更广泛的影响，如治理结构和政策。在这项研究中，丹麦作为一个理想的候选人，进一步检查，由于该国丰富的历史交织的事件，发挥了重要作用，在动态的关系治理和电子健康的成功和失败。方法：案例研究的方法被用来收集一个主要和次要的数据源相结合。所有数据收集都是通过案头研究进行的。数据收集依赖于使用反映电子保健和治理相关主题的关键词组合对相关研究文献进行广泛搜索。纳入和排除标准的应用，以确定相关paper.Results：这项研究表明，尽管丹麦的高度部署的电子健康技术，丹麦的医疗保健系统面临着重大的互操作性的挑战，这源于该国的分散和集中的方法来实现电子健康。推动电子保健迅速传播的结构改革、政策和进程对采用电子保健的总体进展产生了综合影响。成功的国家电子卫生实施要求各国对治理的动态敏感，特别是努力在集中和分散之间保持适当的平衡，以培养参与传播电子卫生系统的所有利益攸关方之间的协同作用和透明度。(C)2014年医学研究生奖学金。由爱思唯尔有限公司出版。保留所有权利。
Background: National eHealth implementation efforts need to move beyond the scope of making technology the primary focus and instead consider the broader spectrum of influences that can either hinder or facilitate eHealth adoption such as governance structures and policies. In this study, Denmark serves as an ideal candidate for further examination due to the country's rich history of intertwining events that have played an important role in the dynamic relationship between governance and eHealth success and failures.Methods: A case study approach was used to gather a combination of primary and secondary data sources. All data collection was carried out through desk-research. Data collection relied on performing an extensive search of literature for relevant studies using combinations of keywords that reflected eHealth and governance-related topics. Inclusion and exclusion criteria's were applied to identify relevant papers.Results: This study reveals that despite Denmark's high deployment of eHealth technologies, the Danish healthcare system faces significant interoperability challenges which stem from the country's decentralized and centralized approach to eHealth implementation.Conclusion: Structural reforms, policies and the processes driving the rapid dissemination of eHealth have a combined influence on the overall progress of eHealth adoption. Successful national eHealth implementation requires that countries act sensitive to the dynamics of governance, and specifically strive for the right balance between centralization and decentralization to nurture synergy and transparency between all stakeholders involved in the dissemination of eHealth systems. (C) 2014 Fellowship of Postgraduate Medicine. Published by Elsevier Ltd. All rights reserved.