在数字卫生技术评估和采购中整合环境考虑:利益相关方的观点
Hassane Alami1,2, Lysanne Rivard2, Pascale Lehoux1,2
1Department of Health Management, Evaluation and Policy, University of Montreal, Montreal, Quebec, Canada.
Digital health
|December 11, 2023
概括
数字健康技术 (DHT) 具有环境影响,必须在医疗保健中考虑. 整合这些环境问题需要解决微,中和宏观层面的因素,以实现可持续的数字健康采用.
科学领域:
- 环境科学 环境科学
- 医疗信息学 医疗信息学
- 公共卫生政策 公共卫生政策
背景情况:
- 数字健康技术 (DHTs) 是为医疗保健而推广的,但具有显著的环境足迹.
- 数字行业的污染和对健康不平等的贡献越来越令人担忧.
- 评估DHT的整体价值需要考虑它们对环境的影响.
研究的目的:
- 探索利益相关方关于将DHT环境影响纳入评估和采购的观点.
- 确定使环境考虑在DHT实践中的运行成为可能或阻碍的因素.
- 促进关于将环境问题纳入卫生保健系统采用DHTs的对话.
主要方法:
- 在加拿大一所学术医疗中心与29名利益相关者进行了半结构化采访.
- 利用基于传播创新理论的混合演-诱导分析框架.
- 收集和分析有关有关DHT环境影响的利益相关方观点的数据.
主要成果:
- 对DHT环境影响的整合取决于微观 (个人),微观 (组织) 和宏观 (外部) 系统因素.
- 促成因素包括利益相关者的认可和可行性;组织文化,领导和专业知识至关重要.
- 外部因素包括影响采用的政治,监管,经济和专业/科学因素.
结论:
- 考虑DHT的环境影响涉及复杂的微-meso-macrosystemic因素和各种利益相关者的目标.
- 了解医疗保健中的环境转变的固有复杂性对于可持续的DHT整合至关重要.
- 成功的整合需要导航不同的治理层面和利益相关者对环境可持续性的期望.
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