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参与医疗保健的数字化转型:定性研究综述。

Participation in the digital transformation of healthcare: a review of qualitative studies.

机构信息

Department of Quality Management, Mid Sweden University, Sundsvall, Sweden.

Vård och Omsorgsförvaltningen, Sundsvall, Sweden.

出版信息

Int J Health Care Qual Assur. 2024 Nov 15;ahead-of-print(ahead-of-print):68-84. doi: 10.1108/IJHCQA-03-2024-0021.

DOI:10.1108/IJHCQA-03-2024-0021
PMID:39541252
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11586848/
Abstract

PURPOSE

The purpose of this review is to identify how health professionals perceive participation in implementation of new technology in healthcare organizations.

DESIGN/METHODOLOGY/APPROACH: A qualitative systematic review based on the PRISMA diagram, was conducted using qualitative synthesis. NVivo software was used for thematic analysis. The searches were performed in PubMed, CINAHL and Scopus.

FINDINGS

A total of 15 articles were included in the review, four themes describing how participation of health professionals in digital transformation affects the outcomes were identified, and three themes describing the factors that are necessary to promote participation. The underlying latent theme of an unmet desire to participate in the digital transformation was also identified in the analysis.

ORIGINALITY/VALUE: The digital transformation of healthcare is complex and faces many obstacles if not managed correctly. Professional participation in the implementation seems to be essential for success. Focus on increased resources and planning during early stages, as well as teamwork and ethical reflection is important addressing the challenges that professionals face in digital transformation of healthcare.

摘要

目的

本综述旨在确定医疗保健专业人员如何看待参与医疗保健组织中新技术的实施。

设计/方法/方法:根据 PRISMA 图进行了定性系统评价,使用定性综合法进行了研究。使用 NVivo 软件进行主题分析。检索在 PubMed、CINAHL 和 Scopus 中进行。

发现

综述共纳入 15 篇文章,确定了 4 个主题,描述了医疗保健专业人员参与数字化转型如何影响结果,并确定了 3 个主题,描述了促进参与所必需的因素。分析还确定了一个潜在的未满足的参与数字化转型的愿望主题。

原创性/价值:医疗保健的数字化转型很复杂,如果管理不当,会面临许多障碍。专业人员的参与似乎是成功的关键。在早期阶段关注增加资源和规划,以及团队合作和道德反思,对于解决专业人员在医疗保健数字化转型中面临的挑战非常重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e2f/11586848/49c917dccd03/intjhealthcarequalassur-37-0068-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e2f/11586848/a816e0a024e5/intjhealthcarequalassur-37-0068-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e2f/11586848/49c917dccd03/intjhealthcarequalassur-37-0068-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e2f/11586848/a816e0a024e5/intjhealthcarequalassur-37-0068-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e2f/11586848/49c917dccd03/intjhealthcarequalassur-37-0068-g002.jpg

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Opportunities for healthcare digitalization in Europe: Comparative analysis of inequalities in access to medical services.欧洲医疗数字化的机遇:医疗服务获取不平等的比较分析。
Health Policy. 2024 Jan;139:104950. doi: 10.1016/j.healthpol.2023.104950. Epub 2023 Dec 1.
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Key Considerations When Developing and Implementing Digital Technology for Early Detection of Dementia-Causing Diseases Among Health Care Professionals: Qualitative Study.
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