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促进临床实践中数字医疗转型的建议:来自国际共识发展方法的结果

Recommendations to promote the digital healthcare transformation in the clinical practice: findings from an international consensus development method.

作者信息

Galazzi Alessandro, Fonda Federico, Chiappinotto Stefania, Justi Linda, Sønderskov Frydensberg Morten, Lehmann Boesen Randi, Macur Mirna, de San Pedro Marc, Reixach Espaulella Elisenda, Palese Alvisa

机构信息

Department of Medicine, University of Udine, Udine, Italy.

Health Innovation Centre of Southern, Odense, Denmark.

出版信息

BMC Health Serv Res. 2025 Jul 4;25(1):929. doi: 10.1186/s12913-025-13079-9.

Abstract

BACKGROUND

Healthcare professionals are a fundamental component of the digital health transformation in all healthcare systems. However, the barriers still affecting the digital transformation in the healthcare sector suggest that the processes used to develop policies, mainly top-down, require some innovation.

OBJECTIVE

Development and validation of recommendations to support healthcare professionals in the digital transformation of their daily practice, involving multisectoral and international stakeholders.

METHODS

A consensus development method covering the years 2021 to 2023, combining top-down and bottom-up approaches, was employed by the Digital EducationaL programme InvolVing hEalth pRofessionals (DELIVER) consortium. Policy, literature and needs analyses were conducted at national level and then combined at international level to develop recommendations. Subsequently, experts in the field of digital health, healthcare professionals, managers and others were involved in the final DELIVER Transnational Consensus Development Conference to validate the recommendations developed.

RESULTS

Ten recommendations classified into three main domains were validated: (a) encouraging healthcare professionals to welcome the digitalization of the workplace (three recommendations); (b) ensuring basic/advanced and general/specific competencies (four recommendations); and (c) offering technical and organizational support (three recommendations).

CONCLUSIONS

The recommendations should be considered by multi-sectoral stakeholders, particularly policymakers and healthcare managers, to address the still-present critical issues preventing the digital health transformation in the clinical practice.

摘要

背景

医疗保健专业人员是所有医疗保健系统数字健康转型的基本组成部分。然而,仍在影响医疗保健部门数字转型的障碍表明,主要是自上而下制定政策的过程需要一些创新。

目的

制定并验证相关建议,以支持医疗保健专业人员在日常实践中进行数字转型,涉及多部门和国际利益相关者。

方法

数字教育项目“让医疗保健专业人员参与进来”(DELIVER)联盟采用了一种涵盖2021年至2023年的共识发展方法,将自上而下和自下而上的方法相结合。在国家层面进行政策、文献和需求分析,然后在国际层面进行整合以制定建议。随后,数字健康领域的专家、医疗保健专业人员、管理人员及其他人员参与了最终的DELIVER跨国共识发展会议,以验证所制定的建议。

结果

验证了分为三个主要领域的十条建议:(a)鼓励医疗保健专业人员接受工作场所的数字化(三条建议);(b)确保具备基础/高级以及通用/特定能力(四条建议);(c)提供技术和组织支持(三条建议)。

结论

多部门利益相关者,特别是政策制定者和医疗保健管理人员,应考虑这些建议,以解决临床实践中仍然存在的阻碍数字健康转型的关键问题。

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