Digital Health from the Eyes of Hospital Managers

Ebrar ILIMAN YALTAGİL
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Abstract

Aim: The aim of this research is to evaluate the positive and negative aspects of the concept of digital health, which became active during the pandemic period and gained more importance with the publication of the regulation on the provision of remote health services, in terms of healthcare institutions, employees and patients, in the light of the opinions of hospital administrators. Method: In the qualitative study, a semi-structured interview form consisting of open-ended questions was used as a data collection method. The research sample consists of managers working at upper and middle management levels serving in seven different hospitals in five different cities. Frequency and content analysis methods were used to analyze the data obtained. Results: When the answers given by the managers are coded; it has been determined that digital health has both positive and negative reflections for patients, health institutions and employees. Positive reflections of digital health; speed, convenience, savings, order. It has been determined that the negative reflections are communication problems, adaptation problems, inability to reach the service, and erroneous diagnosis. Conclusion: It has been determined that the results obtained from the interviews and observations are largely compatible with each other. All managers stated that digital health applications provide speed and convenience in paperwork. In addition, hospital managers think that it contributes a lot in terms of cost and expect it to be improved. However, the administrators stated that only face-to-face efficiency will be achieved in the diagnosis and treatment process and that the concept of the digital hospital cannot be fully implemented due to the patient profile. They emphasize that face-to-face communication in health should never be abandoned.
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医院管理者眼中的数字医疗
目的:本研究旨在根据医院管理者的意见,从医疗机构、员工和患者的角度评估数字医疗概念的积极和消极方面:在定性研究中,采用了由开放式问题组成的半结构化访谈形式作为数据收集方法。研究样本包括在五个不同城市的七家不同医院工作的中高层管理人员。研究采用频率分析法和内容分析法对所获得的数据进行分析:对管理人员的回答进行编码后发现,数字医疗对患者、医疗机构和员工都有积极和消极的影响。数字医疗的积极影响:快速、方便、节约、有序。负面影响包括沟通问题、适应问题、无法获得服务以及错误诊断:从访谈和观察中得出的结果基本一致。所有管理者都表示,数字医疗应用为文书工作提供了速度和便利。此外,医院管理者还认为它在成本方面做出了很大贡献,并希望它能得到改进。然而,管理者们表示,只有面对面的诊疗过程才能提高效率,而且由于患者的情况,数字医院的概念无法完全实现。他们强调,绝不能放弃面对面的医疗交流。
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