ObjectiveTo evaluate the application of Delone & Mclean (D&M) model in foreign health information technology (HIT), summarize each variable with its emphasis on HIT, in order to provide a reference and theoretical guidance for the evaluation HIT in clinical practice in China. MethodsOvid-medline, Embase, PubMed, Engineering Village, Web of Science, EBSCO, Wanfang Data, Chinese National Knowledge Infrastructure and VIP databases were searched from January 1993 to April 2015. Included articles focused on studies about D&M model applied in HIT. Two reviewers independently screened titles and abstracts to determine inclusion status. The process was completed by Endnote X6. ResultsFinally, there were 14 eligible full-text papers. In the evaluation, Europe and US accounted for 64.29% in the leading place, Australasia ranked second with 28.57%, and Asia was at last with 7.1%. So it is significant to draw lessons from foreign research. For the methods of data collection, survey was widely used (91.7%). The system quality, information quality and service quality had a significant positive correlation with users' satisfaction and net benefit. ConclusionD&M Model is a good tool to assess HIT.
In order to provide a reference and theoretical guidance of the evaluation of electronic medical record (EMR) and establishment of evaluation system in China, we applied a bibliometric analysis to assess the application of methodologies used at home and abroad, as well as to summarize the advantages and disadvantages of them. We systematically searched international medical databases of Ovid-MEDLINE, EBSCOhost, EI, EMBASE, PubMed, IEEE, and China's medical databases of CBM and CNKI between Jan.1997 and Dec.2012. We also reviewed the reference lists of articles for relevant articles. We selected some qualified papers according to the pre-established inclusion and exclusion criteria, and did information extraction and analysis to the papers. Eventually, 1 736 papers were obtained from online database and other 16 articles from manual retrieval. Thirty-five articles met the inclusion and exclusion criteria and were retrieved and assessed. In the evaluation of EMR, US counted for 54.28% in the leading place, and Canada and Japan stood side by side and ranked second with 8.58%, respectively. For the application of evaluation methodology, Information System Success Model, Technology Acceptance Model (TAM), Innovation Diffusion Model and Cost-Benefit Access Model were widely applied with 25%, 20%, 12.5% and 10%, respectively. In this paper, we summarize our study on the application of methodologies of EMR evaluation, which can provide a reference to EMR evaluation in China.