对医疗技术干预措施进行代码设计,以支持最佳实践围手术期护理和手术候诊名单管理。

IF 4.1 Q1 HEALTH CARE SCIENCES & SERVICES BMJ Health & Care Informatics Pub Date : 2024-03-12 DOI:10.1136/bmjhci-2023-100928
Sarah Joy Aitken, Sophie James, Amy Lawrence, Anthony Glover, Henry Pleass, Janani Thillianadesan, Sue Monaro, Kerry Hitos, Vasi Naganathan
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引用次数: 0

摘要

目标该项目旨在确定医疗技术在哪些方面可以为等待手术的病人提供最佳的围手术期护理:方法:在三个跨专业研讨会上,采用角色和旅程映射进行了探索性的代码设计过程,以确定澳大利亚悉尼四个医疗区围手术期护理所面临的主要挑战。通过参与式方法,围手术期临床医生直接参与了研究调查。在三场研讨会上,临床医生和患者参与者对支持围手术期路径的潜在数字干预措施进行了编码。利用设计原则对研讨会成果进行编码和主题分析:编码设计研讨会于 2022 年 10 月至 11 月举行,共有 51 人参加。与会者设计了七个病人角色,消费者代表确认了角色的可接受性和多样性。跨专业团队成员和消费者绘制了每个角色在假设围手术期过程中的关键临床时刻、感受和障碍。确定了六个关键主题:预防性护理"、"个性化护理"、"综合沟通"、"共同决策"、"护理过渡 "和 "伙伴关系"。提出了 20 个潜在解决方案,其中最优先的是数字仪表板和虚拟护理协调:讨论:我们的研究结果强调了跨专业合作、患者和家庭参与以及支持医疗技术基础设施的重要性。通过以用户为基础的代码设计,参与者发现了医疗技术可以提高系统效率、改善等待手术的患者护理质量的潜在机会。代码设计方法让用户参与制定以当地情况为导向的政策,以应对当前围手术期服务面临的挑战,如等待时间过长和护理分散等:结论:医疗技术创新为改善围手术期护理和整合临床信息提供了机遇。未来的研究将为进一步实施和评估优先解决方案提供原型。
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Codesign of health technology interventions to support best-practice perioperative care and surgical waitlist management.

Objectives: This project aimed to determine where health technology can support best-practice perioperative care for patients waiting for surgery.

Methods: An exploratory codesign process used personas and journey mapping in three interprofessional workshops to identify key challenges in perioperative care across four health districts in Sydney, Australia. Through participatory methodology, the research inquiry directly involved perioperative clinicians. In three facilitated workshops, clinician and patient participants codesigned potential digital interventions to support perioperative pathways. Workshop output was coded and thematically analysed, using design principles.

Results: Codesign workshops, involving 51 participants, were conducted October to November 2022. Participants designed seven patient personas, with consumer representatives confirming acceptability and diversity. Interprofessional team members and consumers mapped key clinical moments, feelings and barriers for each persona during a hypothetical perioperative journey. Six key themes were identified: 'preventative care', 'personalised care', 'integrated communication', 'shared decision-making', 'care transitions' and 'partnership'. Twenty potential solutions were proposed, with top priorities a digital dashboard and virtual care coordination.

Discussion: Our findings emphasise the importance of interprofessional collaboration, patient and family engagement and supporting health technology infrastructure. Through user-based codesign, participants identified potential opportunities where health technology could improve system efficiencies and enhance care quality for patients waiting for surgical procedures. The codesign approach embedded users in the development of locally-driven, contextually oriented policies to address current perioperative service challenges, such as prolonged waiting times and care fragmentation.

Conclusion: Health technology innovation provides opportunities to improve perioperative care and integrate clinical information. Future research will prototype priority solutions for further implementation and evaluation.

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来源期刊
CiteScore
6.10
自引率
4.90%
发文量
40
审稿时长
18 weeks
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