通过公私伙伴关系在临床实践中实施复杂的电子健康干预:使用CFIR进行定性多中心分析
R V H IJzerman1,2, R van der Vaart1,3, L D Breeman1
1Leiden University, Institute of Psychology, Health, Medical and Neuropsychology Unit, Wassenaarseweg 52, Leiden 2333 AK, The Netherlands.
通过公私伙伴关系 (PPP) 实施复杂的电子卫生干预措施面临挑战. 促进者包括适应能力和领导力,而障碍则涉及不清楚的角色和IT集成,以改善医疗保健服务.
科学领域:
- 医疗信息学 医疗信息学
- 公共卫生 公共卫生
- 心血管疾病管理管理
背景情况:
- 复杂的电子健康干预对于改善医疗保健至关重要.
- 公私伙伴关系 (PPP) 是整合这些干预措施的关键.
- 在将电子健康倡议转化为临床实践方面仍然存在挑战.
研究的目的:
- 为了确定实施BENEFIT计划的障碍和促进者,为心血管疾病患者提供复杂的电子健康干预.
- 分析PPP在心脏康复机构内实施电子健康干预措施中的作用.
主要方法:
- 使用半结构面试进行定性研究设计.
- 采访了参与PPP的四个心脏康复场所的10个主要利益相关者.
- 数据分析采用了实施研究的综合框架.
主要成果:
- 促进者:计划适应性,有效的团队沟通,数字医疗需求,专注的PPP领导,结构化会议和灵活的战略修改.
- 障碍:PPP特定的问题 (角色模两可,人员短缺),工作场所的干扰,IT整合不足,以及各站点不清楚的实施目标.
结论:
- 通过PPP实施复杂的电子健康干预措施带来了独特的挑战.
- 需要采取全面的方法,解决PPP动态,角色明确性,人员配置,沟通和适应能力,以实现可持续的电子健康整合.
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