Naamati-Schneider Lior
Health Management Department, Hadassah Academic College, Jerusalem, Israel.
Digit Health. 2023 Jul 30;9:20552076231191892. doi: 10.1177/20552076231191892. eCollection 2023 Jan-Dec.
Healthcare systems globally are adapting to rapid changes, including digitalization, to thrive. The main objective of this study is to investigate the impact of adapting to rapid changes, including embracing digitalization on the services provided by healthcare organizations, by mapping the healthcare professionals' perceptions and characterizing their experiences, as well as examining the difficulties and barriers they face in transforming their organization.
This qualitative study, based on semi-structured in-depth interviews with 38 healthcare professionals, examines the impact of embracing digitalization in service and clinical care and their perception of service. Interviews were analyzed using a categorial deductive and inductive approach across three levels.
Eight main themes arose from the analysis: and . The themes and subthemes were examined through the three levels of organizational change-the system, the organization, and the personal level. The results of the study indicate limited embrace of change within the systemic and organizational levels and inconsistencies across the three levels. The study also highlights the barriers and difficulties that stand in the way of these processes of change and development.
To ensure successful implementation, these processes require systemic planning, including budgeting for personnel training, organizational adjustments, and technological equipment. Additionally, addressing personal-level considerations such as relevant training and setting boundaries for caregivers is crucial to prevent burnout. Effective planning and management of these changes will facilitate optimal assimilation and enhance system efficiency.
全球医疗保健系统正在适应包括数字化在内的快速变化以实现蓬勃发展。本研究的主要目的是通过梳理医疗保健专业人员的看法、描述他们的经历,并审视他们在组织转型过程中面临的困难和障碍,来调查适应快速变化(包括采用数字化)对医疗保健组织所提供服务的影响。
这项定性研究基于对38名医疗保健专业人员进行的半结构化深度访谈,考察了在服务和临床护理中采用数字化的影响以及他们对服务的看法。采用分类演绎和归纳方法在三个层面上对访谈进行分析。
分析得出八个主要主题:以及。这些主题和子主题通过组织变革的三个层面——系统层面、组织层面和个人层面进行审视。研究结果表明,在系统层面和组织层面,对变革的接受程度有限,且三个层面之间存在不一致。该研究还突出了阻碍这些变革与发展进程的障碍和困难。
为确保成功实施,这些过程需要进行系统规划,包括为人员培训、组织调整和技术设备编制预算。此外,考虑个人层面的因素,如提供相关培训以及为护理人员设定界限,对于防止职业倦怠至关重要。对这些变革进行有效的规划和管理将促进最佳融合并提高系统效率。