采用法国独立医疗保健工作者协作信息系统的挑战:一项全面的研究
Laurent Gaucher1,2,3, Céline Puill4, Sophie Baumann5,6
1Pôle de santé publique, Hospices Civils de Lyon, 69500, Bron, France. laurent.gaucher01@chu-lyon.fr.
Scientific reports
|May 19, 2024
概括
卫生保健工作者之间的不信任阻碍了像PROSPERO这样的协作信息系统的采用,尽管对患者护理协调有着公认的好处. 培养信任是成功实施的关键.
科学领域:
- 医疗保健信息学 医疗保健信息学
- 医疗保健服务研究 医疗服务研究
- 医学社会学 医学社会学
背景情况:
- 协作信息系统旨在改善社区和医院医疗保健团队之间的沟通.
- 普罗斯佩罗 (PROSPERO) 是为了弥合法国里昂分娩的护理差距而开发的.
- 了解采用因素对于优化医疗技术实施至关重要.
研究的目的:
- 探索医疗保健专业人员对PROSPERO协作信息系统的看法.
- 确定影响采用该系统的障碍和促进因素.
- 了解跨专业动态在系统利用中的作用.
主要方法:
- 定性研究方法采用半结构化,深度访谈.
- 对独立的助产士,产科医生和全科医生进行了27次采访.
- 专题分析以确定与系统采用相关的关键主题.
主要成果:
- 参与者承认PROSPERO有潜力改善信息共享和护理协调.
- 主要障碍包括实施挑战,工作流集成,时间限制和培训需求.
- 专业间的动态,信任问题,层次影响和保密问题显著影响了采用.
结论:
- 成功实施协作医疗保健系统需要解决专业间的不信任和已识别的障碍.
- 培养信任和提供足够的支持对于有效的采用至关重要.
- 研究结果强调了影响医疗保健技术采用和专业间合作的因素的复杂相互作用.
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