双重脚本和不相称的创新:在家庭护理服务中实施社会技术
Martin Vinther Bavngaard1, Anne Lund1, Erik Børve Rasmussen2
1Department of Rehabilitation Science and Health Technology, Faculty of Health Sciences, Oslo Metropolitan University, Postboks 4, St. Olavs Plass, 0130, Oslo, Norway.
Social science & medicine (1982)
|December 12, 2025
概括
在家庭护理服务中实施社会技术是具有挑战性的. 该研究发现,重新利用为家庭设计的技术,如Komp,创造了相互矛盾的用户期望,并阻碍了成功融入医疗保健.
科学领域:
- 医疗信息学 医疗信息学
- 健康和疾病的社会学
- 技术实施研究 技术实施研究
背景情况:
- 尽管有政策倡议,但在医疗保健服务中实施新技术存在重大挑战.
- 社区家庭护理服务在采用患者护理数字解决方案时面临着独特的障碍.
- 在医疗保健中重新利用社会技术需要仔细考虑用户需求和现有做法.
研究的目的:
- 调查在挪威社区家庭护理服务中实施社会技术 Komp 的情况.
- 分析导致 Komp 在医疗保健环境中部分实施和抵抗的因素.
- 探索使用多用途技术和在服务创新中共同创造的理论影响.
主要方法:
- 一个合作的研发项目,涉及在四个家庭护理团队中实施Komp.
- 进行了广泛的实地研究,在两年内进行了68次会议,观察技术的使用和互动.
- 半结构面试与16名参与者在家庭护理团队收集定性见解.
主要成果:
- 科普的实施结果分为两部分,部分实施,部分不实施.
- Komp最初的"家庭脚本"与其在家庭护理中的"服务脚本"相冲突,导致专业人士忽视了新的功能.
- 由于无法共同开发服务脚本和双脚本的共存,造成了对立并阻碍了整合.
结论:
- 多用途技术的双脚本性质可能会阻碍它们在家庭护理等新服务环境中的实施.
- 共同创作项目需要仔细管理不同的用户期望和脚本开发,以促进成功的技术采用.
- 了解技术的原始目的及其预期应用的相互作用对于医疗服务的创新至关重要.
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