فناوري‌هاي اطلاعات سلامت كليدي براي ايران 1404

برنامه‌ريزي براي آينده فناوري اطلاعات سلامت ضروري است و نيازمند رويكرد نظام‌مند مطالعه آينده مي‌باشد. هدف از اين پژوهش شناسايي فناوري‌هاي اطلاعات سلامت كليدي با استفاده از رويكرد فناوري‌هاي كليدي براي ايران 1404 بود. اين پژوهش يك مطالعات كيفي است كه با استفاده از مصاحبه با خبرگان به صورت تحليل چارچوب انجام شده است. جامعه پژوهش شامل اعضاي پنل فناوري اطلاعات در نقشه جامع علمي سلامت ايران بود و در نهايت با نمونه‌گيري هدفمند تعداد 13 نفر در مصاحبه شركت كردند. به منظور جمع‌آوري نقطه نظرات شركت‌كنندگان به روش نيمه ساختارمند، مصاحبه عميق صورت گرفت. تحليل داده‌ها با استفاده از فرآيند پنج مرحله‌اي تحليل چارچوبي صورت گرفت. نتايج پژوهش شامل هفت درون‌مايه اصلي و 19 طبقه بود. درون‌مايه‌هاي اصلي شامل دسترسي سريع، ارزان، پايدار و امن به حداكثر سوابق سلامت كليه افراد جامعه؛ دسترسي عادلانه به منابع و خدمات پيش‌خوان سلامت؛ توسعه مديريت دانش علوم پزشكي و بهداشتي در راستاي ارتقاي سلامت و حفظ ايمني افراد جامعه با استفاده از فناوري اطلاعات؛ توسعه خدمات الكترونيكي حاكميتي در نظام سلامت؛ توسعه سلامت همراه؛ حاكميت فناوري اطلاعات سلامت و ارتقاء زيرساخت فناوري اطلاعات سلامت در سطح ملي بود. توسعه پرونده الكترونيك سلامت، توسعه شبكه گسترده سلامت، تبادل و اشتراك داده، توسعه سلامت همراه، پرونده سلامت شخصي بيمار، زيرساخت‌هاي فناوري اطلاعات سلامت و توسعه سيستم‌هاي پشتيبان تصميم باليني از مسائل كليدي مورد نياز ايران 1404 هستند كه در كشورهاي ديگر هم بر آنها تاكيد شده است. بنابراين با توجه به ضرورت دستيابي به آنها بايد در سطح سياست‌گذاري كلان مورد توجه قرار گيرند.

Planning for the future of health information technology (HIT) seeks a systematic approach along with foresight studies. The aim of this study was to identify key HIT issues for Iran 2025. This qualitative study was conducted with key technologies approach and through expert interviews in 2016. The study population included elites, policy makers, and the members of information technology workgroup in the national comprehensive scientific health map. Purposive sampling was implemented in this study to select the most knowledgeable people, and finally, 13 in-depth interviews were conducted. Data analysis was performed by the five-step process of framework analysis. In this study, six main themes were consistent with the objectives of comprehensive scientific health map and related key technology issues of each theme were identified. The first theme was immediate, cheap, stable, and secure access to the maximum health records of the entire population that key issues such as implementation of nationwide health information network (NwHIN) and electronic health records (EHR) was introduced in this regard. The second theme was equitable access to resources and services of the health counter that experts considered it in association with the development of telehealth and mobile health (mhealth). The third theme was the development of knowledge management in medical and health sciences in order to improve health and preserve safety of the of the community for which key issues, like the development of knowledge-based companies and clinical decision support systems were introduced. The fourth theme was the development of governmental electronic services (backup) in health system that key issues such as the development of electronic insurance and the establishment of an electronic system of monitoring and evaluation of technology was introduced in this regard. The fifth theme was IT governance in health that experts regarded the establishment of independent HIT organization necessary in this context. The sixth theme was improving national HIT infrastructure that the development of NwHIN was indicated as an influential factor in this regard. Development of NwHIN and EHR, establishment of the necessary infrastructure for exchanging and sharing of data, development of the patient s personal health record (PHR) and mhealth, and development of clinical decision support systems are amongst the most key issues in the next 10 years. Due to the multiplicity of technical issues, it is crucial that the most key issues of technology be identified by the experts. This will facilitate the resource allocation and policy making to achieve future goals.