Factors Influencing the Adoption of Health Information Standards in Health Care Organizations: A Systematic Review Based on Best Fit Framework Synthesis

作者：Lu Han, Jing Liu, Richard Evans, Yang Song, Jingdong Ma · 发表于：JMIR Medical Informatics · 年份：2020 · DOI：10.2196/17334 · 被引用次数：28 · 研究领域：Electronic Health Records Systems、Trade Secret Protection Methods、Medical Coding and Health Information

BACKGROUND: Since the early 1970s, health care provision has experienced rapid growth in the investment and adoption of health information technologies (HITs). However, the development and deployment of HITs has often been conducted in silos, at different organizational levels, within different regions, and in various health care settings; this has resulted in their infrastructures often being difficult to manage or integrate. Health information standards (ie, the set norms and requirements that underpin the deployment of HITs in health care settings) are expected to address these issues, yet their adoption remains to be frustratingly low among health care information technology vendors. OBJECTIVE: This study aimed to synthesize a comprehensive framework of factors that affect the adoption and deployment of health information standards by health care organizations. METHODS: First, electronic databases, including Web of Science, Scopus, and PubMed, were searched for relevant articles, with the results being exported to the EndNote reference management software. Second, study selection was conducted according to pre-established inclusion and exclusion criteria. Finally, a synthesized best fit framework was created, which integrated a thematic analysis of the included articles. RESULTS: In total, 35 records were incorporated into the synthesized framework, with 4 dimensions being identified: technology, organization, environment, and interorganizational relationships. The techno...