Health Information Technology Continues to Show Positive Effect on Medical Outcomes: Systematic Review.
Health Information Technology Continues to Show Positive Effect on Medical Outcomes: Systematic Review.
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DOI：
10.2196/jmir.8793
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发表时间：
2018-02-05
影响因子：
7.4
通讯作者：
Beane A
中科院分区：
文献类型：
--
作者：
Kruse CS;Beane A
自20世纪60年代以来，健康信息技术（HIT）已被引入医疗保健行业，当时大型机协助金融交易，但有关HIT对医疗结果的贡献的问题仍然存在。自20世纪90年代以来，一些系统性综述都集中在这种关系上。这篇综述更新了文献。本综述旨在分析HIT对医疗结局影响的现有文献。我们假设HIT的采用与医疗结果之间存在正相关。我们通过PubMed数据库查询了护理和相关健康文献累积索引（CINAHL）和医学文献分析和检索系统在线（MEDLINE），以获得过去5年中定义HIT干预措施以及对医疗结局（效率或有效性）影响的同行评议出版物。我们根据系统性综述和荟萃分析的主要报告项目（PRISMA）构建综述，并根据多项系统性综述评估（AMSTAR）进行综述。我们将搜索范围从3636篇论文缩小到37篇进行最终分析。在81%（25/37）符合纳入标准的研究中，确定了HIT采用导致的至少一种医疗结局改善，因此强烈支持我们的假设。在19%的纳入研究中，HIT的结果无统计学差异。12类HIT和3类结局分别发生38次和65次。绝大多数文献显示HIT对医疗结局的有效性具有积极影响，这积极支持了为第3阶段有意义使用做准备的努力。这与以往在其他时间框架内进行的审查相一致。
Health information technology (HIT) has been introduced into the health care industry since the 1960s when mainframes assisted with financial transactions, but questions remained about HIT’s contribution to medical outcomes. Several systematic reviews since the 1990s have focused on this relationship. This review updates the literature. The purpose of this review was to analyze the current literature for the impact of HIT on medical outcomes. We hypothesized that there is a positive association between the adoption of HIT and medical outcomes. We queried the Cumulative Index of Nursing and Allied Health Literature (CINAHL) and Medical Literature Analysis and Retrieval System Online (MEDLINE) by PubMed databases for peer-reviewed publications in the last 5 years that defined an HIT intervention and an effect on medical outcomes in terms of efficiency or effectiveness. We structured the review from the Primary Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA), and we conducted the review in accordance with the Assessment for Multiple Systematic Reviews (AMSTAR). We narrowed our search from 3636 papers to 37 for final analysis. At least one improved medical outcome as a result of HIT adoption was identified in 81% (25/37) of research studies that met inclusion criteria, thus strongly supporting our hypothesis. No statistical difference in outcomes was identified as a result of HIT in 19% of included studies. Twelve categories of HIT and three categories of outcomes occurred 38 and 65 times, respectively. A strong majority of the literature shows positive effects of HIT on the effectiveness of medical outcomes, which positively supports efforts that prepare for stage 3 of meaningful use. This aligns with previous reviews in other time frames.
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DOI：
10.1161/circoutcomes.114.001163
发表时间：
2014-09-01
影响因子：
6.9
作者：
Eckman, Mark H.;Wise, Ruth E.;Costea, Alexandru
通讯作者：
Costea, Alexandru
影响因子：
3.5
作者：
Hoaas H;Andreassen HK;Lien LA;Hjalmarsen A;Zanaboni P
通讯作者：
Zanaboni P
DOI：
10.1016/j.jogn.2015.12.001
发表时间：
2016-03-01
影响因子：
1.8
作者：
Ahmed, Azza H.;Roumani, Ali M.;King, Demetra
通讯作者：
King, Demetra
影响因子：
2.5
作者：
Feinberg, Adina E.;Elnahas, Ahmad;Quereshy, Fayez A.
通讯作者：
Quereshy, Fayez A.
影响因子：
39.2
作者：
Heisler M;Choi H;Palmisano G;Mase R;Richardson C;Fagerlin A;Montori VM;Spencer M;An LC
通讯作者：
An LC