数字卫生政策框架:来自五个国家虚拟初级保健系统的见解
Divya Srivastava1,2, Robin Van Kessel1,2,3, Marine Delgrange4
1Department of Health Policy, London School of Economics and Political Science (LSE), London, United Kingdom.
虚拟初级保健提供了远程患者-提供者互动,但面临着挑战. 一个新的框架,在国际案例研究的基础上,有助于评估数字卫生系统及其融入初级保健.
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
- 卫生系统分析 卫生系统分析
背景情况:
- 虚拟初级保健 (VPC) 能够实现远程患者与提供者之间的互动,但会带来诸如可访问性障碍等挑战.
- 现有的卫生系统框架,如世卫组织的框架,不能完全捕捉到数字化转型的影响.
- 需要一个更新的框架来评估VPC在不同的卫生系统.
研究的目的:
- 开发一个最新的框架来评估虚拟初级保健系统.
- 分析五个主要国家的VPC部署情况:加拿大,芬兰,德国,瑞典和英国.
- 确定VPC实施的共同主题和指导原则.
主要方法:
- 五个国家的虚拟初级保健系统部署的系统审查.
- 对VPC的不同国家方法中共同的主题的分析.
- 基于确定的主题,开发一个概念框架.
主要成果:
- 五个国家 (加拿大,芬兰,德国,瑞典,英国) 展示了不同的VPC部署策略.
- 七个共同的主题出现了:政策目标,治理,融资,交付,劳动力,IT/数据和患者参与.
- 从这些主题中得出了一个概念框架来指导VPC评估.
结论:
- 开发的框架为评估虚拟初级保健提供了指导原则.
- 了解共同的主题对于有效地将VPC整合到卫生系统中至关重要.
- 该框架可以促进对初级保健机构的数字健康进行全面评估.
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