患者在医疗保健系统中的数字化经验:定性访谈研究
Christian Gybel Jensen1, Frederik Gybel Jensen1, Mia Ingerslev Loft1,2
1Department of Neurology, Rigshospitalet, Copenhagen, Denmark.
Journal of medical Internet research
|April 11, 2024
概括
数字健康服务可以排除缺乏社会支持或数字技能的患者. 确保公平获取需要解决不同数字健康素养问题,并为弱势群体提供灵活的解决方案.
科学领域:
- 医疗信息学 医疗信息学
- 数字健康数字健康
- 患者体验 患者体验
背景情况:
- 全球数字化正在改变卫生系统,增加数字卫生服务的使用.
- 丹麦的数字化旨在实现通用接入,但对弱势公民造成健康不平等的风险.
- 了解患者的数字实践和经验对于公平的数字健康实施至关重要.
研究的目的:
- 检查患者的数字实践和与公共数字卫生服务和工具的经验.
- 调查患者如何利用数字卫生服务及其整体感知.
- 解决数字化对神经病学领域健康平等的影响.
主要方法:
- 采用解释学方法的定性设计.
- 在丹麦对神经病患者进行了31次半结构面试.
- 通过明确内容分析分析了转录的采访.
主要成果:
- 确定了四个关键类别:社会资源,能力,情感因素和没有数字工具的生活.
- 使用数字健康工具的积极经验取决于社会支持,必要的能力 (身体,认知,沟通) 和安全感.
- 缺乏这些先决条件的患者面临挑战,并感到被排除在外.
结论:
- 数字健康参与是复杂的,需要许多患者的社交网络帮助.
- 数字健康服务可能是排斥性的,如果不满足先决条件,就会引起关注.
- 解决数字健康素养差距和提供灵活的解决方案对于防止健康不平等至关重要.
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