分析互联网医院实施的障碍和推动因素:使用TDF和COM-B框架对第三级医院进行定性研究
Xiaolong Wu1, Yulin Kuang1, Yonglin Guo2
1Business School, Sun Yat-sen University, Shenzhen, Guangdong, China.
Frontiers in digital health
|August 23, 2024
概括
医务人员在使用互联网医院方面面临19个障碍和7个因素,其中激励是关键. 了解这些因素对于改善在线医疗保健准入和公平至关重要.
科学领域:
- 医疗保健提供创新 医疗保健提供创新
- 数字健康的采用数字健康的采用
- 医疗信息学医学信息学
背景情况:
- 互联网医院对于改善中国医疗服务的可访问性和公平性至关重要.
- 对互联网医院医务人员行为的研究是有限的.
- 影响医生与互联网医院接触的因素需要进一步分析.
研究的目的:
- 通过使用理论领域框架 (TDF) 检查影响医务人员参与互联网医院的因素.
- 确定影响互联网医院采用的障碍和推动因素.
- 为设计干预措施提供框架,以加强对互联网医院的参与.
主要方法:
- 对40名医生和护士进行的半结构化问卷的定性分析.
- 应用理论领域框架 (TDF) 和能力-机会-动机-行为 (COM-B) 模型.
- 使用定性方法和NVivo软件进行数据编码和分析.
主要成果:
- 确定了19个障碍和7个促进互联网医院实施的障碍.
- 所有14个TDF领域都影响了参与,动机是被引用最多的因素.
- 主要障碍包括诊断挑战,资源限制和技术/机构问题;患者需求和积极的护理影响是关键推动因素.
结论:
- 医务人员通常对医院的互联网利用持乐观态度,尽管他们发现了一些挑战.
- 对障碍和促进因素的全面了解对于优化互联网医院参与至关重要.
- 需要进一步的研究和有针对性的干预措施来提高这种不断变化的医疗保健模式的有效性.
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