在过去的50年里,牙科信息学在健康信息系统领域有了显著的发展。因此,已经对标准化临床编码系统进行了几项研究,数据捕获,和牙科临床数据重用。
根据卫生信息系统的定义,文献检索分为三个特定的子检索:“标准化临床编码系统,\"\"数据捕获,\"和\"重复使用常规患者护理数据。搜索了PubMed和WebofScience的同行评审文章。审查是按照PRISMA-ScR协议进行的。
共有44篇文章被确定为纳入审查。其中,15个与“标准化临床编码系统”有关,“15到”数据捕获,“和14至”常规患者护理数据的重用。“与标准化临床编码系统相关的文章侧重于拟议系统的设计和/或开发,在他们的评估和验证中,在学术环境中采用它们,以及用户感知。与数据捕获有关的文章解决了数据完整性问题,评估了用户界面和工作流集成,并提出了技术解决方案。最后,与常规患者护理数据重用相关的文章,重点是以患者护理为中心的临床决策支持系统,机构或基于人口的健康监测支持系统,和临床研究。
虽然卫生信息系统的发展,特别是标准化的临床编码系统,在研究和质量措施方面取得了重大进展,大多数评论的文章都是在美国发表的。很少研究重用EDR数据的临床决策支持系统。同样,很少有研究研究牙科医生的工作环境或在牙科中使用健康信息系统的教学价值。
Over the past 50 years, dental informatics has developed significantly in the field of health information systems. Accordingly, several studies have been conducted on standardized clinical coding systems, data capture, and clinical data reuse in dentistry.
Based on the definition of health information systems, the literature search was divided into three specific sub-searches: \"standardized clinical coding systems,\" \"data capture,\" and \"reuse of routine patient care data.\" PubMed and Web of Science were searched for peer-reviewed articles. The
review was conducted following the PRISMA-ScR protocol.
A total of 44 articles were identified for inclusion in the
review. Of these, 15 were related to \"standardized clinical coding systems,\" 15 to \"data capture,\" and 14 to \"reuse of routine patient care data.\" Articles related to standardized clinical coding systems focused on the design and/or development of proposed systems, on their evaluation and validation, on their adoption in academic settings, and on user perception. Articles related to data capture addressed the issue of data completeness, evaluated user interfaces and workflow integration, and proposed technical solutions. Finally, articles related to reuse of routine patient care data focused on clinical decision support systems centered on patient care, institutional or population-based health monitoring support systems, and clinical research.
While the development of health information systems, and especially standardized clinical coding systems, has led to significant progress in research and quality measures, most reviewed articles were published in the US. Clinical decision support systems that reuse EDR data have been little studied. Likewise, few studies have examined the working environment of dental practitioners or the pedagogical value of using health information systems in dentistry.