现实世界移动健康实施和患者安全:多中心定性研究
Jing Jing Su1,2, Michelle Hui Shan Chan3, Gabriela Lima de Melo Ghisi4,5
1School of Nursing, Tung Wah College, Hong Kong, China (Hong Kong).
Journal of medical Internet research
|April 29, 2025
概括
医疗保健专业人员强调了移动健康 (mHealth) 实施的患者安全问题,强调需要明确的责任,变化管理和强有力的法规,以确保安全有效的mHealth服务.
科学领域:
- 数字健康数字健康
- 医疗保健服务研究 医疗服务研究
- 患者安全 患者安全
背景情况:
- 移动医疗 (mHealth) 提供了便携性和通信优势,但缺乏在现实世界家庭护理环境中关于患者安全的讨论.
- 目前的移动健康实施超出了传统中心的范围,需要对安全影响有更深入的了解.
- 关于医疗保健专业人员在各种医疗保健系统中对移动健康患者安全的看法的研究有限.
研究的目的:
- 探索医疗保健专业人员对香港特别行政区和武汉的mHealth患者安全的看法.
- 确定在现实世界临床实践中安全地整合mHealth的挑战和促进者.
- 了解不同医疗保健系统结构对mHealth安全感知的影响.
主要方法:
- 采用了多中心定性研究设计.
- 对来自两个不同的医疗保健系统的27名参与者 (22名护士,5名医生) 进行了个人采访.
- 使用专题分析来解释收集的数据.
主要成果:
- 参与者对移动健康实施中的责任表示担忧.
- 关键主题包括有效的变革管理的必要性,包括推流程,资源和知情使用.
- 专业人士强调,通过更新的法规,确保患者的理解和加强信息安全的重要性.
结论:
- 医疗保健专业人员承认患者安全对于可靠和可持续的移动健康采用至关重要.
- 由机构和政策制定者支持的移动医疗服务的标准化至关重要.
- 促进专业人员的接受对于适当的转诊,管理变化,确保患者的理解和减轻安全风险至关重要.
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