实施一个基于网络的程序,以提前计划护理和评估其复杂性与非采用,放弃,扩大,扩散和可持续性 (NASSS) 框架:定性评估研究研究框架:定性评估研究
Doris van der Smissen1, Maud A Schreijer1, Lisette J E W C van Gemert-Pijnen2
1Department of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
JMIR aging
|March 7, 2025
概括
这项研究使用NASS框架分析了"探索您对治疗和护理的偏好"预先护理计划 (ACP) 计划. 该计划的复杂性很少,但为了成功实施和可持续性,需要对各种用户进行更广泛的认识和支持.
科学领域:
- 数字健康数字健康
- 电子健康 实施 科学 科学
- 医疗信息学 医疗信息学
背景情况:
- 电子卫生应用程序经常面临实施挑战,有可能失败.
- 该NASSS (不采用,放弃,扩大,传播和可持续性) 框架确定了影响电子健康成功的复杂性.
- 了解这些复杂性对于有效的电子健康部署至关重要.
研究的目的:
- 分析基于网络的预先护理计划 (ACP) 计划的实施情况.
- 使用NASSS框架系统评估实施复杂性.
- 确定影响eHealth ACP工具的采用和可持续性的因素.
主要方法:
- 应用了NASSS框架的6个领域:条件,技术,价值主张,采用者,外部环境和嵌入/适应.
- 在多式联运数据集上进行了主题分析.
- 包括同行评审的出版物,利益相关者会议记录和采访.
主要成果:
- 基于网络的ACP计划具有简单的技术和积极的利益相关者价值.
- 确定了广泛的目标人群和对医疗保健专业人员采用的有限洞察力作为复杂性.
- 在目标用户和专业人士中,需要提高对该计划相关性的认识.
结论:
- 这是一个很棒的节目,这是一个很棒的节目.
- 探索您对治疗和护理的偏好.
- 该计划的实施复杂性是最小的.
- 主要挑战包括广泛的目标受众和社会文化因素,需要支持数字素养.
- 提高用户和医疗保健专业人员的认识,可以提高计划的采用和可持续性.
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