使用基于理论的框架来识别医生采用远程医疗的障碍和推动因素,并在中国制定干预策略:多中心定性研究
Xinxia Wu1,2, Yuting Yang3, Yuchan Li4
1Department of Medical Affairs, Peking University Third Hospital, Beijing, China.
Journal of medical Internet research
|September 8, 2025
概括
医生采用远程医疗受27个障碍和23个推动因素的影响,包括系统可用性和保险覆盖. 有针对性的干预措施可以加强远程医疗在医疗保健中的整合.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
- 行为科学 行为科学
背景情况:
- 远程医疗的采用为医疗保健提供者带来了机会和挑战.
- 关于医生行为和影响远程医疗采用的因素的研究有限.
研究的目的:
- 确定医生认为的远程医疗采用的障碍和促进因素.
- 制定有针对性的干预策略,以促进远程医疗的整合.
主要方法:
- 使用了理论领域框架 (TDF),行为变化轮 (BCW) 和行为变化技术 (BCT).
- 与36名医生进行了半结构化采访,使用NVivo 12.0.0分析了主题.
- 根据APEASE标准,将TDF领域映射到BCW干预功能和识别的BCT,以APEASE为指导.
主要成果:
- 在11个TDF领域确定了50个主题 (27个障碍,23个推动因素).
- 主要障碍:高级医生接受,系统性能,可用性,保险覆盖.
- 关键的推动因素:沟通技巧,系统熟练,患者受益的信念,IT支持.
结论:
- 一系列的干预措施和策略可以改善远程医疗的采用.
- 成功实施需要卫生管理,机构和人员的协作努力.
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