Ovretveit John, Wu Albert, Street Richard, Thimbleby Harold, Thilo Friederike, Hannawa Annegret
LIME/MMC, Karolinska Institutet, Stockholm, Sweden.
Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University , Baltimore, Maryland, USA.
J Health Organ Manag. 2017 Mar 20;31(1):28-37. doi: 10.1108/JHOM-07-2016-0128.
Purpose The purpose of this paper is to explore a non-technical overview for leaders and researchers about how to use a communications perspective to better assess, design and use digital health technologies (DHTs) to improve healthcare performance and to encourage more research into implementation and use of these technologies. Design/methodology/approach Narrative overview, showing through examples the issues and benefits of introducing DHTs for healthcare performance and the insights that communications science brings to their design and use. Findings Communications research has revealed the many ways in which people communicate in non-verbal ways, and how this can be lost or degraded in digitally mediated forms. These losses are often not recognized, can increase risks to patients and reduce staff satisfaction. Yet digital technologies also contribute to improving healthcare performance and staff morale if skillfully designed and implemented. Research limitations/implications Researchers are provided with an introduction to the limitations of the research and to how communications science can contribute to a multidisciplinary research approach to evaluating and assisting the implementation of these technologies to improve healthcare performance. Practical implications Using this overview, managers are more able to ask questions about how the new DHTs will affect healthcare and take a stronger role in implementing these technologies to improve performance. Originality/value New insights into the use and understanding of DHTs from applying the new multidiscipline of communications science. A situated communications perspective helps to assess how a new technology can complement rather than degrade professional relationships and how safer implementation and use of these technologies can be devised.
目的 本文旨在为领导者和研究人员提供一个非技术性概述，介绍如何从沟通视角更好地评估、设计和使用数字健康技术（DHTs），以提升医疗保健绩效，并鼓励对这些技术的实施和应用开展更多研究。
设计/方法/途径 叙述性概述，通过实例展示引入DHTs对医疗保健绩效的问题和益处，以及传播科学为其设计和使用带来的见解。
发现 传播研究揭示了人们以非语言方式进行沟通的多种方式，以及在数字媒介形式中这种沟通方式如何可能丢失或退化。这些损失往往未被认识到，会增加患者风险并降低员工满意度。然而，如果精心设计和实施，数字技术也有助于提高医疗保健绩效和员工士气。
研究局限性/影响 向研究人员介绍了研究的局限性，以及传播科学如何有助于采用多学科研究方法来评估和协助实施这些技术以提高医疗保健绩效。
实际意义 利用这一概述，管理者更能够就新的DHTs将如何影响医疗保健提出问题，并在实施这些技术以提高绩效方面发挥更有力的作用。
原创性/价值 从应用新的传播科学多学科角度对DHTs的使用和理解有了新见解。情境化的传播视角有助于评估新技术如何补充而非破坏专业关系，以及如何设计更安全地实施和使用这些技术。
