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2021-2023年英国一般实践中的远程和数字服务:远程默认2纵向定性研究概要
Trisha Greenhalgh1, Anica Alvarez Nishio2, Aileen Clarke1
1Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Health and social care delivery research
|September 7, 2025
概括
疫情后,一般实践采用了混合护理模式,数字创新差异很大. 虽然对一些人来说很方便,但数字服务可能会排除弱势患者和压力很大的员工,因此需要量身定制的实施策略.
科学领域:
- 社会技术研究
- 数字健康创新
- 一般实践转型
背景情况:
- 随着COVID-19的流行,英国的一般实践中加速了远程和数字服务的引入.
- 之前的研究强调了技术的非"插入即用"性质和取决于环境的解决方案.
研究的目的:
- 对英国一般实践中远程和数字创新的引入,嵌入,演变和放弃进行长度定性研究.
- 了解数字成熟度和患者/工作人员体验的差异.
主要方法:
- 在12个不同的一般实践中进行长度定性研究 (2021年9月至2023年12月).
- 民族学观察 (>500小时),200多次采访,多方利益相关者研讨会,灰色文献和安全事件报告.
- 使用理论视角进行主题编码和分析 (例如,创新传播,数字化候选,技术压力).
主要成果:
- 所有实践都采用了混合护理模式,但数字成熟度有很大差异.
- 数字化的患者往往发现服务方便;弱势群体面临排斥.
- 远程/数字任务复杂,劳动密集,工作人员压力很大.
- 与患者共同设计需要敏捷,定制的方法.
结论:
- 成功的数字化整合需要在最初的实施之外进行广泛的工作,根据实践优先事项和人口需求而有所不同.
- 数字成熟度低可能表明需要资源和组织支持.
- 解决不平等和员工技术压力对于一般实践中有效的数字化转型至关重要.
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