探索复杂性在医疗保健技术中的作用 底层创新:使用非采用,放弃,扩大,扩散和可持续性复杂性评估工具的多个案例研究
Ulla Hellstrand Tang1,2, Frida Smith3,4, Ulla Leyla Karilampi5
1Department of Prosthetics and Orthotics, Sahlgrenska University Hospital, Gothenburg, Sweden.
JMIR human factors
|April 26, 2024
概括
数字健康创新面临复杂性挑战,往往源于组织的准备,管理和融资,而不是技术本身. 了解这种复杂性是成功部署在医疗保健机构的关键.
科学领域:
- 医疗信息学 医疗信息学
- 数字健康数字健康
- 创新管理 创新管理
背景情况:
- 数字技术为医疗保健提供带来了多方面的挑战.
- 需要进行研究来解决医疗保健环境中数字创新的复杂性.
- 不采用,放弃,扩大,扩散和可持续性 (NASSS) 框架有助于研究这种复杂性.
研究的目的:
- 研究复杂性在创新开发和部署中的作用.
- 追溯评估四个自下而上的数字健康创新的挑战.
主要方法:
- 进行了多个案例的追溯分析.
- 使用了NASSS复杂性评估工具LONG.
- 研究了瑞典Västra Götaland地区的四个自下而上的创新.
主要成果:
- 复杂性主要来自于组织因素,如准备,管理和融资.
- 了解病情 (如糖尿病,癌症) 的复杂性至关重要.
- 纳斯斯框架强调了影响采用,扩展和传播的因素.
- 由于组织系统的复杂性,评估工具的问题提出了理解挑战.
结论:
- 复杂性因开发阶段和项目的具体情况而异,即使在同一组织内也是如此.
- 识别和理解复杂性可以提高部署前景.
- 适应性领导和结构对于克服组织障碍至关重要.
- 通过非线性方法学来接受复杂性,可以提高创新的成功率.
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