促进者,障碍,以及实施数字化案例管理计划的建议:葡萄牙利益相关者的观点
Marta Ferreira1, Joana Seringa2, Rui Santana2
1NOVA National School of Public Health, NOVA University Lisboa, Lisbon, Portugal. martahpferreira@outlook.pt.
BMC health services research
|July 2, 2025
概括
实施数字案例管理 (CM) 计划需要解决数字素养和基础设施问题. 这项研究确定了关键的促进者和障碍,以指导开发有效的数字医疗保健解决方案.
科学领域:
- 医疗保健管理的管理
- 数字健康数字健康
- 公共卫生 公共卫生
背景情况:
- 人口老龄化增加了慢性疾病,需要创新的医疗保健模式.
- 数字工具为改善医疗保健可访问性和普及覆盖提供了潜力.
- 病例管理 (CM) 程序对于管理复杂的患者需求至关重要.
研究的目的:
- 识别基于数字的CM计划实施的促进者.
- 确定采用数字CM解决方案的障碍.
- 为成功的数字CM程序开发提供建议.
主要方法:
- 使用 eDelphi 方法进行定性描述性设计.
- 两轮数据收集,然后进行共识评估.
- 使用Excel进行的数据分析,从12名卫生部门专家的见解中获取见解.
主要成果:
- 主要障碍包括数字素养差距和数字基础设施投资不足.
- 强调数字培训对于成功实施至关重要.
- 专家们达成共识,在关键方面达成超过70%的共识.
结论:
- 建立了基于数字的CM程序开发的明确框架.
- 这些发现与现有的文献和正在进行的数字健康倡议保持一致.
- 建议支持在医疗保健病例管理中整合数字工具.
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