运用人因学方法识别 COVID-19 大流行期间远程医疗实施的障碍与机遇：迈向医疗服务未来的飞跃？
Identifying Barriers to and Opportunities for Telehealth Implementation Amidst the COVID-19 Pandemic by Using a Human Factors Approach: A Leap Into the Future of Health Care Delivery?
作者信息
Zhang Tianyi, Mosier Jarrod, Subbian Vignesh
机构信息
Department of Systems and Industrial Engineering, College of Engineering, The University of Arizona, Tucson, AZ, United States.
Department of Biomedical Engineering, The University of Arizona, Tucson, AZ, United States.
出版信息
JMIR Hum Factors. 2021 Apr 9;8(2):e24860. doi: 10.2196/24860.
Abstract
The extensive uptake of telehealth has considerably transformed health care delivery since the beginning of the COVID-19 pandemic and has imposed tremendous challenges to its large-scale implementation and adaptation. Given the shift in paradigm from telehealth as an alternative mechanism of care delivery to telehealth as an integral part of the health system, it is imperative to take a systematic approach to identifying barriers to, opportunities for, and the overall impact of telehealth implementation amidst the current pandemic. In this work, we apply a human factors framework, the Systems Engineering Initiative for Patient Safety model, to guide our holistic analysis and discussion of telehealth implementation, encompassing the health care work system, care processes, and outcomes.
摘要
自新冠疫情开始以来，远程医疗的广泛应用极大地改变了医疗服务的提供方式，并给其大规模实施和适应带来了巨大挑战。鉴于从将远程医疗作为一种替代的医疗服务提供机制到将其作为卫生系统不可或缺的一部分的范式转变，必须采取系统的方法来识别当前疫情期间远程医疗实施的障碍、机遇及其总体影响。在这项工作中，我们应用了一个人为因素框架，即患者安全系统工程倡议模型，来指导我们对远程医疗实施进行全面分析和讨论，包括医疗工作系统、护理流程和结果。
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