在伊朗卫生系统中实施患者电子推的新经验:定性研究
Ali Vafaee-Najar1,2, Elaheh Hooshmand3, Arefeh Pourtaleb4
1Department of Management Sciences and Health Economics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
BMC medical informatics and decision making
|October 8, 2024
概括
数字化医疗保健推系统在结构,过程和结果方面面临挑战. 解决这些问题需要合作和战略干预,以改善医疗服务提供.
科学领域:
- 医疗保健管理的管理
- 医疗信息学 医疗信息学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 电子推系统是优化医疗保健结果和资源分配的关键.
- 这项研究调查了马什哈德医学科学大学 (MUMS) 电子患者转诊系统中的挑战.
研究的目的:
- 识别和分类在实施电子患者推系统时遇到的挑战.
主要方法:
- 使用与医生,专家和利益相关者进行半结构面试的定性研究.
- 用有目的的抽样来选择参与者.
- 专题分析框架用于使用Atlas.ti8软件进行数据分析.
主要成果:
- 挑战被分为三个主要主题:结构,过程和结果.
- 10个子主题出现,包括互联网基础设施问题,患者选择,支付,安排,协调,诊断编码,虚假转诊,不满,反和健康指标.
结论:
- 改进伊朗的电子推系统需要可持续的资源分配,协作后果机制和增强的约会安排.
- 涉及提供者,IT专业人员和患者的协作方法对于系统效率和用户友好性至关重要.
- 系统的,协调的干预对于克服障碍和防止服务质量下降至关重要.
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