对扩大电子健康创新的复杂性进行跨学科分析
Sanne Allers1, Chiara Carboni1, Frank Eijkenaar1
1Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, Netherlands.
扩大电子健康创新的规模是具有挑战性的,因为当地和更广泛的战略之间存在分歧,造成了局. 预先存在的局部条件显著影响扩展远程患者监测技术的成功.
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
- 创新管理 创新管理
背景情况:
- 创新的电子健康技术在全球范围内越来越多地被推广为医疗保健系统.
- 尽管有广泛的倡导,但成功大规模实施电子健康仍然很少见.
- 对于阻碍电子健康扩展的具体挑战,人们的理解有限.
研究的目的:
- 增强对创新者在扩展电子健康技术时所面临的复杂性的理解.
- 探索用于解决这些扩展复杂性的策略.
- 在扩展过程中分析创新和医疗保健环境之间的相互作用.
主要方法:
- 一个跨学科的理论框架,整合了结构,生态和批评视角.
- 一个基于采访的案例研究一个远程患者监测 (RPM) 创新在荷兰.
- 分析利益相关者的经验 (n=14) 与扩展RPM技术.
主要成果:
- 在本地和更广泛的电子健康扩展复杂性和战略之间存在分离.
- 利益相关者面临着局,因为他们同时需要稳定性和可塑性.
- 预先存在的当地情况和路径依赖性对扩大规模的机会和挑战产生了重要影响.
结论:
- 规模扩大所设想的水平和当地先前存在的条件是至关重要的,往往被忽视的因素导致规模扩大陷入局.
- 互补的理论观点揭示了电子健康创新扩展的各种复杂性.
- 解决已识别的断开连接和当地环境对于成功的更广泛的电子健康扩展至关重要.
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