翻译技术:使用和不使用的医生-病人视频咨询在丹麦的一般实践中
Elle Christine Lüchau1, Helen Atherton2, Finn Olesen3
1Department of Public Health, Research Unit of General Practice, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark; Warwick Medical School, Unit of Academic Primary Care, University of Warwick, Coventry, CV4 7AL, United Kingdom.
Social science & medicine (1982)
|September 10, 2023
概括
丹麦的全科医生采用不同的视频咨询方式,将其视为危机工具或未来. 了解这些不同的解释是增加它们在一般实践中的使用的关键.
科学领域:
- 医疗信息学 医疗信息学
- 一般实践 一般实践
- 技术社会学技术的社会学.
背景情况:
- 丹麦医疗保健系统的数字化强调了视频咨询.
- 尽管有政治支持,但在全科医生中,视频咨询的普及率仍低于2%.
- 了解影响采用的因素对于有效实施至关重要.
研究的目的:
- 探索丹麦的全科医生如何以及为什么使用或不使用视频咨询.
- 将社会认知理论应用于技术框架,以了解采用模式.
- 确定在初级保健中使用视频咨询的障碍和促进因素.
主要方法:
- 在技术框架上利用了社会认知理论.
- 对27名丹麦全科医生进行了30次半结构面试.
- 对采访数据进行了反思性的专题分析.
主要成果:
- 一般医生以四种方式解释视频咨询:妥协职业价值观,危机工具,未来或改善工作条件的手段.
- 由于对技术及其感知优势的解释不同,在各诊所采用情况各不相同.
- 技术框架影响了视频咨询的采用和拒绝.
结论:
- 技术框架的概念有效地解释了全科医生对视频咨询的不同采用.
- 对于临床医生和政策制定者来说,理解这些框架至关重要,他们的目标是推动一般实践中的技术创新.
- 需要针对性策略,考虑从业人员的解释,以提高视频咨询的使用率.
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