A holistic framework to improve the uptake and impact of eHealth technologies.
A holistic framework to improve the uptake and impact of eHealth technologies.
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DOI：
10.2196/jmir.1672
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发表时间：
2011-12-05
影响因子：
7.4
通讯作者：
Seydel ER
中科院分区：
文献类型：
--
作者：
van Gemert-Pijnen JE;Nijland N;van Limburg M;Ossebaard HC;Kelders SM;Eysenbach G;Seydel ER
许多电子医疗技术未能成功实现医疗保健实践的可持续创新。造成这种情况的原因之一是，当前电子医疗技术的发展往往忽视了技术、人类特征和社会经济环境之间的相互依赖性，导致技术对医疗保健实践的影响较低。为了克服电子医疗设计和实施方面的障碍，需要一种新的、全面的电子医疗技术开发方法，该方法要考虑到医疗保健的复杂性以及患者和其他利益相关者的仪式和习惯。本观点文件的目的是通过倡导对电子卫生技术的发展和最终融入卫生部门的整体方法来提高电子卫生技术的采用和影响。为了确定当前电子医疗框架（1999-2009）的潜力和局限性，我们在以下电子数据库中进行了文献检索：PubMed、ScienceDirect、Web of Knowledge、PiCarta 和 Google Scholar。在确定的 60 篇论文中，有 44 篇被选中进行全面审查。我们排除了那些没有描述电子医疗技术设计、实施和评估的实践指南或质量标准的论文（28 篇论文）。根据检索到的结果，我们确定了 16 个符合纳入标准的电子医疗框架。结果用于制定电子卫生技术发展整体方法的战略和原则；这些原则是我们整体电子医疗框架的基础。根据其对电子医疗的理论背景和愿景，以及电子医疗技术研发的策略和条件，共有16个框架符合最终分析资格。尽管具有潜力，但电子卫生保健愿景、拟议策略和研究方法之间的关系并不明确，这可能是由于一种相当概念性的方法，侧重于框架背后的基本原理，而不是实际指南。此外，需要更多利益相关者驱动的方法的 Web 2.0 技术超出了当前框架的范围。为了克服这些限制，我们构建了一个基于参与式开发方法、说服性设计技术和业务建模的整体框架。为了更有效地展示电子医疗技术的影响，需要一种新的思维方式来思考如何利用技术来创新医疗保健。它还需要新的概念和工具来在实践中开发和实施技术。拟议的框架作为基于证据的路线图。
Many eHealth technologies are not successful in realizing sustainable innovations in health care practices. One of the reasons for this is that the current development of eHealth technology often disregards the interdependencies between technology, human characteristics, and the socioeconomic environment, resulting in technology that has a low impact in health care practices. To overcome the hurdles with eHealth design and implementation, a new, holistic approach to the development of eHealth technologies is needed, one that takes into account the complexity of health care and the rituals and habits of patients and other stakeholders. The aim of this viewpoint paper is to improve the uptake and impact of eHealth technologies by advocating a holistic approach toward their development and eventual integration in the health sector. To identify the potential and limitations of current eHealth frameworks (1999–2009), we carried out a literature search in the following electronic databases: PubMed, ScienceDirect, Web of Knowledge, PiCarta, and Google Scholar. Of the 60 papers that were identified, 44 were selected for full review. We excluded those papers that did not describe hands-on guidelines or quality criteria for the design, implementation, and evaluation of eHealth technologies (28 papers). From the results retrieved, we identified 16 eHealth frameworks that matched the inclusion criteria. The outcomes were used to posit strategies and principles for a holistic approach toward the development of eHealth technologies; these principles underpin our holistic eHealth framework. A total of 16 frameworks qualified for a final analysis, based on their theoretical backgrounds and visions on eHealth, and the strategies and conditions for the research and development of eHealth technologies. Despite their potential, the relationship between the visions on eHealth, proposed strategies, and research methods is obscure, perhaps due to a rather conceptual approach that focuses on the rationale behind the frameworks rather than on practical guidelines. In addition, the Web 2.0 technologies that call for a more stakeholder-driven approach are beyond the scope of current frameworks. To overcome these limitations, we composed a holistic framework based on a participatory development approach, persuasive design techniques, and business modeling. To demonstrate the impact of eHealth technologies more effectively, a fresh way of thinking is required about how technology can be used to innovate health care. It also requires new concepts and instruments to develop and implement technologies in practice. The proposed framework serves as an evidence-based roadmap.
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影响因子：
5.5
作者：
Atienza, Audie A.;Hesse, Bradford W.;Croyle, Robert T.
通讯作者：
Croyle, Robert T.
影响因子：
1.7
作者：
Arnrich, B.;Mayora, O.;Troester, G.
通讯作者：
Troester, G.
影响因子：
7.7
作者：
DeLone, WH;McLean, ER
通讯作者：
McLean, ER
影响因子：
7.3
作者：
DAVIS, FD
通讯作者：
DAVIS, FD
DOI：
10.1197/jamia.m2859
发表时间：
2009-03-01
影响因子：
6.4
作者：
Chatterjee, Samir;Price, Alan
通讯作者：
Price, Alan