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绘制一个护理流程网络图,以评估互联健康的连接性。

Mapping a Careflow Network to assess the connectedness of Connected Health.

机构信息

University of Limerick, Ireland.

出版信息

Health Informatics J. 2019 Mar;25(1):106-125. doi: 10.1177/1460458217702943. Epub 2017 Apr 24.

Abstract

Connected Health is an emerging and rapidly developing field which has the potential to transform healthcare service systems by increasing its safety, quality and overall efficiency. From a healthcare perspective, process improvement models have mainly focused on the static workflow viewpoint. The objective of this article is to study and model the dynamic nature of healthcare delivery, allowing us to identify where potential issues exist within the service system and to examine how Connected Health technological solutions may support service efficiencies. We explore the application of social network analysis (SNA) as a modelling technique which captures the dynamic nature of a healthcare service. We demonstrate how it can be used to map the 'Careflow Network' and guide Connected Health innovators to examine specific opportunities within the healthcare service. Our results indicate that healthcare technology must be correctly identified and implemented within the Careflow Network to enjoy improvements in service delivery. Oftentimes, prior to making the transformation to Connected Health, researchers use various modelling techniques that fail to identify where Connected Health innovation is best placed in a healthcare service network. Using SNA allows us to develop an understanding of the current operation of healthcare system within which they can effect change. It is important to identify and model the resource exchanges to ensure that the quality and safety of care are enhanced, efficiencies are increased and the overall healthcare service system is improved. We have shown that dynamic models allow us to study the exchange of resources. These are often intertwined within a socio-technical context in an informal manner and not accounted for in static models, yet capture a truer insight on the operations of a Careflow Network.

摘要

互联健康是一个新兴且快速发展的领域,有潜力通过提高医疗服务系统的安全性、质量和整体效率来改变医疗服务系统。从医疗保健的角度来看,流程改进模型主要侧重于静态工作流程观点。本文的目的是研究和建模医疗服务交付的动态性质,以便我们能够确定服务系统中存在潜在问题的地方,并研究互联健康技术解决方案如何支持服务效率。我们探讨了社会网络分析(SNA)作为一种建模技术的应用,该技术可以捕获医疗服务的动态性质。我们展示了如何使用它来映射“护理流程网络”,并指导互联健康创新者检查医疗服务中的特定机会。我们的研究结果表明,医疗技术必须在护理流程网络中正确识别和实施,才能提高服务交付质量。在向互联健康转型之前,研究人员通常会使用各种建模技术,但这些技术无法确定互联健康创新在医疗服务网络中的最佳位置。使用 SNA 可以帮助我们了解他们可以在其中进行变革的医疗系统当前运营情况。识别和建模资源交换非常重要,以确保护理质量和安全性得到提高,效率得到提高,整体医疗服务系统得到改善。我们已经表明,动态模型使我们能够研究资源的交换。这些资源通常以一种非正式的方式交织在社会技术环境中,而不是在静态模型中考虑,但更真实地反映了护理流程网络的运作情况。

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