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[德国医疗保健机构的数字化转型:质量管理视角下的现状与现存挑战]

[Digital transformation of German healthcare organizations : Current status and existing challenges from the perspective of quality management].

作者信息

Petzold Thomas, Steidle Oliver

机构信息

Medizinischer Dienst Sachsen, Dresden, Deutschland.

Stabsstelle Qualitätsmanagement und klinisches Risikomanagement, Universitätsklinikum Essen, Hohlweg 26, Essen, Deutschland.

出版信息

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2023 Sep;66(9):972-981. doi: 10.1007/s00103-023-03743-y. Epub 2023 Aug 15.

Abstract

INTRODUCTION

Digital transformation includes, among other things, the project planning and implementation of digital applications, technologies, and measures and currently represents the day-to-day business of all organizations and institutions in the healthcare sector. In this article, the current activities of digital transformation in healthcare facilities from the perspective of quality management are presented.

METHODS

A Germany-wide survey among 141 members of the Society for Quality Management in Healthcare (physicians in private practice, hospitals, health insurers, and other healthcare institutions) was conducted on all fields of digital technologies, existing projects, and digital technologies that are currently being implemented. Based on six thematic modules, the participants evaluated the chronological sequence and the relevance of the content for their organization.

RESULTS

Of the survey participants, 82% stated that digital transformation influences or changes their everyday workplace. The most frequent projects include topics from process and interface management (53%) and improving patient safety (52%). The most frequent concrete projects are electronic patient files and topics that were commissioned as part of the Krankenhauszukunftsgesetz.

DISCUSSION

According to the respondents, digital transformation is changing the structures and processes of healthcare facilities and requires additional competencies so that digital technologies can be implemented in a targeted and sustainable manner. A structured coordination of the competencies of all professions in a healthcare facility is required to anchor digital technologies in the everyday life of healthcare facilities.

摘要

引言

数字转型包括数字应用程序、技术和措施的项目规划与实施等内容,目前是医疗保健领域所有组织和机构的日常业务。本文从质量管理的角度介绍了医疗机构中数字转型的当前活动。

方法

在德国范围内对医疗保健质量管理协会的141名成员(私人执业医生、医院、健康保险公司和其他医疗机构)进行了一项关于数字技术的所有领域、现有项目以及当前正在实施的数字技术的调查。参与者基于六个主题模块,评估了时间顺序以及内容对其组织的相关性。

结果

82%的调查参与者表示数字转型影响或改变了他们的日常工作场所。最常见的项目包括流程和接口管理(53%)以及提高患者安全(52%)方面的主题。最常见的具体项目是电子病历以及作为《医院未来法》一部分委托开展的主题。

讨论

根据受访者的说法,数字转型正在改变医疗机构的结构和流程,并且需要额外的能力,以便能够有针对性地、可持续地实施数字技术。需要对医疗机构中所有专业人员的能力进行结构化协调,以便将数字技术融入医疗机构的日常生活中。

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