André Beate, Ringdal Gerd I, Loge Jon H, Rannestad Toril, Kaasa Stein
Department of Cancer Research & Molecular Medicine, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, Norway.
Palliat Support Care. 2009 Mar;7(1):57-63. doi: 10.1017/S147895150900008X.
Symptom assessment is important in palliative care. Computerized technology (CT) is now available for use in such assessments. Barriers against implementation of CT in health care in general are well known, but less is known about how such technology is perceived by palliative health care personnel. The aim of the present study was to investigate the experience with implementation of CT among personnel in symptom assessment at a palliative care unit.
Seventeen respondents from a hospital ward unit and an outpatient clinic unit participated in an in-depth interview. A qualitative approach was used in collecting and analyzing the data.
Respondents at the hospital ward unit were better motivated than respondents at an outpatient clinic unit. It was stated that the health condition of the patient is important in their perception of the tool as useful or not. Conflicts between "high tech" and "high touch" were reported in both units.
When the implementation process is conducted in such a manner that the health care personnel are involved, benefits of the tool can be realized. Thus, effective implementation and use of high tech can lead to more time released for high touch.
症状评估在姑息治疗中至关重要。计算机技术（CT）现已可用于此类评估。一般而言，医疗保健领域中CT实施的障碍众所周知，但姑息医疗保健人员对这种技术的看法却鲜为人知。本研究的目的是调查姑息治疗病房中参与症状评估的人员对CT实施的体验。
来自医院病房单元和门诊诊所单元的17名受访者参与了深入访谈。采用定性方法收集和分析数据。
医院病房单元的受访者比门诊诊所单元的受访者积极性更高。据指出，患者的健康状况在他们对该工具是否有用的认知中很重要。两个单元都报告了“高科技”与“高接触”之间的冲突。
当以让医疗保健人员参与的方式进行实施过程时，该工具的益处就能得以实现。因此，有效实施和使用高科技可以腾出更多时间用于高接触。
