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关键词： 健康档案   双向转诊   共享平台  

摘要： 本文在分析双向转诊和居民健康档案建设存在问题的基础上,对基于居民健康档案的双向转诊信息资源共享平台进行研究。以居民健康档案为核心,构建双向转诊的信息资源共享平台,实现了二者之间的相互促进、良性发展,为居民提供全方位、连续的医疗卫生服务。

关键词： Biology and life sciences   Cognitive psychology   Cognitive science   Computer and information sciences   Computer networks   Culture   Data processing   Database and informatics methods   Database searching   Health care   Health care policy   Information retrieval   Information technology   Internet   Language   Linguistics   Medicine and health sciences   Neuroscience   Psychology   Research and analysis methods   Research Article   Screening guidelines   Semantics   Social sciences   Sociology  

摘要： Background Online health information, if evidence-based and unbiased, can improve patients' and care-givers' health knowledge and assist them in disease management and health care decisionmaking. Objective To identify standards for the development of health information resources on the internet for patients. Methods We searched in MEDLINE, CINAHL, Scopus, Web of Science, and Google Scholar for publications describing evaluation instruments for websites providing health information. Eligible instruments were identified by three independent reviewers and disagreements resolved by consensus. Items reported were extracted and categorized into seven domains (accuracy, completeness and comprehensiveness, technical elements, design and aesthetics, usability, accessibility, and readability) that were previously thought to be a minimum requirement for websites. Results One hundred eleven articles met inclusion criteria, reporting 92 evaluation instruments (1609 items). We found 74 unique items that we grouped into the seven domains. For the accuracy domain, one item evaluated information provided in concordance with current guidelines. For completeness and comprehensiveness, 18 items described the disease with respect to various topics such as etiology or therapy, among others. For technical elements, 27 items evaluated disclosure of authorship, sponsorship, affiliation, editorial process, feedback process, privacy, and data protection. For design and aesthetics, 10 items evaluated consistent layout and relevant graphics and images. For usability, 10 items evaluated ease of navigation and functionality of internal search engines. For accessibility, five items evaluated the availability of websites to people with audiovisual disabilities. For readability, three items evaluated conversational writing style and use of a readability tool to determine the reading level of the text. Conclusion We identified standards for the development of online patient health information. This p