Analysis of Factors Hindering the Dissemination of Medical Information Standards

Abstract

Many medical information standards are not widely used in Japan, and this hinders the promotion of the use of real-world data. However, the complex intertwining of many factors hindering the dissemination of medical information standards makes it difficult to solve this problem. This study analyzed and visualized relationships among factors that inhibit the dissemination of medical information standards. Five medical informatics experts affiliated with universities and hospitals were interviewed about the factors that hinder the dissemination of medical information standards in Japan. The presented factors were analyzed using the interpretive structural modeling (ISM) method and the decision-making trial and evaluation laboratory (DEMATEL) method. We found that “legislation” and “reliability” were important inhibiting factors for the dissemination of medical information standards in Japan. We also found a six-layered structure in which “reliability” was satisfied when “legislation” was in place and “expectations” and “personal information” were resolved. The DEMATEL analysis indicated the relationships and classifications of factors hindering the dissemination of medical information standards. Since the adoption of medical information standards does not directly lead to revenue for medical institutions, it is possible to meet the “expectation” of improving the quality of medical care by ensuring “legislation” and “reliability”, that is, ensuring the dependability of medical treatment. The results of this study visually show the structure of the factors and will help solve the problems that hinder the effective and efficient spread of standards. Solving these problems may support the efficient use of real-world data.

Determining the Development Strategy and Suited Adoption Paths for the Core Competence of Shared Decision-Making Tasks through the SAA-NRM Approach

“…Several current studies have adopted the DEMATEL technique to evaluate complicated issues, such as user interface analysis [ 55 ], intertwined evaluation in e-learning programs through a hybrid multiple criteria decision making (MCDM) model [ 56 ], building airline safety management system [ 57 ], evaluating value-created systems for science (technology) parks [ 58 ], selecting vehicle telematics system [ 59 ], improving the performance in a matrix organization [ 60 ], evaluation of design delay factors by importance-satisfaction analysis and NRM [ 61 ], selecting the model for digital music service platforms [ 62 ], the analysis of the environmental sustainability challenges in the Indian automobile industry [ 63 ], identifying the sustainable development strategies for industrial tourism via innovation opportunity analysis-NRM approach [ 64 ], determining critical performance criteria for hospital management by the double hierarchy hesitant fuzzy linguistic term sets (DHHFL)—DEMATEL method [ 65 ], the analysis of Med-tech industry entry strategy during pandemic [ 66 ], building the digital transformation strategies for the Med-Tech Enterprises by acquisition-importance analysis-NRM approach [ 67 ], identifying the critical success factors of SDM [ 8 ], investigation of factors impeding the dissemination of medical information standards [ 68 ], assessment of urban sustainable adoption strategies and common suited paths [ 69 ], planning urban revitalization and regional development strategies [ 70 ], analyzing the driving factors of urban music festival tourism and the strategies for service development [ 71 ], exploring the cause of gas explosion accidents by the DEMATEL-ISM method [ 72 ], evaluating the risk analysis of maritime accidents using the DEMATEL and ANP technique [ 73 ], and addressing the classifier selection problem in assistive technology adoption for patients with dementia by integrating the IF-DEMATEL and TOPSIS methods [ 74 ].…”

Establishing the Competency Development and Talent Cultivation Strategies for Physician-Patient Shared Decision-Making Competency Based on the IAA-NRM Approach

“…Many studies have used DEMATEL methods through the NRM approach to solve complex decision issues, such as the analysis of user interface [ 56 ], the airline safety management system [ 57 ], building the value-created system in the science (technology) park [ 58 ], identifying product positions by the hybrid multiple criteria decision-making (MCDM) model [ 59 ], selection of driving aspects for digital music service platforms by a hybrid MCDM approach [ 60 ], the structural model of sustainable consumption and production adoption based on a grey-DEMATEL approach [ 61 ], evaluating the model of culture festival events’ service by the MCDM approach [ 62 ], the analysis of the med-tech industry entry strategy during the COVID-19 pandemic [ 63 ], identification of the key success factors of SDM [ 12 ], determining urban revitalization and regional development strategies considering urban stakeholders [ 64 ], exploring the hindering factors for medical information standards’ dissemination [ 65 ], defining the critical factors for urban music festival tourism [ 66 ], identifying key performance indexes of hospital management by double hierarchy hesitant fuzzy linguistic term sets (DHHFL)–DEMATEL method [ 67 ], exploring the relationship among acute kidney injury risk factors, with or without COVID-19 [ 68 ], adopting the fuzzy DEMATEL method to determine the driving forces of enterprise environmental responsibility for the Chinese auto manufacturing industry [ 69 ], and analyzing the critical factors affecting SDM from orthopedic nurses’ perspectives [ 70 ].…”