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How can we monitor the impact of national health information systems? Results from a scoping review

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Abstract
Background: National health information (HI) systems provide data on population health, the determinants of health and health system performance within countries. The evaluation of these systems has traditionally focused on statistical practices and procedures, and not on data use or reuse for policy and practice. This limits the capacity to assess the impact of HI systems on healthcare provision, management and policy-making. On the other hand, the field of Knowledge Translation (KT) has developed frameworks to guide evidence into practice. Methods: A scoping review of the KT literature to identify the essential mechanisms and determinants of KT that could help monitor the impact of HI systems. Results: We examined 79 publications and we identified over 100 different KT frameworks but none of these were focused on HI systems per se. There were specific recommendations on disseminating evidence to stakeholders at the institutional and organizational level, and on sustaining the use of evidence in practice and the broader community setting. Conclusions: We developed a new model, the HI-Impact framework, in which four domains are essential for mapping the impact of national HI systems: (i) HI Evidence Quality, (ii) HI System Responsiveness, (iii) Stakeholder Engagement and (iv) Knowledge Integration. A comprehensive impact assessment of HI systems requires addressing the use of HI in public health decision-making, health service delivery and in other sectors which might have not been considered previously. Monitoring Stakeholder Engagement and Knowledge Integration certifies that the use of HI in all policies is an explicit point of assessment.
Keywords
Public Health, Environmental and Occupational Health, KNOWLEDGE TRANSLATION, IMPLEMENTATION, CARE, DISSEMINATION

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MLA
Delnord, Marie, et al. “How Can We Monitor the Impact of National Health Information Systems? Results from a Scoping Review.” EUROPEAN JOURNAL OF PUBLIC HEALTH, vol. 30, no. 4, 2020, pp. 648–59, doi:10.1093/eurpub/ckz164.
APA
Delnord, M., Tille, F., Abboud, L. A., Ivankovic, D., & Van Oyen, H. (2020). How can we monitor the impact of national health information systems? Results from a scoping review. EUROPEAN JOURNAL OF PUBLIC HEALTH, 30(4), 648–659. https://doi.org/10.1093/eurpub/ckz164
Chicago author-date
Delnord, Marie, F Tille, L A Abboud, D Ivankovic, and Herman Van Oyen. 2020. “How Can We Monitor the Impact of National Health Information Systems? Results from a Scoping Review.” EUROPEAN JOURNAL OF PUBLIC HEALTH 30 (4): 648–59. https://doi.org/10.1093/eurpub/ckz164.
Chicago author-date (all authors)
Delnord, Marie, F Tille, L A Abboud, D Ivankovic, and Herman Van Oyen. 2020. “How Can We Monitor the Impact of National Health Information Systems? Results from a Scoping Review.” EUROPEAN JOURNAL OF PUBLIC HEALTH 30 (4): 648–659. doi:10.1093/eurpub/ckz164.
Vancouver
1.
Delnord M, Tille F, Abboud LA, Ivankovic D, Van Oyen H. How can we monitor the impact of national health information systems? Results from a scoping review. EUROPEAN JOURNAL OF PUBLIC HEALTH. 2020;30(4):648–59.
IEEE
[1]
M. Delnord, F. Tille, L. A. Abboud, D. Ivankovic, and H. Van Oyen, “How can we monitor the impact of national health information systems? Results from a scoping review,” EUROPEAN JOURNAL OF PUBLIC HEALTH, vol. 30, no. 4, pp. 648–659, 2020.
@article{8740439,
  abstract     = {{Background: National health information (HI) systems provide data on population health, the determinants of health and health system performance within countries. The evaluation of these systems has traditionally focused on statistical practices and procedures, and not on data use or reuse for policy and practice. This limits the capacity to assess the impact of HI systems on healthcare provision, management and policy-making. On the other hand, the field of Knowledge Translation (KT) has developed frameworks to guide evidence into practice. Methods: A scoping review of the KT literature to identify the essential mechanisms and determinants of KT that could help monitor the impact of HI systems. Results: We examined 79 publications and we identified over 100 different KT frameworks but none of these were focused on HI systems per se. There were specific recommendations on disseminating evidence to stakeholders at the institutional and organizational level, and on sustaining the use of evidence in practice and the broader community setting. Conclusions: We developed a new model, the HI-Impact framework, in which four domains are essential for mapping the impact of national HI systems: (i) HI Evidence Quality, (ii) HI System Responsiveness, (iii) Stakeholder Engagement and (iv) Knowledge Integration. A comprehensive impact assessment of HI systems requires addressing the use of HI in public health decision-making, health service delivery and in other sectors which might have not been considered previously. Monitoring Stakeholder Engagement and Knowledge Integration certifies that the use of HI in all policies is an explicit point of assessment.}},
  author       = {{Delnord, Marie and Tille, F and Abboud, L A and Ivankovic, D and Van Oyen, Herman}},
  issn         = {{1101-1262}},
  journal      = {{EUROPEAN JOURNAL OF PUBLIC HEALTH}},
  keywords     = {{Public Health,Environmental and Occupational Health,KNOWLEDGE TRANSLATION,IMPLEMENTATION,CARE,DISSEMINATION}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{648--659}},
  title        = {{How can we monitor the impact of national health information systems? Results from a scoping review}},
  url          = {{http://dx.doi.org/10.1093/eurpub/ckz164}},
  volume       = {{30}},
  year         = {{2020}},
}

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