在初级保健中开发和实施临床决策支持系统的组织间机制:探索性,定性案例研究
Jesse J M M Santema1, Jeroen D H van Wijngaarden2, Eric G Hiddink3,4
1Industrial Design Engineering, Delft University of Technology, Mekelweg 5, Delft, South Holland, 2628 CD, The Netherlands, 31 612815254.
Journal of medical Internet research
|March 11, 2026
概括
两个机制,一个组织间的价值模型和代实验,使得成功的临床决策支持系统 (CDSS) 在初级保健协作中的开发和实施. 这些战略通过将技术和协作变革联系起来,促进了技术可行性和利益相关者的支持.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗保健中的信息系统
- 初级保健管理管理初级保健管理
背景情况:
- 临床决策支持系统 (CDSS) 具有提高患者安全和降低初级保健成本的潜力.
- CDSS的有限采用源于复杂的初级保健环境中的开发和实施挑战.
- 现有的复杂干预框架对实施CDSS的组织间协作流程提供了有限的指导.
研究的目的:
- 检查荷兰初级保健 (GzGr) 的组织间合作如何实现代的CDSS开发和实施.
- 确定支持合作的机制,以克服CDSS开发和实施的挑战.
主要方法:
- 进行了一项探索性过程级案例研究.
- 数据收集涉及15个半结构面试,与文件和专家输入三角化.
- 采用主题,感应的方法来制定一个时间概述,并确定关键机制.
主要成果:
- 确定了两个主要机制:制定一个组织间的价值模型和代的,共同创造性的实验.
- 价值模型涉及一个愿意与共同目标的联盟,优先考虑集体利益和指导发展选择.
- 代实验促进了涉及多个利益相关者的快速反,验证和持续改进.
结论:
- 确定的机制通过将多个层面的协作和技术变化联系起来,维持了组织间的协作和CDSS的发展.
- 这些机制通过代周期实现了技术可行性,利益相关者价值和多层次支持.
- 实际意义包括吸引各种利益相关者,使用一个编排的演员,并采用代的开发-实施方法.
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