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覆水难收:对医疗保健专业人员对数字支持的以人为本、综合和主动护理的看法的话语分析

Beyond the Point of No Return: A Discourse Analysis of Healthcare Professionals' Perceptions of Digitally Supported Person-Centred, Integrated, and Proactive Care.

作者信息

Dyb Kari, Kvam Lisbeth

机构信息

Norwegian Centre for E-health Research, University Hospital of North Norway, Tromsø, Norway.

Department of Mental Health, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway.

出版信息

Int J Integr Care. 2022 Oct 12;22(4):5. doi: 10.5334/ijic.6446. eCollection 2022 Oct-Dec.

Abstract

Most countries are facing a common challenge: a rise in the number of chronically ill patients and limited medical resources. The combination of digital support and the principles of person-centred, integrated, and proactive care (Digi-PIP care) services constitutes the most ambitious initiative for patients with long-term needs. While there is research on digital support, person-centred, integrated, and proactive care, the combination of these components has been less explored. The data set consisted of 29 qualitative interviews with healthcare professionals involved in four Nordic Digi-PIP care initiatives. Building on prevailing discourses on the modernisation of healthcare, we used discourse analysis to determine how the professionals discussed their perceptions and experiences of the care transformation initiatives. We identified four discourses illustrating that, despite challenges with adoption, the vision of Digi-PIP care was strongly embedded among participants across professions and contexts. In contrast to the discourses on their separate components, the emergent discourses on Digi-PIP care were surprisingly consistent. The new care model was found to be beneficial for patients, healthcare professionals, and society. Digitalisation may vitalise and even catalyse person-centred, integrated, and proactive practices. To the employees involved, Digi-PIP has moved beyond the point of no return; it is the future of modern healthcare.

摘要

大多数国家都面临着一个共同的挑战

慢性病患者数量增加,医疗资源有限。数字支持与以患者为中心、综合且积极主动的护理(Digi-PIP护理)服务原则相结合,构成了针对有长期需求患者的最具雄心的举措。虽然有关于数字支持、以患者为中心、综合且积极主动护理的研究,但这些组成部分的结合却较少被探讨。该数据集包括对参与四项北欧Digi-PIP护理举措的医疗保健专业人员进行的29次定性访谈。基于关于医疗保健现代化的主流论述,我们运用话语分析来确定专业人员如何讨论他们对护理转型举措的看法和经历。我们识别出四种话语,表明尽管在采用方面存在挑战,但Digi-PIP护理的愿景在不同职业和背景的参与者中得到了强烈认同。与关于其各个组成部分的话语形成对比的是,关于Digi-PIP护理的新出现的话语惊人地一致。新的护理模式被发现对患者、医疗保健专业人员和社会都有益。数字化可能会激发甚至催化以患者为中心、综合且积极主动的实践。对于相关员工而言,Digi-PIP已无法回头;它是现代医疗保健的未来。

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