视频咨询在丹麦一般实践中的不可见的工作:民族学研究
Elle Christine Lüchau1, Finn Olesen2, Helen Atherton3
1Department of Public Health, Research Unit of General Practice, University of Southern Denmark, Odense M, Denmark.
Digital health
|October 24, 2024
概括
一般医生 (GPs) 和工作人员在实施和维持视频咨询方面进行了大量的"隐形工作". 这包括协调,稳定和修复,重塑临床实践和角色.
科学领域:
- 医疗保健管理的管理
- 临床信息学 临床信息学
- 劳动社会学工作的社会学.
背景情况:
- 视频咨询越来越多地融入到初级保健中.
- 了解实际实施的挑战对于成功采用至关重要.
- 在技术整合过程中,全科医生和诊所工作人员应应对复杂的工作流程.
研究的目的:
- 描述一般医生和工作人员在视频咨询实施期间所做的"隐形工作".
- 探索视频咨询如何重构专业角色和临床实践.
- 确定采用和使用视频咨询所涉及的具体工作类型.
主要方法:
- 该研究使用了33个半结构面试与全科医生和工作人员.
- 在七个丹麦诊所进行的民族学实地研究涉及132个小时.
- 应用了以Star和Strauss隐形工作概念为灵感的反思性主题分析.
主要成果:
- 确定了四种主要类型的隐形工作:引入,稳定,协调和修复视频咨询.
- 实施需要医疗保健专业人员进行大量的表达,包容和情感工作.
- 解决方案和故障维修是维护视频咨询服务的组成部分.
结论:
- 视频咨询需要组织重组和角色重新定义.
- 成功的整合需要在协调,任务管理和问题解决方面做出大量努力.
- 采用视频咨询凸显了支持数字健康工具的经常看不见的劳动力.
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