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Evaluating eHealth Interventions The Need for Continuous Systemic Evaluation 英文参考文献.doc

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Evaluating eHealth Interventions The Need for Continuous Systemic Evaluation 英文参考文献

Essay EvaluatingeHealthInterventions:TheNeedfor ContinuousSystemicEvaluation LorraineCatwell,AzizSheikh* CentreforPopulationHealthSciences,TheUniversityofEdinburgh,Edinburgh,Scotland Thisisthefirstinamonthlyseriesofthree articlesonevaluatingeHealth. ably,reluctanttoadoptthesenewtechnol- SummaryPoints ogies.Theparadoxisthatunlesswehave themeanstodemonstratethetruebenefits ofthesesystems,whichrequiresintegrating these technologies throughout the health care industry, we will never have the necessaryevidencetosupportthecasefor ICTinhealthcare[17]. N eHealth interventions will play a substantialroleinshapinghealth caresystemsinthe21stcentury. Thereisnowconsiderableinterestinter- nationally in exploiting the potential of information communication technology N UntileHealthinterventionsare‘‘fit (ICT)systemstoimprovethequality,safety, andefficiencyofhealthcare.Giventhatthe adoption of ICT systems by health care providers is some 25 to 30 years behind manyotherprivateandpublicsectors[1], thereisanunderstandablesenseofurgency withwhichtheseeHealthinitiativesarenow being commissioned, developed, and de- ployed, typically at considerable expense [2–5].TheAmericanRecoveryandRein- vestment Act of 2009 [6], which includes $34 billion to incentivise health care professionals to ‘‘use a certified EHR (electronic health record) technology in a ‘meaningful manner’,’’ is a recent high- profileexampleofthesumsofmoneythat arebeinginvestedineHealth[7]. for purpose’’, health care profes- sionalsareunlikelytoadoptthem and this risks implementation failure. So, while financial incentives to adopt certain eHealth interventions may be un- derstandable[6,7],theyshouldneverbethe main reason for their adoption. Instead, societymustbeabletojudgethetruevalue of eHealth interventions in its own right. Therefore a means simultaneously to eval- uate eHealth interventions while they are being developed and deployed is required [20].Inthisarticle,weargueforcontinuous N eHealth developments shoul