eHealth and health informatics competences A systemic analysis of literature production based on bibliometrics

• Published in: Kybernetes Vol. 47; no. 5; pp. 1018 - 1030
• Main Authors: Kokol, Peter, Saranto, Kaija, Blažun Vošner, Helena
• Format: Journal Article
• Language: English
• Published: London Emerald Group Publishing Limited 02.05.2018
• Subjects: Bibliographic data bases; Bibliometrics; Clinical competence; Communication; Decision making; Developing countries; Distance learning; Health care; Health education; Health informatics; Information management; Information sources; Information storage; Information systems; Information technology; Innovations; Internet of medical things; LDCs; Medicine; Nursing education; Older people; Primary care; Public health; Skills; Telemedicine; Trends; Canada; Sweden; Netherlands; United Kingdom > UK; United States > US; Italy; Australia; Germany; Spain
• DOI: 10.1108/K-09-2017-0338
• ISSN: 0368-492X

PurposeThe rapid development of eHealth requires the extension of existing health informatics competences sets. These competences are needed not only by health-care professionals but also by health-care consumers. The purpose of this paper is to analyse literature production of health informatics and eHealth competences/skills (EHCS).Design/methodology/approachBibliometric analysis and mapping have been used as a form of distant reading approach in the manner to perform thematic analysis, identify gaps in knowledge and predict future trends.FindingsThis study shows that the literature production of health informatics and EHCS differs in bibliometric indicators, as well as in research content. Thematic analysis showed that medicine is the most productive subject area in both fields. However, health informatics competencies/skills are more oriented toward education, nursing, electronic health record and evidence-based practice, while EHCS cover health information technology, engineering, computer science and patient-centred care. The literature research production exhibits positive trend and is geographically widespread in both fields.Research limitations/implicationsThe use of Scopus database might have led to different results if the authors had used Web of Science or Medline, because of the fact that different databases cover different lists of source titles. The authors used various search strings, and the most optimal one for their study; however, a different search string might result in slightly different outcomes. In addition, the thematic analysis has been performed on information source abstracts and titles only, as the analysis of full texts (if available) could lead to different results. Despite the fact that the thematic analysis has been performed by three researchers with different scientific backgrounds, the results of the analysis are subjective. On the other hand, the bibliometric analyses and comparison of health informatics and eHealth competences have never been done before and this study revealed some important gaps in research in both fields.Practical implicationsThe World Health Organization defined four distinct but related components of eHealth: mobile health, health information systems, telemedicine and distance learning. While the research in telemedicine and health information systems seems to be well covered, the skills and competencies in mobile health and distant learning should be researched more extensively.Social implicationsMore research in the skills and competencies associated with so-called connected health, a new subfield in eHealth research, is needed. The skills and competencies of how to better implement and use the services related to the management of chronic diseases, health coproduction and how to implement eHealth in developing countries are currently under research areas and with candidates for future research. For both health informatics competencies/skills and EHCS, we noted that more research is needed for personalised medicine, health coproduction, smart health, internet of things, internet of services and intelligent health systems.Originality/valueThe literature production on health informatics and EHCS has been analysed for the first time and been compared in a systemic way, using bibliometrics. The results reveal that current research directions as well as knowledge gaps could thus provide guidelines for further research.