社会-组织层面：在医疗和社会保健领域推进共享护理记录议程的关键。
Socio-Organizational Dimensions: The Key to Advancing the Shared Care Record Agenda in Health and Social Care.
机构信息
Usher Institute, The University of Edinburgh, Edinburgh, United Kingdom.
School of Informatics, The University of Edinburgh, Edinburgh, United Kingdom.
出版信息
J Med Internet Res. 2023 Jan 26;25:e38310. doi: 10.2196/38310.
Abstract
Integrating health and social care delivery with the help of digital technologies is a grand challenge. We argue that previous attempts have largely failed to achieve their objectives because implementers and decision makers disregard the complex socio-organizational dimensions of change associated with initiatives. These include structural and organizational complexity inhibiting the development of shared care pathways; professional jurisdictions, interests, and expertise; and existing data and governance structures. We provide an overview of those dimensions that can inform strategic decisions going forward, thereby contributing to the chances of success of shared care initiatives.
摘要
借助数字技术整合医疗和社会保健服务是一项重大挑战。我们认为，以前的尝试在很大程度上未能实现其目标，因为实施者和决策者忽视了与这些举措相关的复杂社会-组织变革维度。这些维度包括阻碍共同护理路径发展的结构和组织复杂性；专业管辖权、利益和专业知识；以及现有的数据和治理结构。我们提供了这些维度的概述，可以为未来的战略决策提供信息，从而提高共同护理计划成功的机会。
相似文献
1
Socio-Organizational Dimensions: The Key to Advancing the Shared Care Record Agenda in Health and Social Care.社会-组织层面：在医疗和社会保健领域推进共享护理记录议程的关键。
J Med Internet Res. 2023 Jan 26;25:e38310. doi: 10.2196/38310.
2
Measuring integrated care.衡量整合式照护。
Dan Med Bull. 2011 Feb;58(2):B4245.
3
Sharing a vision. Do participants in integrated care programmes have the same goals and objectives?共享愿景。参与整合照护计划的参与者是否有相同的目标？
Health Serv Manage Res. 2020 Aug;33(3):122-129. doi: 10.1177/0951484819871136. Epub 2019 Sep 5.
4
An integrated system's nursing shared governance model: a system chief nursing officer's synergistic vehicle for leading a complex health care system.一种综合系统的护理共享治理模式：系统首席护理官引领复杂医疗保健系统的协同工具。
Nurs Adm Q. 2012 Oct-Dec;36(4):353-61. doi: 10.1097/NAQ.0b013e31826692ea.
5
Big Data in Healthcare - Defining the Digital Persona through User Contexts from the Micro to the Macro. Contribution of the IMIA Organizational and Social Issues WG.医疗保健中的大数据——通过从微观到宏观的用户情境定义数字角色。国际医学信息学协会组织与社会问题工作组的贡献
Yearb Med Inform. 2014 Aug 15;9(1):82-9. doi: 10.15265/IY-2014-0014.
6
Shared mental models of integrated care: aligning multiple stakeholder perspectives.整合护理的共享心理模型：协调多方利益相关者的观点。
J Health Organ Manag. 2012;26(6):713-36. doi: 10.1108/14777261211276989.
7
Health care multidisciplinary teams: The sociotechnical approach for an integrated system-wide perspective.医疗保健多学科团队：从系统整体角度出发的社会技术方法。
Health Care Manage Rev. 2017 Oct/Dec;42(4):303-314. doi: 10.1097/HMR.0000000000000115.
8
Shared governance in an integrated health care network.综合医疗保健网络中的共同治理。
AORN J. 2004 Sep;80(3):494-8, 501-6, 509-14; quiz 517-20. doi: 10.1016/s0001-2092(06)60540-1.
9
Developing a culturally competent health network: a planning framework and guide.发展文化能力健康网络：规划框架与指南。
J Healthc Manag. 2010 May-Jun;55(3):190-204; discussion 204-5.
10
Multidisciplinary shared governance: the next step.多学科共同治理：下一步举措。
Semin Nurse Manag. 1996 Mar;4(1):43-8.
引用本文的文献
1
Implementation of digital remote postoperative monitoring in routine practice: a qualitative study of barriers and facilitators.在常规实践中实施数字远程术后监测：对障碍和促进因素的定性研究。
BMC Med Inform Decis Mak. 2024 Oct 21;24(1):307. doi: 10.1186/s12911-024-02670-5.
2
Barriers and Opportunities for the Use of Digital Tools in Medicines Optimization Across the Interfaces of Care: Stakeholder Interviews in the United Kingdom.在医疗照护各界面使用数字工具进行药物优化的障碍与机遇：英国的利益相关者访谈
JMIR Med Inform. 2023 Mar 10;11:e42458. doi: 10.2196/42458.
本文引用的文献
1
Integrated Care in England - what can we Learn from a Decade of National Pilot Programmes?英国的综合医疗服务——从十年国家试点项目中我们能学到什么？
Int J Integr Care. 2021 Oct 29;21(4):5. doi: 10.5334/ijic.5631. eCollection 2021 Oct-Dec.
2
Implementing mHealth-Enabled Integrated Care for Complex Chronic Patients With Osteoarthritis Undergoing Primary Hip or Knee Arthroplasty: Prospective, Two-Arm, Parallel Trial.实现 mHealth 支持的综合护理，以管理接受初次髋关节或膝关节置换术的骨关节炎复杂慢性患者：前瞻性、双臂、平行试验。
J Med Internet Res. 2021 Sep 2;23(9):e28320. doi: 10.2196/28320.
3
Social Features of Integration in Health Systems and Their Relationship to Provider Experience, Care Quality and Clinical Integration.卫生系统整合的社会特征及其与提供者体验、护理质量和临床整合的关系。
Med Care Res Rev. 2022 Jun;79(3):359-370. doi: 10.1177/10775587211024796. Epub 2021 Jun 16.
4
New Zealand's Integration-Based Policy for Driving Local Health System Improvement - Which Conditions Underpin More Successful Implementation?新西兰推动地方卫生系统改善的基于整合的政策——哪些条件有助于更成功地实施？
Int J Integr Care. 2021 Apr 23;21(2):8. doi: 10.5334/ijic.5602.
5
Health information technology and digital innovation for national learning health and care systems.健康信息技术和数字创新促进国家学习型健康和关怀系统。
Lancet Digit Health. 2021 Jun;3(6):e383-e396. doi: 10.1016/S2589-7500(21)00005-4. Epub 2021 May 6.
6
Drivers of successful implementation of integrated care for multi-morbidity: Mechanisms identified in 17 case studies from 8 European countries.成功实施多病种综合护理的驱动因素：来自 8 个欧洲国家的 17 项案例研究中确定的机制。
Soc Sci Med. 2021 May;277:113728. doi: 10.1016/j.socscimed.2021.113728. Epub 2021 Feb 3.
7
Learning From What We Do, and Doing What We Learn: A Learning Health Care System in Action.从我们所做中学，在学中做：付诸行动的学习型医疗保健系统。
Acad Med. 2021 Sep 1;96(9):1291-1299. doi: 10.1097/ACM.0000000000004021.
8
The benefits and threats of blockchain technology in healthcare: A scoping review.区块链技术在医疗保健中的益处和威胁：范围综述。
Int J Med Inform. 2020 Oct;142:104246. doi: 10.1016/j.ijmedinf.2020.104246. Epub 2020 Aug 14.
9
Rethinking Integrated Care: A Systematic Hermeneutic Review of the Literature on Integrated Care Strategies and Concepts.反思整合照护：整合照护策略与概念文献的系统诠释学回顾。
Milbank Q. 2020 Jun;98(2):446-492. doi: 10.1111/1468-0009.12459. Epub 2020 May 20.
10
Multiple Perspectives Analysis of the Implementation of an Integrated Care Model for Older Adults in Quebec.魁北克老年人综合护理模式实施的多视角分析
Int J Integr Care. 2019 Nov 14;19(4):6. doi: 10.5334/ijic.4634.
Zotero 插件