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英国国民保健制度(NHS)威尔士地区数字医疗的获益、挑战和可持续性:一项定性研究。

Benefits, challenges and sustainability of digital healthcare for NHS Wales: a qualitative study.

机构信息

Informatics, Technology Enabled Care Cymru, Aneurin Bevan Health Board, Gwent, UK

Informatics, Technology Enabled Care Cymru, Aneurin Bevan Health Board, Gwent, UK.

出版信息

BMJ Open. 2023 May 29;13(5):e069371. doi: 10.1136/bmjopen-2022-069371.

DOI:10.1136/bmjopen-2022-069371
PMID:37247963
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10230334/
Abstract

INTRODUCTION

Digital healthcare in the UK was adopted out of necessity rather than choice during the COVID-19 pandemic. However, as we move forward, UK governments and healthcare services have acknowledged its evident benefits for patients, staff and the National Health Service (NHS), and are keen to sustain its improvements in the long term.

OBJECTIVE

To understand the benefits, challenges and sustainability of a future-proof digital healthcare.

DESIGN

A semi-structured interview study was conducted.

SETTING

In NHS services in Wales, UK.

PARTICIPANTS

With clinical and non-clinical staff across a mix of clinical specialties.

OUTCOME MEASURES

Semi-structured interviews were conducted to address benefits, challenges and sustainability of a national video consulting (VC) service, and thematically coded using a quantification method of qualitative work.

RESULTS

A total of 203 interviews were conducted and 3 dominant domains emerged, with 7 themes and 26 categories.

LIMITATIONS

It is important to acknowledge that these findings were captured during a pandemic.

CONCLUSIONS

NHS Wales has demonstrated that currently there are an equal measure of benefits and challenges to a national digital healthcare. However, with ongoing government and service support, improvement and evaluation, it has potential for a sustainable digital future, in which the benefits can outweigh the challenges.

摘要

引言

在 COVID-19 大流行期间,英国出于必要性而非选择采用了数字医疗保健。然而,随着我们的前进,英国政府和医疗服务部门已经认识到它对患者、员工和国民保健制度(NHS)的明显好处,并热衷于长期维持其改进。

目的

了解未来数字医疗保健的好处、挑战和可持续性。

设计

进行了半结构化访谈研究。

地点

在英国威尔士的 NHS 服务中。

参与者

具有各种临床专业的临床和非临床工作人员。

结果措施

进行了半结构化访谈,以解决国家视频咨询(VC)服务的好处、挑战和可持续性问题,并使用定性工作的量化方法进行主题编码。

结果

共进行了 203 次访谈,出现了 3 个主要领域,有 7 个主题和 26 个类别。

局限性

重要的是要承认,这些发现是在大流行期间捕获的。

结论

威尔士 NHS 已经证明,目前对于国家数字医疗保健来说,好处和挑战是相等的。然而,随着政府和服务的持续支持、改进和评估,它具有可持续数字未来的潜力,其中好处可以超过挑战。

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本文引用的文献

1
Digital NHS Wales: a coding reliability analysis based on the voices of 22 978 patients and clinicians on the benefits, challenges and sustainability of video consulting.数字国民保健制度威尔士:基于 22978 名患者和临床医生对视频咨询的益处、挑战和可持续性的声音的编码可靠性分析。
BMJ Open. 2022 Apr 20;12(4):e057874. doi: 10.1136/bmjopen-2021-057874.
2
Early evidence and lessons learnt from an NHS Wales Video Consulting Service.威尔士国民保健署视频咨询服务的早期证据和经验教训。
Health Informatics J. 2022 Jan-Mar;28(1):14604582211069030. doi: 10.1177/14604582211069030.
3
Access to the digital NHS is not much of a problem in Wales.在威尔士,使用数字化的英国国家医疗服务体系(NHS)并不是什么大问题。
BMJ. 2021 Sep 13;374:n2212. doi: 10.1136/bmj.n2212.