评估压力下的医疗保健系统的变化:使用常规数据指标和代理数据对实施结果的横截面研究
Andria Hanbury1, Nyasha Mafirakureva2, Nicola Chicken3
1Yorkshire and Humber Applied Research Collaboration, Bradford Institute for Health Research, Bradford, UK. Andria.Hanbury@bthft.nhs.uk.
这项研究评估了一种使用实用数据收集的远程检查设备,发现采用具有挑战性但可能节省成本. 评估为未来在医疗保健中成功实施提供了洞察力.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
- 实施科学 实施科学
背景情况:
- 实施评估对于评估医疗保健创新至关重要.
- 鉴于医疗保健人员的空缺,务实数据收集方法至关重要.
- 本研究评估了一种用于远程检查的手持设备.
研究的目的:
- 介绍一个用于远程检查的手持式医疗器械的务实评估.
- 通过下载的设备数据和行政记录来评估实施的成功.
- 展示一种评估医疗保健中的数字健康工具的方法.
主要方法:
- 一个可驾驶的手持医疗器械的横截面快速评估.
- 从设备下载和行政记录收集的数据超过1年.
- 变量映射到执行结果的分析框架.
主要成果:
- 在19个网站中,有5个网站启动了试点,其中26%的网站和29%的项目采用率.
- 可行性很高 (7例中1例需要重复),但对某些检查的忠实性很低.
- 报告指出,设备和人员成本很高,但由于减少了面对面的预约,可能节省了大量资金.
结论:
- 通过使用现有数据源,评估尽量减少了员工负担.
- 测量了五个实施结果,包括可持续性和成本.
- 通过提出了一个关键的实施挑战,突出需要员工参与未来的研究.
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