颠覆性创新之后:英国一般实践中远程和数字服务是如何嵌入,混合和放弃的 - 纵向研究
Trisha Greenhalgh1, Aileen Clarke1, Richard Byng2
1Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Health and social care delivery research
|June 14, 2025
概括
英国的一般做法显示,在COVID-19后,数字创新采用率有所不同. 成功的整合取决于资源,领导力和技术的合适性,影响患者的护理.
科学领域:
- 医疗保健管理的管理
- 数字健康创新数字健康创新
- 社会技术系统 社会技术系统
背景情况:
- 由于COVID-19的原因,英国的一般做法在2020年迅速向远程服务过渡.
- 随后对持续远程和数字实践的评估提供了一个独特的研究机会.
- 专注于医疗保健中数字创新的长期嵌入,适应和放弃.
研究的目的:
- 探索COVID-19后扩大远程和数字选/咨询的一般实践反应范围.
- 了解危机驱动的医疗保健环境社会技术变化的长期影响.
主要方法:
- 从12个英国普通实践 (2021-2023) 进行了纵向数据收集.
- 人种观测 (500小时),采访 (163名工作人员,31名患者,39名利益相关者) 和研讨会 (210名参与者).
- 用组织创新理论将数据合成案例研究.
主要成果:
- 实践从回归面对面服务到广泛使用数字技术,各不相同.
- 实践规模,资源,领导力和人际关系有利于创新;准备程度因当地环境和患者因素而异.
- 成功的嵌入需要持续的适应,而不合适导致效率低下和"技术压力",影响患者获取和护理质量.
结论:
- 在英国的一般做法中,数字成熟度存在显著差异.
- 低技术使用可能反映了战略选择或对数字创新的反应性方法.
- 提出了更新的数字成熟度类型学,并提出了定制支持的建议.
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