护理设计:在低收入和中等收入国家加强医疗保健服务创新的需求发现框架
Mehdi Shafieian1,2, Nabioallah Abolfathi3, Youseph Yazdi4
1Department of Biomedical Engineering, Amirkabir University of Technology (Tehran Polytechnic), Tehran, Iran. shafieian@aut.ac.ir.
Annals of biomedical engineering
|November 22, 2025
概括
护理设计过程有效地识别了低收入和中等收入国家 (LMICs) 的医疗保健服务提供和行政效率低下. 这种适应需求寻找方法为资源有限的环境中医疗保健创新提供了一个可扩展的框架.
科学领域:
- 医疗保健管理的管理
- 卫生系统研究 卫生系统研究
- 在资源有限的环境中创新.
背景情况:
- 传统的需求发现方法往往忽视了医疗保健中的系统性低效率.
- 低收入和中等收入国家 (LMICs) 在提供医疗保健服务方面面临着独特的运营挑战.
- 适应已建立的创新框架对于资源有限的环境至关重要.
研究的目的:
- 为了评估适应需求发现过程的有效性,Caredesign,用于识别LMICs的医疗保健效率低下.
- 确定修改生物设计需求发现阶段是否会为医疗保健创新带来可操作的见解.
- 评估Caredesign在资源有限的医疗保健机构中的适用性.
主要方法:
- 与伊朗47名医疗保健专业人员进行半结构化采访.
- 分析和对354个问题陈述进行主题分类.
- 纳入财务和时间分析,并使用VOSviewer进行文献计量分析.
主要成果:
- 服务提供和行政效率低下,而不是设备创新,在LMIC医疗保健中占主导地位.
- 执行管理流程 (23%) 和工作空间/技术管理 (22%) 是低效率的关键领域.
- 医疗器械管理 (17%) 和人力资源 (10%) 也带来了重大挑战.
结论:
- 护理设计方法是一种可扩展的,以服务为导向的框架,补充了传统方法.
- 它通过解决LMICs的运营挑战,为加强医疗保健创新提供了一条途径.
- 该研究强调了在资源有限的环境中专注于系统改进,以促进医疗保健的进步的重要性.
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