Faculty of Medicine, Saint Joseph University, Beirut, Lebanon.
Global Center for Medical Engineering and Informatics, Osaka University, Osaka, Japan.
Stud Health Technol Inform. 2022 Jun 6;290:937-941. doi: 10.3233/SHTI220218.
The Lebanese healthcare system has been facing major challenges due to an unprecedented financial crisis, socio-political instability, and the COVID-19 pandemic. This study aims to examine the impact of overlapping major crises on care continuity and to propose IT-based solutions to address current challenges and build future resilience. To this end, we adopted a participatory action research approach and conducted a two-phase qualitative study - six semi-structured interviews followed by three future workshops with local stakeholders including physicians and interns practicing in Lebanon. Through the interviews, we identified the primary consequences of the crises and the ways they impacted the continuity of care. We also identified adaptation mechanisms used by physicians and patients to ensure continuity of care. Through the future workshops, we identified various IT-based solutions that could be implemented to tackle existing challenges and support local adaptation attempts.
黎巴嫩的医疗保健系统由于前所未有的金融危机、社会政治动荡以及 COVID-19 大流行，面临着重大挑战。本研究旨在考察重叠的重大危机对医疗保健连续性的影响，并提出基于 IT 的解决方案，以应对当前的挑战并建立未来的恢复力。为此，我们采用了参与式行动研究方法，并进行了两阶段的定性研究——六次半结构化访谈，随后是与包括在黎巴嫩行医的医生和实习医生在内的当地利益攸关方进行的三次未来研讨会。通过访谈，我们确定了危机的主要后果及其对医疗保健连续性的影响方式。我们还确定了医生和患者用来确保医疗保健连续性的适应机制。通过未来的研讨会，我们确定了可以实施的各种基于 IT 的解决方案，以应对现有的挑战并支持当地的适应尝试。
