Care in the era of digital health: experiences from Norwegian general practitioners.

IF 1.9 3区 医学 Q3 HEALTH CARE SCIENCES & SERVICES Scandinavian Journal of Primary Health Care Pub Date : 2024-12-05 DOI:10.1080/02813432.2024.2437417
Damoun Nassehi, Ellen Ramvi
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Abstract

Objective: This study explores the experiences of General Practitioners (GPs) in Norway, examining the role of care in their practice and the impact of digital health technologies on their caregiving approach.

Design: A qualitative study employing semi-structured interviews. The data was analysed by systematic text condensation.

Setting: Conducted in various general practice settings within an urban region in southwestern Norway.

Subjects: Eleven GPs were interviewed, chosen to reflect a diverse mix of ages, genders, and professional experiences.

Results: The findings reveal that care occupied a central and multifaceted role in GPs daily practice, and that the care aspect of their practice was experienced as a source of personal fulfilment. Technologies such as Secure Digital Messaging (SDM) and Electronic Health Records could enhance the efficiency of care delivery and facilitate better management of patient interactions, however these technologies also present challenges in maintaining the depth of personal engagement that is central to the care ethics that characterise their caring role. The GPs emphasized the necessity of integrating digital tools in a way that supports the relational and ethical foundations of their caregiving role.

Conclusion: This study underscores the enduring importance of care in general practice, even as digital technologies become increasingly prevalent. GPs maintain their caregiving roles by navigating the complexities of digital tools, highlighting the need for a careful balance between leveraging digital advancements and preserving the core values of care. The findings suggest a need for ongoing evaluation of digital tools to align them with the ethical foundations of care in general practice.

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数字健康时代的护理:挪威全科医生的经验。
目的:本研究探讨了挪威全科医生(gp)的经验,研究了护理在他们的实践中的作用以及数字卫生技术对他们护理方法的影响。设计:采用半结构化访谈的定性研究。通过系统的文本浓缩对数据进行分析。环境:在挪威西南部城市地区的各种一般实践环境中进行。研究对象:采访了11位全科医生,他们的年龄、性别和专业经验都不同。结果:研究结果表明,护理在全科医生的日常实践中占据了中心和多方面的作用,他们的实践中的护理方面是个人成就感的来源。安全数字信息(SDM)和电子健康记录等技术可以提高医疗服务的效率,促进对患者互动的更好管理,然而,这些技术在保持个人参与的深度方面也提出了挑战,而个人参与是医疗伦理的核心,而医疗伦理是医疗角色的特征。全科医生强调了整合数字工具的必要性,以支持其护理角色的关系和道德基础。结论:这项研究强调了护理在全科实践中的持久重要性,即使数字技术变得越来越普遍。全科医生通过驾驭数字工具的复杂性来维持其护理角色,强调需要在利用数字进步和维护护理的核心价值之间取得谨慎的平衡。研究结果表明,需要对数字工具进行持续评估,以使其与全科护理的伦理基础保持一致。
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来源期刊
CiteScore
3.20
自引率
19.00%
发文量
47
审稿时长
>12 weeks
期刊介绍: Scandinavian Journal of Primary Health Care is an international online open access journal publishing articles with relevance to general practice and primary health care. Focusing on the continuous professional development in family medicine the journal addresses clinical, epidemiological and humanistic topics in relation to the daily clinical practice. Scandinavian Journal of Primary Health Care is owned by the members of the National Colleges of General Practice in the five Nordic countries through the Nordic Federation of General Practice (NFGP). The journal includes original research on topics related to general practice and family medicine, and publishes both quantitative and qualitative original research, editorials, discussion and analysis papers and reviews to facilitate continuing professional development in family medicine. The journal''s topics range broadly and include: • Clinical family medicine • Epidemiological research • Qualitative research • Health services research.
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