数字化介导关系:技术中的社会代表如何影响初级保健中的治疗关系
Carolyn Steele Gray1, Meena Ramachandran2, Christopher Brinton3
1Science of Care Institute, Lunenfeld-Tanenbaum Research Institute, Sinai Health, Canada; Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Canada.
Social science & medicine (1982)
|June 22, 2024
概括
数字健康工具可以支持患者与提供者之间的关系,如果技术的使用符合患者和提供者的期望. 了解这些观点是利用数字健康来改善初级保健的关键.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
- 主要护理是指初级护理.
背景情况:
- 治疗关系对有效的医疗保健提供至关重要,提高了患者的体验和结果.
- 随着COVID-19的流行,数字技术的采用加速了,促使人们转向数字第一的初级保健模式.
- 数字化转型对关键的患者-提供者治疗关系的影响仍然是一个调查领域.
研究的目的:
- 探索患者和提供者对治疗关系和数字健康技术的看法如何影响初级保健中的关系建设.
- 调查使或阻碍使用数字技术维持复杂护理需求的患者治疗关系的因素.
主要方法:
- 在加拿大安大略省多伦多的三个以团队为基础的初级保健站点中采用了快速的民族学方法.
- 数据收集包括对9名患者,1名护理人员和10名医疗保健提供者的采访,以及对8次虚拟临床接触 (电话和视频) 的观察.
主要成果:
- 参与者对治疗关系和数字技术的看法是由他们的个人身份,经验和期望所塑造的.
- 为了让数字技术被视为促进治疗关系,需要在参与者对技术作用的看法与他们对良好治疗关系的概念之间保持一致.
结论:
- 患者和提供者对技术的看法是决定数字工具是否能够有效支持或破坏治疗关系的关键决定因素.
- 在初级保健中实施数字健康的未来战略必须考虑并与患者和提供者的观点保持一致,以保持和建立强大的治疗联系.
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