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医疗保健领域数字解决方案的开发与实施:来自澳大利亚三级医院的见解

Development and implementation of digital solutions in healthcare: insights from the Australian tertiary hospital landscape.

作者信息

Schnetler Rudolf J, Vangaveti Venkat N, Crowley Benjamin J, Keogh Joshua K, Harris Trudie, Parker Dale, Watson Jane, Edwards Teresa, Westwood Peter, Birden Hudson, Daly Marina, Keyes Kieran, Biros Erik, Mallett Andrew J

机构信息

Townsville Institute of Health Research and Innovation, Townsville University Hospital, Douglas, QLD, Australia.

College of Medicine and Dentistry, James Cook University, Douglas, QLD, Australia.

出版信息

Front Digit Health. 2025 Apr 14;7:1543225. doi: 10.3389/fdgth.2025.1543225. eCollection 2025.

Abstract

BACKGROUND

The role of clinician-researchers in regional healthcare is challenging. Balancing patient care, academic research, and mentoring junior staff significantly burdens these dedicated professionals. Therefore, the Australian healthcare system must provide institutional support for improving clinicians' academic performance.

METHODS

This paper describes two digital solutions implemented in a regional Australian Hospital and Health Service. The Audit, Quality, and Innovation Review panel simplifies the approval process using digital workflows for quality assurance and audit projects, and the Research Data Laboratory provides secure access to de-identified patient data and supports data analysis.

DISCUSSION

Unlike some countries, such as the US and UK, where financial incentives or established networks drive research integration, the Townsville Hospital and Health Service focuses on empowering clinicians to address local healthcare issues through research directly. This makes the Townsville Hospital and Health Service a standout example in Australian healthcare, highlighting the significance of specialised research infrastructure and data services for clinician-led audit projects and research. This digital health solutions approach is essential for closing the gap between research and practical application, ultimately leading to improved patient care. Importantly, as a service-embedded structure, this model may be more sustainable and effective than traditional models reliant on external funding or networks in regional settings.

摘要

背景

临床研究人员在地区医疗保健中的作用具有挑战性。平衡患者护理、学术研究和指导初级员工给这些敬业的专业人员带来了巨大负担。因此,澳大利亚医疗保健系统必须提供机构支持以提高临床医生的学术表现。

方法

本文描述了在澳大利亚一家地区医院和卫生服务机构实施的两种数字解决方案。审核、质量与创新审查小组使用数字工作流程简化了质量保证和审核项目的审批流程,研究数据实验室提供对去识别化患者数据的安全访问并支持数据分析。

讨论

与美国和英国等一些国家不同,在美国和英国,经济激励或既有网络推动研究整合,汤斯维尔医院和卫生服务机构专注于赋予临床医生直接通过研究解决当地医疗保健问题的能力。这使汤斯维尔医院和卫生服务机构成为澳大利亚医疗保健领域的一个突出典范,凸显了专门研究基础设施和数据服务对于临床医生主导的审核项目和研究的重要性。这种数字健康解决方案方法对于弥合研究与实际应用之间的差距至关重要,最终可改善患者护理。重要的是,作为一种服务嵌入结构,这种模式可能比依赖外部资金或地区环境中的网络的传统模式更具可持续性和有效性。

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