Diogo Martins, Simon Lewerenz, Anderson Carmo, Henrique Martins
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引用次数: 0
Abstract
Objectives: This scoping review explores the existing literature on the interoperability of telemonitoring systems in cross-border healthcare settings. It focuses on identifying technical standards, enablers, and barriers to effective telemonitoring data exchange across healthcare systems and geographies.
Methods: A systematic search was conducted across databases (MEDLINE, PubMed, ISI Web of Knowledge, DBLP, and Scopus) from January 2000 to May 2023, using keywords such as "telemonitoring", "interoperability", "technical standards", and "cross-border data exchange". Eligibility criteria included peer-reviewed studies examining the interoperability of telemonitoring systems across healthcare providers and cross-border settings. A total of 861 studies were identified, and 25 met the inclusion criteria.
Results: The review identified diverse technical standards, including HL7 FHIR, ISO/IEEE 11073, and IHE profiles, used in telemonitoring systems. However, significant gaps were found in the literature regarding the operational challenges of telemonitoring systems, particularly in cross-border contexts. Many studies focused on technical aspects, with fewer addressing organizational and legal issues. Data transport types, such as Bluetooth and REST APIs, were mentioned, but no common standard for data exchange between devices was identified.
Discussion: The findings highlight the need for further research on the deployment of telemonitoring systems, particularly in cross-border contexts. The lack of harmonization in technical standards poses a barrier to achieving seamless interoperability. The review calls for the development of a robust framework to support telemonitoring integration across healthcare systems.
Conclusions: While telemonitoring shows promise in improving healthcare delivery, significant interoperability challenges remain. Developing common standards at the European level is essential to enhance cross-border telemonitoring services and patient care.
目的：这一范围审查探讨了现有的文献远程监控系统的互操作性在跨境医疗保健设置。它侧重于确定跨医疗保健系统和地区有效远程监控数据交换的技术标准、促成因素和障碍。方法：系统检索2000年1月至2023年5月的数据库（MEDLINE、PubMed、ISI Web of Knowledge、DBLP和Scopus），检索关键词为“远程监控”、“互操作性”、“技术标准”和“跨境数据交换”。资格标准包括同行评议的研究，检查跨医疗保健提供者和跨境设置的远程监测系统的互操作性。共纳入861项研究，其中25项符合纳入标准。结果：审查确定了多种技术标准，包括HL7 FHIR， ISO/IEEE 11073和IHE配置文件，用于远程监控系统。然而，关于远程监测系统的操作挑战，特别是在跨国界情况下，在文献中发现了重大差距。许多研究集中在技术方面，较少涉及组织和法律问题。虽然提到了数据传输类型，如蓝牙和REST api，但没有确定设备之间数据交换的通用标准。讨论：研究结果强调需要进一步研究远程监测系统的部署，特别是在跨境情况下。缺乏统一的技术标准是实现无缝互操作性的障碍。该审查呼吁开发一个强大的框架，以支持跨医疗保健系统的远程监测集成。结论：尽管远程监控有望改善医疗服务，但互操作性仍然存在重大挑战。制定欧洲一级的共同标准对于加强跨境远程监测服务和病人护理至关重要。
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