Aminoff Hedvig, Meijer Sebastiaan
Division of Health Informatics and Logistics, Department of Biomedical Engineering and Health Systems, KTH Royal Institute of Technology, Stockholm, Sweden.
JMIR Perioper Med. 2021 Sep 16;4(2):e26580. doi: 10.2196/26580.
Many promising telemedicine innovations fail to be accepted and used over time, and there are longstanding questions about how to best evaluate telemedicine services and other health information technologies. In response to these challenges, there is a growing interest in how to take the sociotechnical complexity of health care into account during design, implementation, and evaluation. This paper discusses the methodological implications of this complexity and how the sociotechnical context holds the key to understanding the effects and outcomes of telemedicine. Examples from a work domain analysis of a surgical setting, where a telemedicine service for remote surgical consultation was to be introduced, are used to show how abstracted functional modeling can provide a structured and rigorous means to analyze and represent the implementation context in complex health care settings.
随着时间的推移，许多有前景的远程医疗创新未能被接受和使用，并且关于如何最好地评估远程医疗服务及其他健康信息技术一直存在问题。针对这些挑战，人们越来越关注如何在设计、实施和评估过程中考虑医疗保健的社会技术复杂性。本文讨论了这种复杂性的方法学意义，以及社会技术背景如何成为理解远程医疗效果和结果的关键。通过对一个手术场景进行工作领域分析的例子（该场景中将引入用于远程手术会诊的远程医疗服务），来说明抽象功能建模如何能够提供一种结构化且严谨的方法，以分析和呈现复杂医疗环境中的实施背景。
