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首页> 美国卫生研究院文献>Israel Journal of Health Policy Research >The challenge of benchmarking health systems: is ICT innovation capacity more systemic than organizational dependent?
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The challenge of benchmarking health systems: is ICT innovation capacity more systemic than organizational dependent?

机译：对卫生系统进行基准测试的挑战：ICT创新能力是否比组织依赖性更系统化？

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The article by Catan et al. presents a benchmarking exercise comparing Israel and Portugal on the implementation of Information and Communication Technologies in the healthcare sector. Special attention was given to e-Health and m-Health. The authors collected information via a set of interviews with key stakeholders. They compared two different cultures and societies, which have reached slightly different implementation outcomes. Although the comparison is very enlightening, it is also challenging.Benchmarking exercises present a set of challenges, such as the choice of methodologies and the assessment of the impact on organizational strategy. Precise benchmarking methodology is a valid tool for eliciting information about alternatives for improving health systems. However, many beneficial interventions, which benchmark as effective, fail to translate into meaningful healthcare outcomes across contexts. There is a relationship between results and the innovational and competitive environments.Differences in healthcare governance and financing models are well known; but little is known about their impact on Information and Communication Technology implementation. The article by Catan et al. provides interesting clues about this issue. Public systems (such as those of Portugal, UK, Sweden, Spain, etc.) present specific advantages and disadvantages concerning Information and Communication Technology development and implementation. Meanwhile, private systems based fundamentally on insurance packages, (such as Israel, Germany, Netherlands or USA) present a different set of advantages and disadvantages - especially a more open context for innovation.Challenging issues from both the Portuguese and Israeli cases will be addressed. Clearly, more research is needed on both benchmarking methodologies and on ICT implementation strategies.
机译：Catan等人的文章。提出了一项基准测试，比较了以色列和葡萄牙在医疗保健部门实施信息和通信技术的情况。特别关注了电子保健和移动保健。作者通过与主要利益相关者的一系列访谈收集了信息。他们比较了两种不同的文化和社会，这些文化和社会的执行结果略有不同。尽管这种比较很有启发性，但也具有挑战性。基准测试提出了一系列挑战，例如方法的选择和对组织战略影响的评估。精确的基准测试方法是一种有效的工具，可用于获取有关改善卫生系统的替代方法的信息。但是，许多基准有效的有益干预措施未能在各种情况下转化为有意义的医疗结果。结果与创新和竞争环境之间存在关系。医疗保健治理和融资模式的差异是众所周知的；但是对它们对信息和通信技术实施的影响知之甚少。 Catan等人的文章。提供有关此问题的有趣线索。公共系统（如葡萄牙，英国，瑞典，西班牙等）在信息和通信技术的开发和实施方面表现出特定的优缺点。同时，以保险套餐为基础的私人系统（例如以色列，德国，荷兰或美国）表现出不同的优缺点-特别是在开放的创新环境下，葡萄牙和以色列案件都将面临挑战。显然，需要在基准测试方法和ICT实施策略方面进行更多的研究。

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