一个医疗专业向授权? 数字化的不确定的未来在私人通用实践中
Marie Ghis Malfilatre1, Séverine Louvel1
1Univ. Grenoble Alpes, CNRS, Sciences Po Grenoble - UGA, PACTE, 38000, Grenoble, France.
Social science & medicine (1982)
|December 14, 2024
概括
法国的全科医生 (GPs) 采用数字技术来提高他们的专业能力和专业知识. 然而,当创新与他们的专业文化和医学作为一种艺术的实践相冲突时,采用是有限的.
科学领域:
- 数字健康数字健康
- 医疗信息学医学信息学
- 医疗服务研究 医疗服务研究
背景情况:
- 关于从业人员采用数字技术的先前研究往往侧重于管理者和政策制定者所施加的障碍.
- 要了解独立的全科医生对数字创新的驱动因素和整合,需要进行具体的调查.
研究的目的:
- 探索私人全科医生引入和广泛使用数字技术背后的动机.
- 检查GP在独立实践中如何在日常工作中引入和整合数字创新.
- 在法国自由紧急医疗的背景下,分析影响采用数字工具的因素.
主要方法:
- 用深入的民族学研究进行的定性研究.
- 在2021年至2023年期间进行的数据收集.
- 重建自20世纪90年代以来数字创新的三个序列,并观察当前的数字工具使用情况.
主要成果:
- 全科医生引入数字工具的首要动机是专业团体的目标,即提高其行动能力并获得认可.
- 采用数字创新取决于实践变化与全科医生的专业文化保持一致.
- 最近的数字化倡议,特别是COVID-19期间和后的数字化倡议,由于与医学实践的"艺术"存在冲突,因此面临着较弱的采用和质疑.
结论:
- 专业组织和专业知识的追求是引入数字技术的全科医生的关键驱动力.
- 一般医生成功采用数字健康创新在很大程度上取决于它们与既定的专业文化和价值观的兼容性.
- 技术进步和对医疗实践的传统理解之间的紧张关系可能会阻碍全科医生广泛采用数字工具.
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