scholarly journals Systematic Literature Review of My Health Record System

2020 ◽  
Vol 15 (1) ◽  
pp. 14-25
Author(s):  
Rafael Carneiro de Mesquita ◽  
Ian Edwards

Background: On 2010 Australia launched a personally controlled electronic health record (PCEHR) later renamed and augmented by the My Health Record Act 2012 Cth. The main goal of the present systematic literature review was to assess if the system has improved Australia’s healthcare system according to the objectives stated by the federal government in the My Health Record Act 2012 Cth. Methods: This systematic literature review was based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Results: Despite the MyHR system being available for seven years, there is limited empirical evaluation regarding its progress in achieving the stated goals. The results were segregated in four themes: (1) health information fragmentation, (2) Health information quality and management, (3) adverse medical events and duplication of treatment and (4) coordination of care. Regarding theme 1, it was evidenced that the system could reduce health information fragmentation; however, gaps in the workforce adoption were identified as a problem. About topic 2, improved access to information and possible misinterpretation were found. Theme 3 lacked research and theme 4 presented contradiction in the results.  Conclusion: The My Health Record (MyHR) system is founded on four key objectives. However, there is insufficient evidence that any outcomes have been achieved relating to any of the objectives. Research is required to determine whether the MyHR system helped improve Australia’s healthcare system according to the objectives stated in the Act 2012.

2020 ◽  
Author(s):  
René Noël ◽  
Carla Taramasco ◽  
Gastón Márquez

BACKGROUND Evaluating Health Information System (HIS) quality is strategically advantageous for improving patient care quality. Nevertheless, there is little research evidence identifying and describing what standards, processes, and tools are used to evaluate HIS quality. OBJECTIVE This study aims to illustrate, detail, and discuss the current scenario regarding the standards, norms, processes, and tools used to evaluate HIS quality. METHODS We conduct a systematic literature review (SLR) using review guidelines focused on software and systems. We examined seven electronic databases (Scopus, ACM, ScienceDirect, Google Scholar, IEEE Xplorer, the Web of Science and PubMed) to search and select primary studies. Three researchers and three collaborators participated in the review and quality assessment process of the studies. RESULTS We identified 17 primary studies that have been published in journals and conferences. We found that most of the primary studies address quality evaluation from a management perspective. Second, there is little explicit and pragmatic evidence on the processes and tools that allow evaluation of HIS quality. CONCLUSIONS To promote quality evaluation of HISs, it is necessary to define mechanisms and methods that operationalize the standards and norms of HISs. Additionally, it is necessary to create metrics that measure the quality of the most critical components and processes of HISs. CLINICALTRIAL Does not apply to our study


Information ◽  
2020 ◽  
Vol 11 (7) ◽  
pp. 364
Author(s):  
Mohd Hizam-Hanafiah ◽  
Mansoor Ahmed Soomro ◽  
Nor Liza Abdullah

It is critical for organizations to self-assess their Industry 4.0 readiness to survive and thrive in the age of the Fourth Industrial Revolution. Thereon, conceptualization or development of an Industry 4.0 readiness model with the fundamental model dimensions is needed. This paper used a systematic literature review (SLR) methodology with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and content analysis strategy to review 97 papers in peer-reviewed academic journals and industry reports published from 2000 to 2019. The review identifies 30 Industry 4.0 readiness models with 158 unique model dimensions. Based on this review, there are two theoretical contributions. First, this paper proposes six dimensions (Technology, People, Strategy, Leadership, Process and Innovation) that can be considered as the most important dimensions for organizations. Second, this review reveals that 70 (44%) out of total 158 total unique dimensions on Industry 4.0 pertain to the assessment of technology alone. This establishes that organizations need to largely improve on their technology readiness, to strengthen their Industry 4.0 readiness. In summary, these six most common dimensions, and in particular, the dominance of the technology dimension provides a research agenda for future research on Industry 4.0 readiness.


2019 ◽  
Vol 41 (5) ◽  
pp. 1011-1017 ◽  
Author(s):  
Florence Tilling ◽  
Andrea E. Cavanna

Abstract Background Tourette syndrome (TS) is a neurodevelopmental condition characterized by the presence of multiple motor and phonic tics, often associated with co-morbid behavioural problems. Tics can be modulated by environmental factors and are characteristically exacerbated by psychological stress, among other factors. This observation has led to the development of specific behavioural treatment strategies, including relaxation therapy. Objective This review aimed to assess the efficacy of relaxation therapy to control or reduce tic symptoms in patients with TS. Methods We conducted a systematic literature review of original studies on the major scientific databases, including Medline, EMBASE, and PsycInfo, according to the standards outlined in the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Outcomes measures included both tic severity and tic frequency. Results Our literature search identified three controlled trials, with a total number of 40 participants (range: 6–18 participants). In all three studies, relaxation therapy decreased the severity and/or the frequency of tic symptoms. However, the only trial comparing relaxation therapy to two other behavioural techniques found relaxation therapy to be the least effective intervention, as it reduced the number of tics by 32% compared to 44% with self-monitoring and 55% with habit reversal. Discussion The results of this systematic literature review provide initial evidence for the use of relaxation therapy as a behavioural treatment intervention for tics in patients with TS. Caution is needed in the interpretation of these findings, because the reviewed trials had small sample sizes and there was high heterogeneity across the study protocols.


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