调整 - 数字化作为转型过程,以及瑞典数字逻辑与多种初级保健逻辑之间的相互作用
Karl Maack1, Nanna Gillberg2, Ewa Wikström2
1Department of Public Health and Community Medicine, Institute of Medicine, University of Gothenburg, Goteborg, Sweden.
Journal of health organization and management
|January 31, 2025
概括
初级保健的数字化转型涉及到各种制度逻辑的共存和适应,通过调整而不是竞争来促进. 这种方法有助于整合新的电子健康解决方案,通过导航不同的利益相关者价值观和不断变化的医疗保健条件.
科学领域:
- 医疗保健管理的管理
- 数字健康数字健康
- 卫生社会学 卫生社会学
背景情况:
- 初级保健机构是一个复杂的环境,受管理者,市场,患者和专业人士的影响.
- 引入远程医疗等数字化护理实践,有可能造成价值冲突.
- 机构逻辑为了解医疗保健组织中的这些价值冲突提供了一个框架.
研究的目的:
- 调查数字化转型期间在初级保健中共存价值冲突的特征.
- 了解不同机构逻辑如何相互作用,并适应数字技术的引入.
- 细微化对初级保健中数字化护理实践带来的后果的理解.
主要方法:
- 经验数据的定性主题内容分析.
- 通过采访,调查和文档分析收集的数据.
- 基于制度逻辑和开发的主题的代分析.
主要成果:
- 不同的机构逻辑并存并通过"调整化"而不是直接竞争而转变.
- 数字技术作为一个有影响力的力量,与既定的逻辑相互作用,并可能形成自己的不断发展的逻辑.
- 社会挑战和新的数字解决方案正在改变医疗保健条件,可能使管理和市场逻辑正常化,同时患者赋权和数据所有权获得突出地位.
结论:
- 不同逻辑的共存是可能的,并通过调整促进了新的电子健康实践的整合.
- 社会挑战 (例如,人口老龄化,COVID-19) 正式化了数字健康实施逻辑的适应.
- 该研究为在初级保健和其他医疗保健机构中实施电子健康和远程医疗提供了实际见解.
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