Defining Health Information Exchange: Scoping Review of Published Definitions.
Defining Health Information Exchange: Scoping Review of Published Definitions.
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DOI：
10.14236/jhi.v23i4.838
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发表时间：
2017-01-25
影响因子：
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通讯作者：
Pagliari, Claudia
中科院分区：
文献类型：
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作者：
Akhlaq, Ather;Sheikh, Aziz;Pagliari, Claudia
目的：卫生信息交换（HIE）是卫生信息学中常用的术语，但其确切含义仍不确定。本研究的目的是捕捉和分析现有的定义，以映射其使用的变化和相关的概念it.METHODS：系统的文献检索，以确定已发表的定义HIE和等同的术语，如临床信息交换。检索Medline、Web of Science、Library Information Science and Technology Abstracts、EMBASE和CINAHL Plus以识别相关研究，并检索Google以识别灰色文献。出版物不受语言或出版日期的限制。为了保证纳入，文件必须明确定义这一概念，或者通过具体描述来定义。包括参考文献的作者隶属关系，引用来源，出版年份，原产国和定义和定义本身进行了分析thematically.RESULTS：检索发现603篇科学文章和5981个网站链接。从这些数据中，共确定并提取了268个独特的HIE定义：103个来自科学数据库，165个来自Google。专题分析中出现了11个概念。背景因素影响的定义和HIE的框架作为一个概念/过程，一组使能技术，或一个实体/organization.ConclusionsHIE是一个复杂的和不断发展的概念和使用的术语不同的设置，提出了挑战的沟通。鉴于背景的重要性，开发一个通用术语是困难的，但作者建议一个涵盖HIE关键属性的术语，这可能会有所帮助。
OBJECTIVE: The term Health Information Exchange (HIE) is often used in health informatics, yet uncertainties remain about its precise meaning. This study aimed to capture and analyse existing definitions in order to map variations in its use and the concepts associated with it.METHODS: Systematic literature search to identify published definitions of HIE and equivalent terms such as Clinical Information Exchange. Medline, Web of Science, Library Information Science and Technology Abstracts, EMBASE and CINAHL Plus were searched to identify relevant research, and Google to identify grey literature. Searches were not limited by language or date of publication. In order to warrant inclusion documents had to either define the concept explicitly or do so via a concrete description. Included references were tabulated by author affiliation, source of quote, year of publication, country of origin and definitions and the definitions themselves were analysed thematically.RESULTS: Searches revealed 603 scientific articles and 5981 website links. From these, a total of 268 unique definitions of HIE were identified and extracted: 103 from scientific databases and 165 from Google. Eleven constructs emerged from the thematic analysis. Contextual factors influenced the emphasis of the definitions and the framing of HIE as a concept/process, a set of enabling technologies, or an entity/organisation.ConclusionsHIE is a complex and evolving concept and uses of the term vary across settings, presenting challenges for communication. Developing a generic term is difficult, given the importance of context, but the authors suggest one covering key attributes of HIE, which may be helpful.