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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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