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A national eHealth vision developed by University Medical Centres: A concept mapping study.
International Journal of Medical Informatics ( IF 3.7 ) Pub Date : 2019-11-14 , DOI: 10.1016/j.ijmedinf.2019.104032
Anneloek Rauwerdink 1 , Marise J Kasteleyn 2 , Joke A Haafkens 3 , Niels H Chavannes 2 , Marlies P Schijven 1 , ,
Affiliation  

BACKGROUND EHealth solutions are envisaged to contribute significantly to a sustainable healthcare system. Between 2016 and 2018 the eight Dutch University Medical Centers (UMCs) received Dutch Government's funding to undertake research into the clinical impact, cost-effectiveness and ethical consideration of eHealth. The UMCs collaborated within the consortium 'Citrien fund (CF) program eHealth' and found that, in order to increase the value of eHealth in routine care, a national vision on eHealth developed by the UMCs was warranted. OBJECTIVE The objective of this paper was to elucidate the process of the 'Netherlands Federation of UMCs (NFU) eHealth vision' development by describing the results of the performed concept mapping study. METHODS A concept mapping approach was followed. Sixteen members of the steering committee of the CF program eHealth were selected as participants. First, each member selected relevant objectives from the eight individual UMC eHealth vision documents, which was to be incorporated into the overall 'NFU eHealth vision'. Second, objectives were rated for necessary to be included in the vision document and the need to achieve the objective within five years. Thereafter, the objectives were sorted into self-created thematic clusters. And finally, the concept map with the thematic clusters and corresponding objectives was discussed with the steering committee to determine the major themes of the 'NFU eHealth vision'. RESULTS 38 objectives were determined by the steering committee and grouped into the following 6 thematic clusters on the concept map: 'patient participation and empowerment'; 'infrastructure'; 'education and research'; 'multi-disciplinary care'; 'organisational restructuring'; and 'essential conditions for development of eHealth solutions'. After discussing the concept mapping results with the steering committee, the following five major themes were determined to be addressed in the vision document: 'patient and caregiver'; 'research and innovation'; 'education'; 'organisation of care'; and 'essential conditions for development of eHealth solutions'. CONCLUSION Concept mapping was successfully applied to conceptualise the different values and opinions of the eight Dutch UMCs in order to develop a national vision on eHealth. This vision document will give direction to the development, evaluation and implementation of eHealth in the eight Dutch UMCs and their adherent healthcare providers.

中文翻译:

大学医疗中心制定的全国性eHealth愿景:概念图研究。

背景技术设想了EHealth解决方案将对可持续的医疗保健系统做出重大贡献。在2016年至2018年期间,八个荷兰大学医学中心(UMC)获得了荷兰政府的资助,以开展有关eHealth的临床影响,成本效益和道德考量的研究。UMC在“公民基金(CF)计划eHealth”联盟中进行了合作,发现为了提高eHealth在常规护理中的价值,有必要由UMC制定全国性的eHealth愿景。目的本文的目的是通过描述进行的概念图研究的结果来阐明“ UMC荷兰联合会(NFU)电子保健愿景”的发展过程。方法遵循概念映射方法。CF项目eHealth指导委员会的16名成员被选为参与者。首先,每个成员从八份UMC eHealth愿景文档中选择相关目标,这些文档将被纳入整体“ NFU eHealth愿景”。其次,对目标进行了评估,认为有必要将其纳入愿景文档,并确定在五年内实现目标的需求。此后,将目标归类为自己创建的主题组。最后,与指导委员会讨论了带有主题组和相应目标的概念图,以确定“ NFU eHealth愿景”的主要主题。结果指导委员会确定了38个目标,并在概念图上将其分为以下6个主题组:患者的参与和授权'; “基础设施”;“教育与研究”;“多学科护理”;“组织重组”;和“开发电子卫生保健解决方案的必要条件”。在与指导委员会讨论了概念图结果之后,确定了以下五个主要主题将在愿景文档中解决:“患者和护理人员”;“研究与创新”;'教育'; “护理组织”;和“开发电子卫生保健解决方案的必要条件”。结论概念映射已成功应用于将八个荷兰UMC的不同价值和意见概念化,以发展对eHealth的国家愿景。该愿景文档将为开发指明方向,
更新日期:2019-11-01
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