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A review on systematic reviews of health information system studies

Francis Lau, Craig Kuziemsky, Morgan Price, Jesse Gardner
DOI: http://dx.doi.org/10.1136/jamia.2010.004838 637-645 First published online: 1 November 2010

Abstract

The purpose of this review is to consolidate existing evidence from published systematic reviews on health information system (HIS) evaluation studies to inform HIS practice and research. Fifty reviews published during 1994–2008 were selected for meta-level synthesis. These reviews covered five areas: medication management, preventive care, health conditions, data quality, and care process/outcome. After reconciliation for duplicates, 1276 HIS studies were arrived at as the non-overlapping corpus. On the basis of a subset of 287 controlled HIS studies, there is some evidence for improved quality of care, but in varying degrees across topic areas. For instance, 31/43 (72%) controlled HIS studies had positive results using preventive care reminders, mostly through guideline adherence such as immunization and health screening. Key factors that influence HIS success included having in-house systems, developers as users, integrated decision support and benchmark practices, and addressing such contextual issues as provider knowledge and perception, incentives, and legislation/policy.

Keywords
  • Systematic reviews
  • meta-synthesis
  • health information systems
  • field evaluation studies
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