组织数字化转型的最佳实践:荷兰医院护理中的定性案例研究
Tanja Schiffelers1, Kaya Kapteijns2, Laura Hochstenbach3
1Digital Care Transformation, Zuyderland Medical Centre, Sittard-Geleen, The Netherlands.
Journal of medical Internet research
|May 8, 2025
概括
荷兰医院在数字化转型方面面临挑战,但组织文化和资源等共同因素是成功的关键. 这项研究为有效的混合护理实施提供了见解.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字化健康转型
- 医疗保健管理的管理
背景情况:
- 医疗保健系统面临着日益增长的需求,可访问性,可负担性和质量挑战.
- 劳动力短缺和成本上升迫使欧洲医院,特别是荷兰的医院进行数字化转型.
- 将数字健康整合到现有工作流中对于高质量的混合护理至关重要,但缺乏战略.
研究的目的:
- 检查荷兰医院如何组织数字化转型举措.
- 确定医院在数字化转型过程中采用的战略和最佳实践.
- 为正在进行数字化转型的医院提供基于证据的建议.
主要方法:
- 在8家荷兰医院进行的定性多个案例研究.
- 与11位数字护理项目经理和顾问进行半结构化采访.
- 面试成绩单的定向内容分析,重点关注战略,结构,障碍和促进者.
主要成果:
- 医院在组织数字化转型方面有所不同,但面临着类似的促进者和障碍.
- 确定的关键因素包括计划结构,组织文化,财务和政治方面,患者需求,资源和技术因素.
- 这些因素被使用框架分类,例如实施研究综合框架和Expand.Net.
结论:
- 尽管在实施方面存在差异,但医院在数字化转型中存在共同的挑战和推动因素.
- 组织文化,财务资源和技术基础设施是成功实现医院数字化转型的基础.
- 共享因素可以指导有效的数字健康整合,并改善混合保健提供.
相关概念视频
Methods Of Healthcare Delivery System
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Hospitals-I
Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...
Issues And Trends In Healthcare Delivery System
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Hospitals-II
Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in hospitals have...
Nurses that work in hospitals have...
Methods of Documentation VI: Case Management Model
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
For example, a patient with a chronic illness...
Health Information Technology and Healthcare Information System
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:


