浏览数字卫生技术实施的复杂性:对障碍和促进者的范围审查
Laura Wittich1, Hendrikje Rödiger2, Tanja Rombey2
1Department of Health Care Management, Faculty of Economics and Management, Berlin University of Technology, Straße Des 17. Juni 135, Berlin, BE, 10623, Germany. wittich.1@tu-berlin.de.
Implementation science communications
|March 4, 2026
概括
数字健康技术 (DHT) 的实施面临着重大的人力,组织和基础设施障碍. 解决这些问题需要强有力的领导力,系统调整和文化变革,才能成功地融入医疗保健.
科学领域:
- 医疗信息学 医疗信息学
- 数字健康数字健康
- 医疗保健管理的管理
背景情况:
- 数字健康技术 (DHT) 是卫生系统的战略优先事项,但将其纳入临床实践仍然具有挑战性.
- 现有的研究往往缺乏对各种技术和利益相关者的DHT采用障碍和促进者的全面了解.
- 本综述综合了在高收入医疗保健机构中实施DHT的普遍障碍和促进因素.
研究的目的:
- 对DHT实施的障碍和促进因素进行范围审查.
- 为各种DHT和利益相关者群体提供全面的视角.
- 确定影响高收入国家的数字健康成功整合的关键因素.
主要方法:
- 根据乔安娜·布里格斯研究所和PRISMA-ScR指南进行范围审查.
- 在PubMed和Scopus中系统搜索2019-2024年的出版物.
- 确定障碍物和促进者的诱导编码和主题分类.
主要成果:
- 238个出版物发现了2538个障碍和1433个促进者.
- 人类/社会因素 (抵抗,怀疑,数字素养) 是最常见的.
- 组织 (资金,工作流程) 和基础设施 (可用性,互操作性) 的障碍也很大,因技术和利益相关者而异.
结论:
- 成功实施DHT不仅需要技术准备;组织领导,基础设施和系统对齐至关重要.
- 结构性障碍,如治理差距和错误的激励措施,往往被低估了.
- 可持续的数字化转型需要平衡的自上而下的指导和自下而上的参与,未来的研究重点是治理和领导力战略.
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