数字化交付,系统性挑战:对医疗系统对数字化护理的准备程度进行定性研究
Laurel O'Connor1, Leah Dunkel1, Andrew C Weitz2
1Program in Digital Medicine, Department of Medicine, University of Massachusetts Chan Medical School, 55 Lake Avenue North, Worcester, Massachusetts, United States of America.
PLOS digital health
|January 6, 2026
概括
数字健康技术 (DHT) 可以提高医疗保健的获取和效率. 然而,成功的整合面临着工作流程,质量,公平等方面的挑战,需要政策和基础设施改革以实现可持续性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康实施方案
- 医疗保健管理的管理
背景情况:
- 数字健康技术 (DHT) 对医疗保健获取,护理协调和降低成本提供了潜在的好处.
- 将DHT整合到现有医疗保健系统中存在重大挑战.
- 了解卫生系统领导者的观点对于可持续的DHT实施至关重要.
研究的目的:
- 探索卫生系统利益相关者的经验和优先事项,以实施数字卫生技术.
- 从卫生系统领导者的角度来看,确定DHT采用的主要促进者和障碍.
主要方法:
- 进行了半结构面试,与12个不同的美国卫生系统利益相关者 (临床,运营,执行) 进行了半结构面试.
- 使用有目的和雪球采样来选择参与者.
- 通过使用实施研究综合框架 (CFIR) 和恒定比较编码,对面试成绩单进行了专题分析.
主要成果:
- 参与者认识到DHT有潜力提高医疗保健的获取,效率和公共卫生运作,特别是在服务不足的地区.
- 确定了主要的采用挑战:EHR整合的运营负担,对质量/连续性/股权的潜在风险,以及退款和监管等关键的外部因素.
- DHT被认为是未来医疗保健提供必不可少的,但需要多域调整.
结论:
- 对DHT的有意义的整合需要在临床,运营和政策领域进行对齐.
- 协调投资,监管改革和强大的数据基础设施对于可扩展和可持续的DHT采用至关重要.
- 解决工作流集成,质量/股权风险和外部政策因素对于成功实施DHT至关重要.
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