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首页> 外文期刊>Journal of biomedical informatics. >A framework for systematic evaluation of health information infrastructure progress in communities.
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A framework for systematic evaluation of health information infrastructure progress in communities.

机译：对社区卫生信息基础设施进展进行系统评估的框架。

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摘要

It is widely agreed that major improvements in the safety, quality, and efficiency of health care in the US require a National Health Information Infrastructure. To accomplish this, efforts are now underway in many communities to build local or regional health information infrastructures (HIIs) that provide secure, ubiquitous access to complete health care information. To facilitate the assessment and monitoring of the progress of operational HIIs toward completion, we propose a framework of four key measures of requirements that must be ultimately be met: (1) completeness of information, (2) degree of usage, (3) types of usage, and (4) financial sustainability. To evaluate the framework, it was used by the authors to qualitatively assess HII projects in cooperation with four leading communities, resulting in ratings of 78% for Bellingham, WA, 63% for Indianapolis, IN, 60% for South Bend, IN, and 74% for Spokane, WA. Qualitative assessment of community HII systems may be helpful in monitoring progress,comparing projects, and understanding the remaining tasks needed for completion. Additional testing and refinement of the proposed framework is needed to further understand and improve HII progress measurement capabilities.
机译：人们普遍认为，要在美国提高医疗保健的安全性，质量和效率，就需要建立国家健康信息基础架构。为此，许多社区正在努力建立本地或区域卫生信息基础架构（HII），以提供安全，无所不在的完整卫生信息的访问。为了便于评估和监视运营HII的完成进度，我们提出了一个四项关键指标框架，这些指标必须最终满足：（1）信息完整性，（2）使用程度，（3）类型使用情况;以及（4）财务可持续性。为了评估该框架，作者使用该框架与四个领先社区合作对HII项目进行了定性评估，得出华盛顿州贝灵汉，华盛顿州印第安纳波利斯，印第安纳波利斯和印第安纳州南本德分别为78％，63％和60％的评分。华盛顿州斯波坎市的74％。对社区HII系统的定性评估可能有助于监视进度，比较项目并了解完成任务所需的其余任务。需要进一步测试和完善建议的框架，以进一步了解和改进HII进度测量功能。

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