Dons Amalie Roland, Ludwigs Henriette Emmy, Ringvig Katrine, Rossen Sine, Trier Karen, Kayser Lars
Department of Public Health, University of Copenhagen, 1172 København, Denmark.
Copenhagen Centre for Cancer and Health, 2200 København, Denmark.
Int J Environ Res Public Health. 2024 Apr 2;21(4):430. doi: 10.3390/ijerph21040430.
This study explored the integration of technology in healthcare consultations between healthcare professionals (HCPs) and cancer survivors. The research aimed to understand how technological tools influence the dynamics and environment of cancer survivor rehabilitation consultations. The study used Actor-Network Theory (ANT) to analyze the effects of new technological actors in consultations and Invisible Work Theory to uncover hidden workflows associated with technology implementation. The study combined observations and in-depth interviews with HCPs and cancer survivors conducted in March to May 2022, and a follow-up group interview in November 2023. The study revealed that technology's presence notably impacts the relationship between HCPs and cancer survivors, with HCPs expressing concerns that technology disrupts the consultation and challenges the relation. Over time, HCPs gradually began to use laptops during consultations to varying degrees, although the resistance to fully embracing technology persisted. This resistance is attributed to perceived pressure from management and a mismatch with established practices. The findings address the challenges in digital literacy and confidence among HCPs to facilitate the effective incorporation of technology and enhance the patient-clinician relationship. This research contributes to a deeper understanding of the interplay between digital health tools and patient-clinician relationships, highlighting the complexities and opportunities in digitizing healthcare consultations.
本研究探讨了医疗专业人员(HCPs)与癌症幸存者之间的医疗咨询中技术的整合情况。该研究旨在了解技术工具如何影响癌症幸存者康复咨询的动态过程和环境。该研究运用行动者网络理论(ANT)来分析新技术行动者在咨询中的作用,并运用无形工作理论来揭示与技术实施相关的隐藏工作流程。该研究结合了2022年3月至5月对HCPs和癌症幸存者进行的观察与深入访谈,以及2023年11月的一次后续小组访谈。研究发现,技术的存在显著影响了HCPs与癌症幸存者之间的关系,HCPs担心技术会干扰咨询并对这种关系构成挑战。随着时间的推移,HCPs逐渐开始在不同程度上在咨询过程中使用笔记本电脑,尽管对全面采用技术的抵触情绪依然存在。这种抵触归因于来自管理层的感知压力以及与既定做法的不匹配。这些发现解决了HCPs在数字素养和信心方面的挑战,以促进技术的有效融入并加强医患关系。这项研究有助于更深入地理解数字健康工具与医患关系之间的相互作用,突出了医疗咨询数字化中的复杂性和机遇。