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医疗数字化转型背景下的情感和心理安全:混合方法战略前瞻研究。

Emotional and psychological safety in the context of digital transformation in healthcare: a mixed-method strategic foresight study.

机构信息

Fliedner Fachhochschule Düsseldorf, Düsseldorf, Germany

Fliedner Fachhochschule Düsseldorf, Düsseldorf, Germany.

出版信息

BMJ Health Care Inform. 2024 Sep 20;31(1):e101048. doi: 10.1136/bmjhci-2024-101048.

Abstract

BACKGROUND

Perceived safety has received attention in the digital transformation of healthcare. However, the impact of perceived safety on the future of digital transformation has not been fully elucidated.

AIM

To investigate perceived safety in the context of the digital transformation of healthcare while considering relevant needs, influencing factors and impacts, including crisis events, to provide recommendations for action based on a participatory, multiperspective, strategic 5-year foresight viewpoint.

METHODS

A strategic foresight study is conducted via a participatory mixed-methods design to understand the present related factors that are likely to be relevant to future developments in the digital transformation of healthcare.

RESULTS

We observed that feeling safe plays a complex role in the digital transformation of healthcare. How perceived safety is considered has and will continue to impact the individual, organisational and system levels. Regarding a potential crisis event, controversial consequences have been observed. At its core, digital (health) literacy related to equity of access and human support is one of the crucial aspects in the context of perceived safety related to the successful implementation of digital technologies in healthcare.

CONCLUSIONS

The scenarios showed that a continuation of the current situation over the next 5 years may result in partly desirable and partly undesirable outcomes. Concrete key factors should be used in practice to support both education and healthcare quality development and research. The essence of the scenarios should serve as a starting point for research agenda setting and political decision-making in the future. However, additional research is needed to quantify the correlations among the relevant factors.

摘要

背景

在医疗保健的数字化转型过程中,人们已经开始关注感知安全。然而,感知安全对数字化转型未来的影响尚未得到充分阐明。

目的

在考虑相关需求、影响因素和影响的情况下,调查医疗保健数字化转型背景下的感知安全问题,包括危机事件,以便从参与式、多视角、战略性的 5 年展望角度为行动提供建议。

方法

通过参与式混合方法设计进行战略展望研究,以了解目前与医疗保健数字化转型未来发展相关的因素。

结果

我们发现,在医疗保健的数字化转型中,安全感起着复杂的作用。如何看待感知安全已经并将继续影响个人、组织和系统层面。关于潜在的危机事件,已经观察到了有争议的后果。核心是与获得数字(健康)知识和人力支持相关的公平性,是与医疗保健中数字技术成功实施相关的感知安全的关键方面之一。

结论

情景表明,未来 5 年内继续当前的情况可能会导致部分理想和部分不理想的结果。在实践中,应使用具体的关键因素来支持教育和医疗保健质量的发展和研究。情景的本质应该作为未来研究议程设置和政治决策的起点。然而,需要进一步的研究来量化相关因素之间的相关性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a189/11418536/21110e764f9d/bmjhci-31-1-g001.jpg

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