Factors influencing the use of big data within healthcare services: a systematic review.

Mohsen Khosravi, Seyyed Morteza Mojtabaeian, Zahra Zare
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Abstract

Background: The emergence of big data holds the promise of aiding healthcare providers by identifying patterns and converting vast quantities of data into actionable insights facilitating the provision of precision medicine and decision-making. Objective: This study aimed to investigate the factors influencing use of big data within healthcare services to facilitate their use. Method: A systematic review was conducted in February 2024, adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Database searches for articles published between 01 January 2020 and 18 February 2024 and included PubMed, Scopus, ProQuest and Cochrane Library. The Authority, Accuracy, Coverage, Objectivity, Date, Significance ( AACODS) checklist was used to evaluate the quality of the included articles. Subsequently, a thematic analysis was conducted on the findings of the review, using the Boyatzis approach. Results: A final selection of 46 studies were included in this systematic review. A significant proportion of these studies demonstrated acceptable quality, and the level of bias was deemed satisfactory. Thematic analysis identified seven major themes that influenced the use of big data in healthcare services. These themes were grouped into four primary categories: performance expectancy, effort expectancy, social influence, and facilitating conditions. Factors associated with "effort expectancy" were the most highly cited in the included studies (67%), while those related to "social influence" received the fewest citations (15%). Conclusion: This study underscored the critical role of "effort expectancy" factors, particularly those under the theme of "data complexity and management," in the process of using big data in healthcare services. Implications: Results of this study provide groundwork for future research to explore facilitators and barriers to using big data in health care, particularly in relation to data complexity and the efficient and effective management of big data, with significant implications for healthcare administrators and policymakers.

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在医疗服务中使用大数据的影响因素:系统综述。
背景:大数据的出现有望帮助医疗服务提供者识别模式,并将大量数据转化为可操作的见解,从而促进精准医疗和决策的提供。研究目的本研究旨在调查影响医疗服务机构使用大数据的因素,以促进大数据的使用。方法:本研究于 2008 年 2 月进行了一项系统性综述:根据《系统综述和元分析首选报告项目》指南,于 2024 年 2 月进行了系统综述。在数据库中搜索了 2020 年 1 月 1 日至 2024 年 2 月 18 日期间发表的文章,包括 PubMed、Scopus、ProQuest 和 Cochrane Library。采用权威性、准确性、覆盖性、客观性、日期、重要性(AACODS)核对表对纳入文章的质量进行评估。随后,采用博雅茨方法对综述结果进行了专题分析。结果本系统综述最终纳入了 46 项研究。其中很大一部分研究的质量可以接受,偏倚程度也令人满意。主题分析确定了影响医疗保健服务中大数据使用的七大主题。这些主题主要分为四类:绩效预期、努力预期、社会影响和有利条件。在纳入的研究中,与 "努力预期 "相关的因素被引用的次数最多(67%),而与 "社会影响 "相关的因素被引用的次数最少(15%)。结论本研究强调了 "努力预期 "因素,尤其是 "数据复杂性和管理 "主题下的因素,在医疗保健服务中使用大数据过程中的关键作用。意义:本研究的结果为今后探索在医疗保健中使用大数据的促进因素和障碍的研究奠定了基础,尤其是与数据复杂性和高效、有效地管理大数据有关的因素,对医疗保健管理者和政策制定者具有重要意义。
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