在囊性纤维化护理中以患者为导向的移动健康创新:比较的交叉病例研究
Pamela Mazzocato1,2, Jamie Linnea Luckhaus1,3, Moa Malmqvist Castillo1
1Department of Learning, Informatics, Management and Ethics, Medical Management Centre, Karolinska Institutet, Stockholm, Sweden.
Journal of medical Internet research
|July 31, 2024
概括
患者驱动的健康创新需要了解医疗服务提供者的价值和复杂性观点,以便成功采用. 早期采用者和冠军可能无法确保囊性纤维化护理的长期可持续性.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健服务研究 医疗服务研究
- 慢性疾病管理 慢性疾病管理
背景情况:
- 患者驱动的创新为慢性疾病如囊性纤维化 (CF) 提供了好处.
- 提供者对促进或阻碍实施的因素的观点仍未得到充分审查.
- 了解这些观点对于成功采用医疗保健创新至关重要.
研究的目的:
- 解释CF诊所之间采用患者驱动创新的差异.
- 确定影响患者控制健康应用程序实施的因素.
- 分析提供者对CF护理创新采用的观点.
主要方法:
- 9家CF诊所 (瑞典和美国) 的多个案例对比研究.
- 使用NASSSS-CAT框架进行数据收集和分析.
- 雇佣用户活动数据,定性访谈,统计过程控制 (SPC) 和内容分析.
主要成果:
- 没有观察到患者控制应用程序的不采用或放弃.
- 根据最终用户的最大活动,采用水平有所不同 (低,中,高).
- 价值主张,采用者系统和组织的复杂性与采用率较低相关;冠军不保证可持续性.
结论:
- 患者驱动创新的成功采用和可持续性取决于了解患者和提供者的相互依赖.
- 供应商对价值创造的看法对于持续实施至关重要.
- 解决感知的复杂性是广泛采用医疗保健环境的关键.
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