在初级保健中实施基于平板电脑的结肠直肠癌查数字健康计划的促进者和障碍:定性实用实施研究
Mark Cromo1, Aliza Randazzo2, David P Miller3
1College of Medicine, Department of Internal Medicine, University of Kentucky, Lexington, KY, United States.
JMIR mHealth and uHealth
|March 13, 2026
概括
在初级保健中实施基于平板电脑的结直肠癌 (CRC) 查工具 (mPATH) 是可行的. 成功取决于员工购买和工作流程的改进,但缺乏需求和技术问题是关键障碍.
科学领域:
- 实施科学 实施科学
- 数字健康数字健康
- 主要护理是指初级护理.
背景情况:
- 结肠直肠癌 (CRC) 查率仍然很高,尽管有可用的方法.
- 一个基于平板电脑的数字健康计划 (mPATH) 被开发出来,以促进初级保健中的CRC查.
研究的目的:
- 在初级保健机构中对实施和维护mPATH计划的促进者和障碍者进行质量评估.
主要方法:
- 一个务实的实施试验,随机分别对临床进行低触摸或高触摸支持.
- 与33名医疗保健提供者和8家诊所的员工进行了电话采访.
- 用专题分析来识别被认为是mPATH使用的促进者和障碍.
主要成果:
- 关键的促进者包括提供商/员工购买,感知时间节省和工作流程改进.
- 主要障碍是缺乏对程序的需求和技术问题.
- 诊所的大小和支持水平并没有显著影响计划的延续.
结论:
- 在初级保健中实施基于平板电脑的CRC查工具是可行的.
- 成功取决于员工购买和展示时间/工作流的好处.
- 解决所感知的缺乏需求和技术挑战对于更广泛的采用至关重要.
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