从提供视频访问作为电话访问的替代品中吸取的经验教训:来自安全网产科诊所的案例研究
Jennifer N Juarez Yoc1, Elaine C Khoong2,3, Misa Perron-Burdick4,5
1UC Berkeley-UCSF Joint Medical Program, Berkeley CA, USA.
视频访问对怀孕的医疗补助患者来说是有前途的,但在安全网诊所持续采用面临挑战. 克服相互竞争的优先事项和机构文化需要强有力的领导才能成功实现远程医疗整合.
科学领域:
- 远程医疗远程医疗
- 提供医疗保健服务.
- 孕产妇健康 孕产妇健康
背景情况:
- 在COVID-19之前,以人为中心的设计确定了视频访问优于怀孕的医疗补助患者的电话.
- 安全网诊所在疫情期间迅速采用了电话访问作为主要的远程医疗方法.
研究的目的:
- 描述在安全网诊所引入视频访问的经验.
- 确定持续采用视频访问的障碍和促进者.
主要方法:
- 使用了科特的变革管理框架.
- 提供了以股权为中心的愿景.
- 雇佣了一个专门的现场项目经理.
主要成果:
- 实现了视频访问的临时采用.
- 竞争的优先事项,人员配置和机构文化阻碍了经过资助后的持续变革.
- 数字基础设施的改进并不能保证采用.
结论:
- 在安全网系统中持续实施视频访问需要领导者优先考虑和改变组织文化.
- 在许多安全网设置中,电话访问仍然是常态,这对视频访问集成构成了挑战.
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