在混合护理服务中设计灵活性:从内部医学部门的试点中吸取教训
Nirit Putievsky Pilosof1,2, Michael Barrett1,2, Eivor Oborn3
1Cambridge Digital Innovation-CJBS & Hughes Hall, University of Cambridge, Cambridge, United Kingdom.
Frontiers in medical technology
|December 6, 2023
概括
由于COVID-19的流行,加快了混合医疗保健模式,整合了物理和虚拟护理. 这项研究考察了以色列.
科学领域:
- 医疗保健管理的管理
- 数字化健康转型
- 混合护理模式 混合护理模式
背景情况:
- COVID-19大流行刺激了医疗保健的数字化转型,需要混合护理模式,将物理和虚拟服务结合起来.
- 远程医疗的普及和医院容量管理的需求加快了医院在家计划的增长.
- 谢巴医疗中心建立了谢巴Beyond,以色列第一个虚拟医院,提供混合内部医学服务.
研究的目的:
- 为了检查Sheba医疗中心内科的试点家庭住院计划.
- 调查混合服务开发对物理建筑环境和虚拟技术平台的影响.
- 确定混合医疗保健模式中的灵活性,可扩展性和潜在障碍的机会.
主要方法:
- 使用半结构面试进行的定性研究.
- 参与者包括Sheba Beyond的管理层,医疗人员 (医院和卫生维护组织),建筑师,IT,远程医疗和医疗技术组织.
- 分析重点是混合护理服务的发展及其对基础设施和技术的影响.
主要成果:
- 混合护理服务是通过将住院医院护理与远程家庭护理相结合而开发的,以适应患者的条件.
- 在物理 (面对面) 和虚拟 (技术支持) 交付方式和地点 (医院/家庭) 整合了护理途径.
- 调查结果强调了设计灵活性和利用建筑环境和数字平台之间的协同作用的重要性.
结论:
- 设计灵活性对于开发有效的混合护理服务至关重要.
- 物理和数字平台之间的协同作用是支持未来医疗保健模式的关键.
- 为了实现可扩展性,需要解决专业,管理,物流和经济方面的障碍.
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