Aarts Johanna W M, Faber Marjan J, Cohlen Ben J, Van Oers Anne, Nelen WillianNe L D M, Kremer Jan A M
a Department of Obstetrics and Gynaecology , Radboudumc university medical centre Nijmegen , Nijmegen , The Netherlands.
b Scientific Institute for Quality of Healthcare, Radboudumc university medical centre Nijmegen , Nijmegen , The Netherlands.
Hum Fertil (Camb). 2015;18(4):238-47. doi: 10.3109/14647273.2015.1057901. Epub 2015 Jul 13.
The Internet is expected to innovate healthcare, in particular patient-centredness of care. Within fertility care, information provision, communication with healthcare providers and support from peers are important components of patient-centred care. An online infertility community added to an in vitro fertilisation or IVF clinic's practice provides tools to healthcare providers to meet these. This study's online infertility community facilitates peer-to-peer support, information provision to patients and patient provider communication within one clinic. Unfortunately, these interventions often fail to become part of clinical routines. The analysis of a first introduction into usual care can provide lessons for the implementation in everyday health practice. The aim was to explore experiences of professionals and patients with the implementation of an infertility community into a clinic's care practice. We performed semi-structured interviews with both professionals and patients to collect these experiences. These interviews were analyzed using the Normalisation Process Model. Assignment of a community manager, multidisciplinary division of tasks, clear instructions to staff in advance and periodical evaluations could contribute to the integration of this online community. Interviews with patients provided insights into the possible impact on daily care. This study provides lessons to healthcare providers on the implementation of an online infertility community into their practice.
互联网有望革新医疗保健领域，尤其是以患者为中心的医疗服务。在生育护理方面，信息提供、与医疗服务提供者的沟通以及来自同行的支持是患者中心护理的重要组成部分。在体外受精（IVF）诊所的业务中增加一个在线不孕不育社区，可为医疗服务提供者提供满足这些需求的工具。本研究中的在线不孕不育社区促进了诊所内患者之间的相互支持、向患者提供信息以及患者与医疗服务提供者之间的沟通。不幸的是，这些干预措施往往未能成为临床常规的一部分。对首次引入常规护理的分析可为日常医疗实践中的实施提供经验教训。目的是探讨专业人员和患者在将不孕不育社区纳入诊所护理实践方面的经验。我们对专业人员和患者都进行了半结构化访谈以收集这些经验。使用规范化过程模型对这些访谈进行了分析。任命社区经理、任务的多学科分工、提前向工作人员提供明确指示以及定期评估有助于该在线社区的整合。对患者的访谈提供了关于其对日常护理可能产生的影响的见解。本研究为医疗服务提供者在将在线不孕不育社区纳入其实践方面提供了经验教训。
