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Analysis of Factors Hindering the Dissemination of Medical Information Standards

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Title: Analysis of Factors Hindering the Dissemination of Medical Information Standards
Authors: Mukai, Masami Browse this author →KAKEN DB
Ogasawara, Katsuhiko Browse this author →KAKEN DB
Keywords: real-world data (RWD)
standards
ISM
DEMATEL
inhabitant factor
Issue Date: 4-Jul-2022
Publisher: MDPI
Journal Title: Healthcare
Volume: 10
Issue: 7
Start Page: 1248
Publisher DOI: 10.3390/healthcare10071248
PMID: 35885773
Abstract: Many medical information standards are not widely used in Japan, and this hinders the promotion of the use of real-world data. However, the complex intertwining of many factors hindering the dissemination of medical information standards makes it difficult to solve this problem. This study analyzed and visualized relationships among factors that inhibit the dissemination of medical information standards. Five medical informatics experts affiliated with universities and hospitals were interviewed about the factors that hinder the dissemination of medical information standards in Japan. The presented factors were analyzed using the interpretive structural modeling (ISM) method and the decision-making trial and evaluation laboratory (DEMATEL) method. We found that legislation and reliability were important inhibiting factors for the dissemination of medical information standards in Japan. We also found a six-layered structure in which reliability was satisfied when legislation was in place and expectations and personal information were resolved. The DEMATEL analysis indicated the relationships and classifications of factors hindering the dissemination of medical information standards. Since the adoption of medical information standards does not directly lead to revenue for medical institutions, it is possible to meet the expectation of improving the quality of medical care by ensuring legislation and reliability, that is, ensuring the dependability of medical treatment. The results of this study visually show the structure of the factors and will help solve the problems that hinder the effective and efficient spread of standards. Solving these problems may support the efficient use of real-world data.
Type: article
URI: http://hdl.handle.net/2115/86635
Appears in Collections:保健科学院・保健科学研究院 (Graduate School of Health Sciences / Faculty of Health Sciences) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

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