van Harten Wim, Doggen Carine, Kooij Laura
Department of Health Technology and Services Research, University of Twente, Enschede, The Netherlands.
Science Department, Rijnstate Hospital, Arnhem, The Netherlands.
Mayo Clin Proc Digit Health. 2024 Jul 8;2(3):405-410. doi: 10.1016/j.mcpdig.2024.06.007. eCollection 2024 Sep.
Hospital-based digital care and virtual care are becoming increasingly common and their reach and scope are expanding in terms of patient groups and technological sophistication. The objective of this viewpoint is to provide guidance on design and factors that can be decisive for the organization of virtual care from a hospital's perspective. Relevant aspects to be taken into account are as follows: characteristics of the technology, in a broader sense, the nature and intensity of provider involvement and supervision, the degree of self-management by the patient and his environment, the relation and cooperation mechanisms with other providers as home care, general practitioner 's and other specialist care, the matter of (economies of) scale and finally the uniformity of processes over geographic regions and providers. We provide suggestions for further research and future policy related to these aspects.
基于医院的数字护理和虚拟护理正变得越来越普遍，其覆盖范围和规模在患者群体和技术复杂性方面都在不断扩大。本文观点的目的是从医院的角度为虚拟护理的组织设计和可能起决定性作用的因素提供指导。需要考虑的相关方面如下：技术特征，从更广泛的意义上讲，提供者参与和监督的性质及强度，患者及其周围环境的自我管理程度，与其他提供者（如家庭护理、全科医生及其他专科护理）的关系及合作机制，（规模）经济问题，以及最后地理区域和提供者之间流程的一致性。我们针对这些方面提供了进一步研究和未来政策的建议。
