当规则变成工具时:基于活动理论的视角对实施过程和意想不到的后果
Aviv Shachak1,2, Francine Buchanan1,3, Craig Kuziemsky4
1University of Toronto, Toronto, Ontario, Canada.
Healthcare management forum
|February 20, 2024
概括
医疗保健中的意外后果 (UIC) 可能来自干预. 基于文化历史活动理论的新模型有助于预测和减轻这些可预测的UICs来自卫生计划和技术.
科学领域:
- 卫生政策 卫生政策
- 医疗保健系统 医疗保健系统
- 知识翻译 翻译知识
背景情况:
- 意外后果 (UIC) 是已知的健康干预结果,包括质量改进计划和健康信息技术实施.
- 虽然一些UIC是不可预测的,但许多可以预测,特别是在将广泛的政策转化为实践时.
- 例如,家庭为中心的护理,电子健康记录和质量改进模板等问题.
研究的目的:
- 为预测和减轻医疗保健中的意外后果 (UICs) 提供一个模型.
- 为决策者,卫生领导者和研究人员提供一个框架,以便主动解决卫生干预的潜在负面结果.
- 通过从医疗保健环境中获得的实际例子来支持该模型.
主要方法:
- 基于文化历史活动理论的模型的开发.
- 对特定医疗保健实施的意外后果 (UIC) 的分析.
- 案例研究方法使用以家庭为中心的护理,电子健康记录和计算机化质量改进模板的例子.
主要成果:
- 基于文化历史活动理论的拟议模型提供了一个结构化的方法来预测意外后果 (UIC).
- 该模型有助于积极识别与实施新的健康计划和技术相关的潜在风险.
- 案例说明了该模型如何为策略提供信息,以减轻或解决已识别的UIC.
结论:
- 基于文化历史活动理论的模型可以增强医疗保健中意外后果 (UIC) 的预测和管理.
- 政策制定者,卫生领导者和研究人员可以利用这个模型来改善卫生创新的实施.
- 积极识别和缓解UIC对于成功的医疗干预和系统改进至关重要.
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