卫生信息治理:文献综述

M. Hapudeniya, V. Dissanayake, R. Hewapathirana
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引用次数: 0

摘要

简介:近年来,医疗保健组织已经开始将数据视为一种有价值的资产,因为对数据和信息的适当管理可以带来有意义的数据使用,改善服务交付,降低风险并降低医疗保健成本。在医疗保健环境中,对信息的信任至关重要。卫生信息治理概念已引入卫生部门,以应对利益攸关方期望、技术和社会政治环境变化所带来的新挑战。本研究的目的是回顾文献,以了解目前不同国家卫生信息治理的实施和实践。方法:结合关键词“健康”和“信息治理”,使用Google、Google Scholar和PubMed进行文献检索。为了使搜索更全面,我们使用了类似的术语,如“医疗”、“临床”、“记录”和“数据”。检索仅限于免费提供的英文论文或文件。收集的资料分为五大类;定义、范围、原则、法律法规、作用和责任。结果:卫生信息治理的定义不止一种。它涵盖了信息管理从信息生成到信息销毁的各个方面。IG最常见的原则是;责任、完整性、保护、遵从、可用性、保留、处置和透明度。调查发现,在数据保护、信息自由、计算机滥用和犯罪方面有不同的法律和法规,与卫生和社会保健有关的法规和政策支持IG的实施。结论:不同国家确定了许多卫生信息治理原则,但在实施时并非所有原则都包含在IG框架中。有不同的法律法规支持IG的实施。各国的作用和责任各不相同。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Health information governance: a literature review
Introduction: In recent years, healthcare organizations have started treating data as a valuable asset as the proper management of data and information could lead to meaningful data use, improve service delivery, reduce risk and the lower cost of healthcare. Trust on the information in the healthcare setting is crucial. Health information governance concepts have been introduced to the health sector to face the new challenges imposed by the changing stakeholder expectations, technology and socio-political environment. The objective of this study was to review the literature to understand the current implementation and practice of health information governance in different countries. Methods: Literature was searched using Google, Google Scholar and PubMed with the combination of keywords “health” and “information governance”. To make the search more comprehensive similar terms such as “medical”, “clinical”, “record” and “data” were used. The search was limited to papers or documents written in English and available free of charge. Information was collected in to five broad categories; definition, scope, principles, laws and regulations, roles and responsibilities.  Results: It was found that there is more the one definition for health information governance. It covered all the aspect of information management from information generation to destruction. Most common principles of IG were; accountability, integrity, protection, compliance, availability, retention, disposition, and transparency. It was found that there were different laws and regulations on data protection, freedom of information, computer misuse and crime, and health and social care related regulations and policies support the implementation of IG. Conclusion: There were many health information governance principles identified by different countries but not all principles were included in the IG frameworks when implementing. There were different laws and regulations support the implementation of IG. Roles and responsibilities were different form one country to another.
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