Danish Center for Health Informatics, Department of Planning, Aalborg University, Denmark.
Department of Psychology, Aarhus University, Denmark.
Stud Health Technol Inform. 2022 Aug 31;298:97-101. doi: 10.3233/SHTI220915.
Issues of non-use of available health information technology (HIT) have been referred to as the 'last mile problem' impeding harnessing the full potential of HIT. We reflect upon which competencies are needed to address the last mile problem by ensuring a context-sensitive implementation. We argue that there is a need for context-sensitive digital integrators, who can navigate the realm where technological systems meet practice. This entails a situated, socio-technical, context-sensitive approach and competencies which are not easily addressed through formal training but require lifelong situated learning, as the field evolves continuously. Our ambition is to highlight the complexities of implementation and integration into local practice. This paper emphasizes the role of digital integrators in the hope of fostering further discussions on how to acknowledge and nourish these competencies in order to address and go beyond the last mile problem.
利用现有健康信息技术（HIT）的问题被称为“最后一英里问题”，阻碍了充分发挥 HIT 的潜力。我们反思了需要哪些能力来解决最后一英里问题，以确保实施具有上下文敏感性。我们认为，需要有具有上下文敏感性的数字整合者，他们能够在技术系统与实践相遇的领域中导航。这需要一种情境的、社会技术的、具有上下文敏感性的方法和能力，这些能力不容易通过正规培训来解决，而是需要终身的情境学习，因为该领域在不断发展。我们的目标是强调实施和融入当地实践的复杂性。本文强调了数字整合者的作用，希望能够进一步讨论如何承认和培养这些能力，以解决和超越最后一英里问题。
