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2017 ITU Kaleidoscope Academic Conference




           interoperability  in e-Health. However, there is a lack of     ACKNOWLEDGEMENTS
           working solutions that are applicable in actual healthcare
           settings. Existing studies tend to be focused up to the point   This  work  was supported by NRF(National Research
           of developing the frameworks. Empirical evidence that go   Foundation of Korea) Grant funded by the  Korean
           beyond validated simulations or pilot studies to demonstrate   Government(NRF-2016-Fostering Core Leaders of the
           how  these frameworks practically work in supporting e-  Future  Basic Science Program/Global Ph.D. Fellowship
           Health stakeholders’ activities are missing. Simple use of a   Program). We would like to thank the anonymous reviewers
           standard  does  not  mean that interoperability is guaranteed   for their constructive comments.
           [46]. This is why the adoption  and  consistent  use  of
           standards, especially those of open  source  are  becoming          REFERENCES
           increasingly important.
                                                              [1]  Economist Intelligence Unit, “Connect to care: The future of
                 4. CONCLUSION AND FUTURE WORK                   healthcare IT in South Korea,” The Economist, Nov. 2011.
                                                              [2]  WHO,  “eHealth  at  WHO,”  [Online].  Available:
                                                                 http://www.who.int/ehealth/about/en/
           This study explores the divided landscape of standards in e-  [3]  A. D. Black, J. Car, C. Pagliari, C. Anandan, K. Cresswell, T.
           Health research. The amount of studies under the topic of   Bokun, B. McKinstry, R. Procter, A. Majeed, and A. Sheikh,
           standards and e-Health has grown during the past decade in   “The  impact  of eHealth on the quality and safety of health
           diverse  disciplines  but without an integrated approach to   care: A systematic overview,” PLoS Med., vol. 8, no. 1, pp.
           assess the state of academic research and generate common   16, 2011.
           themes.  To make academic contributions by bridging the   [4]  L. DeNardis, “E-health standards and interoperability,” ITU-
           existing gap, we reviewed the literature and found key   T, Geneva, Switzerland, Apr. 2012.
           themes that are linked to the role and effects of standards in   [5]  L.  DeNardis,  “Standards and ehealth,” ITU-T, Geneva,
                                                                 Switzerland, Jan. 2011.
           e-Health.                                          [6] C. Pagliari, D. Sloan, P. Gregor, F. Sullivan, D. Detmer, J. P.
                                                                 Kahan, W. Oortwijn, and S. MacGillivray, “What Is eHealth
           Standards are an essential element in building e-Health   (4): A scoping exercise to map the  field,”  J. Med. Internet
           projects and strategies at national, regional and international   Res., vol. 7, no. 1, pp. 1-20, 2005.
           levels.  Differences  in  the depth of projects were found   [7] N. R. Hardiker and M. J. Grant, “Factors that influence public
           between developed and developing countries.  Types  of   engagement with eHealth: A literature review,” Int. J. Med.
           standards vary from health data standards to medical device   Inform., vol. 80, no. 1, pp. 1-12, 2011.
           standards that have influence on interoperability and other   [8] F. S. Mair, C. May, C. O’Donnell, T. Finch, F. Sullivan, and E.
                                                                 Murray, “Factors that promote or inhibit the implementation
           important variables including quality and security  in  the   of e-health systems: An explanatory systematic review,” Bull.
           areas of patient care, hospital performance, and health data.   World Health Organ., vol. 90, no. 5, pp. 357-364, 2012.
           Our review also found the implementation of standards as   [9] M. Lluch, “Healthcare professionals' organisational barriers to
           one of the major themes that arise in the e-Health literature.   health information technologies–A literature  review,”  Int. J.
           Studies present critical factors that influence the adoption of   Med. Inform., vol. 80, no. 12, pp. 849-862, 2011.
           health data standards in the organizational context  and   [10] L. C. Jiang, Z. Z. Wang, T. Q. Peng, and J. J. H. Zhu, “The
           applications of international standards for the development   divided  communities  of shared concerns: Mapping the
           of e-Health frameworks and systems. Implementations are   intellectual  structure of e-Health research in social science
                                                                 journals,” Int. J. Med. Inform., vol. 84, no. 1, pp. 24-35, 2015.
           the initial step to realize the effects of e-Health standards.   [11] D. Tranfield, D. Denyer, and P. Smart, “Towards a
           However, we also found that there are still research gaps to   methodology for developing evidence-informed management
           be  filled in these themes. The results that standards-based   knowledge by means of systematic review,” Brit. J. Manage.,
           frameworks and systems bring to  the  real  world  of   vol. 14, no. 3, pp. 207-222, 2003.
           healthcare, such as how they realize interoperability  after   [12] M. Petticrew and H. Roberts,  Systematic Reviews in  the
           implementation, is a significant topic that requires academic   Social Sciences: A Practical Guide, Blackwell Publishing,
           attention.                                            2006.
                                                              [13] M. E. Suarez-Almazor, E. Belseck, J. Homik, M. Dorgan,
           Based on the preliminary results of the systematic review,   and C. Ramos-Remus, “Identifying clinical trials in the
           the  pool of reviewed studies will be further examined for   medical literature with electronic databases: MEDLINE alone
                                                                 is not enough,” Control Clin. Trials, vol. 21, no. 5, pp. 476-
           their  quality  and divided into more elaborate themes. For   87, 2000.
           instance, the benefits to various stakeholder groups, barriers   [14] F. S. D. Anderson, “Standards and innovation: A systematic
           and adverse outcomes are some themes that  are  worth   literature review,” 18  EURAS Annu. Conf. Proc., Belgium,
                                                                                 th
           surveying as part of this systematic review. Through further   2013, pp. 77-91.
           synthesis,  we expect to derive practical implications that   [15] S. Rea, J. Pathak, G. Savova, T. A. Oniki, L. Westberg, C. E.
           can facilitate future e-Health interventions  and  policies   Beebe, C. Tao, C. G. Parker, P. J. Haug, S. M. Huff, and C. G.
           based on standards while addressing challenges associated   Chute,  “Building  a robust, scalable and standards-driven
           with standards.                                       infrastructure for secondary use of EHR data: The SHARPn
                                                                 project,”  J. Biomed. Inform., vol. 45, no. 4, pp.  763-771,
                                                                 2012.
                                                              [16] J. T. Fernández-Breis, J. A. Maldonado, M. Marcos, M. C.
                                                                 Legaz-García, D. Moner, J. Torres-Sospedra, A. Esteban-Gil,



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