全国协调的Citrien电子健康计划扩大远程监测:评估前后研究的协议
Harm Gijsbers1,2,3, Azam Nurmohamed4, Tom H van de Belt5
1Department of Surgery, Amsterdam UMC, location University of Amsterdam, Amsterdam, Netherlands.
JMIR research protocols
|July 26, 2023
概括
荷兰大学医院在全国范围内实施远程监控正在评估中. 虽然远程监控在所有中心都可用,但尚未在日常医疗保健中成为常态,这凸显了可持续扩大规模的挑战.
科学领域:
- 医疗信息学 医疗信息学
- 数字健康实施方案
- 医疗保健管理的管理
背景情况:
- 可持续的,全国范围的远程监控实施存在挑战.
- 荷兰国家电子健康计划支持在所有大学医疗中心 (UMC) 的心脏病学,产科和医院病房扩大远程监测.
研究的目的:
- 评估荷兰UMC中远程监控在全国范围内的扩大规模.
- 了解扩展远程监控策略的流程,方法和结果.
- 假设:远程监控将是可操作的,但在Citrien计划后的日常护理扩展中不会正常化.
主要方法:
- 采用了前后研究设计.
- 理论框架包括非采用,放弃,扩大,扩散和可持续性;规范化过程理论;和项目帆布.
- 主要结果:规范化程度 (使用NoMAD工具);次要结果:远程监控的普及 (使用UMC商业智能数据).
主要成果:
- 数据收集发生于2020年5月至2022年12月,结果在2023年6月获取.
- 如果UMC无法提供所需的管理信息,则存在潜在风险.
- 荷兰和欧洲法规的不断发展 (例如,医疗保健电子数据交换法,欧洲健康数据空间法) 预计将有助于实施.
结论:
- 锡特里恩计划促进了全国远程监控在不同环境中的扩展.
- 该研究提供了关于荷兰UMC中远程监控采用和升级的原始数据.
- 结果为未来的电子健康计划提供了指导,确定了成功因素和障碍.
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