在医疗机构的数字化转型过程中,应对道德和道德上的困境
Lior Naamati-Schneider1, Mirit Arazi-Fadlon2, Shir Daphna-Tekoah2
1Health Systemes Management Department, Hadassah Academic College, Jerusalem, Israel.
Digital health
|June 7, 2024
概括
由于战略和数字变化,医疗保健专业人员面临道德困境和冲突. 应对这些挑战对于系统适应,员工福利和患者护理至关重要.
科学领域:
- 医疗保健管理的管理
- 生物伦理学生物伦理学
- 组织心理学 组织心理学
背景情况:
- 医疗保健系统在一个充满活力的全球和地方生态系统中运作,面临着影响组织和劳动力的日常变化.
- 经济压力需要在所有系统层面进行战略和技术适应:宏观整体,中层组织和微型个人.
研究的目的:
- 检查,绘制和突出卫生保健专业人员面临的道德冲突和困境.
- 研究这些困境与医疗保健系统中正在进行的战略,技术和数字转型之间的相互作用.
主要方法:
- 在以色列中部的公立普通医院与医疗保健专业人员进行了32次深入的半结构面试.
- 采用分类演和归纳分析方法来分析采访数据.
主要成果:
- 确定了四个主要的冲突主题:创新悖论,质量和治疗冲突,信息和知识冲突以及个人需求和价值观.
- 这些主题及其子主题被分类为医疗保健系统的宏观,中等和微观层面.
结论:
- 实施战略变革和数字化转型为医疗保健专业人员带来了重大的道德冲突和困境.
- 这些挑战可能会阻碍必要的系统变革,影响个人价值观,并导致倦怠和道德困境.
- 管理层和利益相关者必须优先解决这些冲突,以支持医疗保健系统,其员工和患者的结果.
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