在门诊护理中数字健康解决方案的服务质量评估:定性项目存储库开发研究
Dominik Rigo1, Leonard Fehring1,2, Achim Mortsiefer3
1Health Care Informatics, Faculty of Health, School of Medicine, Witten/Herdecke University, Witten, Germany.
JMIR formative research
|July 24, 2025
概括
数字健康解决方案 (DHS) 的采用速度缓慢,原因是效果和成本不清楚. 我们开发了DigiHEALTHQUAL问卷,以标准化对DHS对医疗服务质量影响的评估,以帮助决策.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健管理的管理
- 提高质量 提高质量
背景情况:
- 数字健康解决方案 (DHS) 提供了潜在的好处,但在医疗保健中,特别是门诊环境中,采用速度很慢.
- 障碍包括不清楚的有效性,高成本和缺乏标准化的评估工具.
- 评估成本效益比率和对服务质量的影响对于更广泛的实施至关重要.
研究的目的:
- 开发一个全面的工具来评估DHS对医疗保健服务质量的影响.
- 解决不同环境中DHS成本效益比率的不确定性.
- 创建一个标准化工具来比较不同的DHS,并为执行决策提供信息.
主要方法:
- 进行了多阶段的快速审查和半结构化的定性访谈.
- 确定并调整现有工具,并将门诊体验问卷 (OPEQ) 和医疗保健服务质量 (HEALTHQUAL) 合并.
- 采访了4个国家的19名医疗保健从业人员,精细化了质量维度,并将患者满意度确定为一个关键领域.
主要成果:
- 数字医疗保健服务质量 (DigiHEALTHQUAL) 问卷是通过结合HEALTHQUAL,OPEQ和患者满意度问卷-简单形式开发的.
- 数字健康质量包括51个项目在8个维度:可访问性,效率,同情心,一般满意度,护理服务的改善程度,信息,安全和有形.
- 该工具整合了患者满意度,这是一个由医疗保健专业人员确认至关重要的维度.
结论:
- DigiHEALTHQUAL提供了一种标准化的方法,用于评估DHS对各种应用中的医疗保健服务质量影响.
- 该工具有助于DHS之间的比较,并支持有关资源分配和实施的明智决策.
- 未来的研究将专注于现实世界的验证和进一步细化,以包括患者和从业者的观点.
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