在荷兰实施家庭康复技术的复杂性,用于中风后的运动康复
Karlijn E Te Boekhorst1, Sanne J Kuipers2, Gerard M Ribbers3
1Socio-Medical Sciences Department, Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, The Netherlands. teboekhorst@eshpm.eur.nl.
BMC health services research
|January 4, 2025
概括
由于利益相关者的责任分散,采用可持续的家居康复技术具有挑战性. 清晰的角色和国家政策对于有效的合作和成功实施这些辅助技术至关重要.
科学领域:
- 康复技术 康复技术 康复技术
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
背景情况:
- 基于家庭的康复技术的实施面临着可持续性挑战.
- 利益相关者对技术采用的看法对于成功的整合至关重要.
研究的目的:
- 探索影响不同利益相关者采用中风康复技术的因素.
- 确定可持续的家庭康复技术实施的障碍和促进因素.
主要方法:
- 进行了22次半结构化采访,采访了一组有目的的利益相关者样本.
- 利用非采用,放弃,扩大,扩散和可持续性 (NASSS) 框架来指导面试设计和分析.
- 分析了采访内容,以确定影响NASSS领域技术实施的主题.
主要成果:
- 确定了10个关键影响因素,涵盖多个NASS领域.
- 这些因素包括中风后的不可预测性,技术护理对齐,价值评估差异,开发者利益,患者能力,工作量,实施计划,法规和金融系统.
- 利益相关者之间责任的碎片化在单个NASSS领域之外成为一个重大挑战.
结论:
- 家庭康复技术的可持续实施是复杂的,涉及到NASS框架内的挑战.
- 利益相关者的分化责任阻碍了关键的合作.
- 定义角色,责任和采用系统方法制定国家政策对于促进合作和成功实施至关重要.
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