描述影响医疗保健数字化干预措施实施的行为:系统性审查
Sajan B Patel1,2,3, Fahad M Iqbal1,2, Kyle Lam1,2
1Department of Surgery and Cancer, Imperial College London, London, United Kingdom.
Journal of medical Internet research
|June 12, 2025
概括
了解行为变化对于数字健康的采用至关重要. 本研究使用了NASSS和TDF框架来确定关键的促进者和障碍,指导未来的实施策略.
科学领域:
- 医疗信息学 医疗信息学
- 在医疗保健中的行为科学.
- 数字健康实施科学 数字健康实施科学
背景情况:
- 数字健康干预措施需要利益相关者的采用才能成功实施.
- 行为变化是数字健康采用的关键,经常被忽视的驱动因素.
- 非采用,放弃,扩大,扩散和系统 (NASSS) 和理论领域框架 (TDF) 提供了对数字健康成功和采用障碍的见解.
研究的目的:
- 描述在医疗保健中采用数字健康解决方案的障碍和促进因素.
- 应用NASSS和TDF行为框架来全面分析采用数字干预的情况.
主要方法:
- 在四个主要数据库 (MEDLINE,Embase,HMIC,PsycINFO) 进行系统的文献搜索.
- 包括报告行为变化或医疗保健专业人员数字干预的实用性研究.
- 使用NASSS和TDF框架提取和分类障碍物和促进因素;评估偏差风险.
主要成果:
- 12项研究符合纳入标准,其中大多数是在美国进行的.
- 在条件,技术,价值主张和采用者系统领域,NASSSS确定了促进者/障碍者.
- TDF强调了关于能力的知识,技能和信念;关键的促进者包括直观的设计和培训,而障碍则涉及工作流程中断和不充分的培训.
结论:
- 行为因素对医疗保健中的数字干预措施的采用和实施产生重大影响.
- 未来的研究应该探索未被报告的心理因素和新的评估方法来评估收养行为.
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