“有时我没有脉搏……但我仍然活着!”对医疗保健专业人员的访谈,以探讨他们对基于人群的数字健康技术的体验和看法。
"Sometimes I don't have a pulse … and I'm still alive!" Interviews with healthcare professionals to explore their experiences of and views on population-based digital health technologies.
作者信息
Tomasella Flavio, Morgan Heather May
机构信息
School of Medicine, Medical Sciences and Nutrition, University of Aberdeen, Aberdeen, UK.
Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, UK.
出版信息
Digit Health. 2021 May 22;7:20552076211018366. doi: 10.1177/20552076211018366. eCollection 2021 Jan-Dec.
BACKGROUND
Digital technologies are increasingly becoming an integral part of our daily routine and professional lives, and the healthcare field is no exception. Commercially available digital health technologies (DHTs - e.g. smartphones, smartwatches and apps) may hold significant potential in healthcare upon successful and constructive implementation. Literature on the topic is split between enthusiasm associated with potential benefits and concerns around privacy, reliability and overall effectiveness. However, little is known about what healthcare professionals (HCPs) have experienced so far with patients and what they perceive as the main advantages and disadvantages of adoption. This study therefore aims to investigate current perceptions of HCPs towards self-tracked health-related outputs from devices and apps available to the public.
METHODS
Nine HCPs volunteered to take part in semi-structured interviews. Related data were thematically analysed, following a deductive approach with the construction of a framework based on expected themes from the relevant literature, and themes identified from the first two interviews.
FINDINGS
The following main themes in relation to DHTs were identified and explored in detail: HCPs' experience, knowledge and views; advantages and disadvantages; barriers towards healthcare implementation and potential solutions; future directions. While most participants were adopters of DHTs and held positive views about them, their overall experience with patients and the technology was limited. Potential reasons for this were explored, including factors such as time/resources; colleagues' mindset; lack of evidence of effectiveness for practice; data security concerns.
CONCLUSIONS
The potential advantages of DHTs' adoption in healthcare are substantial, e.g. patient autonomy, time/resources saving, health and behaviour change promotion, but are presently premature. Therefore, future research is warranted, focussing on addressing barriers, minimising disadvantages, and assessing the clinical value of commercially available DHTs.
背景
数字技术日益成为我们日常生活和职业生活中不可或缺的一部分,医疗保健领域也不例外。市售的数字健康技术(如智能手机、智能手表和应用程序)若能成功且建设性地实施,可能在医疗保健领域具有巨大潜力。关于这一主题的文献在与潜在益处相关的热情和对隐私、可靠性及整体有效性的担忧之间存在分歧。然而,对于医疗保健专业人员(HCPs)目前与患者的经历以及他们认为采用这些技术的主要优缺点知之甚少。因此,本研究旨在调查HCPs目前对公众可使用的设备和应用程序自行追踪的健康相关产出的看法。
方法
九名HCPs自愿参加半结构化访谈。相关数据采用主题分析法进行分析,采用演绎法,根据相关文献中的预期主题以及前两次访谈中确定的主题构建框架。
结果
确定并详细探讨了与数字健康技术相关的以下主要主题:HCPs的经验、知识和观点;优点和缺点;医疗保健实施的障碍及潜在解决方案;未来方向。虽然大多数参与者是数字健康技术的使用者,并对其持积极看法,但他们与患者及该技术的总体经验有限。探讨了造成这种情况的潜在原因,包括时间/资源等因素;同事的观念;缺乏实践有效性的证据;数据安全问题。
结论
在医疗保健中采用数字健康技术的潜在优势很大,例如患者自主性、节省时间/资源、促进健康和行为改变,但目前还不成熟。因此,有必要进行未来研究,重点是解决障碍、尽量减少缺点并评估市售数字健康技术的临床价值。