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跨部门 COPD 患者远程康复计划的制定:网络中的共同创新。

Development of a program for tele-rehabilitation of COPD patients across sectors: co-innovation in a network.

机构信息

Department of Health Science and Technology, Aalborg University, Fredrik BajersVej 7 D1, DK-9220 Aalborg, Denmark.

出版信息

Int J Integr Care. 2011 Jan;11:e012. doi: 10.5334/ijic.582. Epub 2011 Mar 29.

Abstract

INTRODUCTION

The aim of the Telekat project is to prevent re-admissions of patients with chronic obstructive pulmonary disease (COPD) by developing a preventive program of tele-rehabilitation across sectors for COPD patients. The development of the program is based on a co-innovation process between COPD patients, relatives, healthcare professionals and representatives from private firms and universities. This paper discusses the obstacles that arise in the co-innovation process of developing an integrated technique for tele-rehabilitation of COPD patients.

THEORY

Network and innovation theory.

METHODS

The case study was applied. A triangulation of data collection techniques was used: documents, observations (123 hours), qualitative interviews (n=32) and action research.

FINDINGS

Obstacles were identified in the network context; these obstacles included the mindset of the healthcare professionals, inter-professionals relations, views of technology as a tool and competing visions for the goals of tele-rehabilitation.

CONCLUSION

We have identified obstacles that emerge in the co-innovation process when developing a programme for tele-rehabilitation of COPD patients in an inter-organizational context. Action research has been carried out and can have helped to facilitate the co-innovation process.

摘要

简介

Telekat 项目旨在通过为 COPD 患者开发跨部门的远程康复预防计划来预防慢性阻塞性肺疾病(COPD)患者再次入院。该计划的制定是基于 COPD 患者、亲属、医疗保健专业人员以及私营公司和大学代表之间的共同创新过程。本文讨论了在为 COPD 患者的远程康复开发综合技术的共同创新过程中出现的障碍。

理论

网络和创新理论。

方法

应用案例研究。采用了数据收集技术的三角测量方法:文件、观察(123 小时)、定性访谈(n=32)和行动研究。

结果

在网络环境中发现了障碍;这些障碍包括医疗保健专业人员的思维模式、专业间关系、将技术视为工具的观点以及对远程康复目标的竞争愿景。

结论

我们已经确定了在跨组织环境中为 COPD 患者的远程康复开发计划时共同创新过程中出现的障碍。已经开展了行动研究,这有助于促进共同创新过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc3e/3107090/376d1f849353/ijic2011-2011012-001.jpg

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