斯洛伐克医疗保健行业的数字化进程--斯洛伐克医生和护士的问题

IF 9.3 1区 管理学 Q1 BUSINESS Journal of Management Pub Date : 2024-01-01 DOI:10.38104/vadyba.2024.1.06
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引用次数: 0

摘要

欧盟国家的主要卫生政策举措之一是从父权制医疗模式过渡到共同管理和综合的个性化医疗保健方法。从技术进步的角度来看,2030 年健康与生活质量议程要素的实施有助于优化医疗保健服务。数字保健和护理要素的影响不仅体现在为患者提供护理方面,还体现在医疗保健专业人员的绩效方面。它尤其有可能有助于降低可预防和可避免的死亡率,这意味着生产年限损失方面的巨大经济损失。本研究的重点是评估在医院工作的医生和护士对数字化的工作满意度。研究通过问卷调查的方式进行。调查对象是在斯洛伐克医院工作的医生和护士。研究根据受访者的基本特征,通过对应分析法评估了医生和护士对工作数字化的满意度。研究的目的是调查护士和医生在医疗机构工作数字化方面的官僚主义负担,这是基于智能技术的现代社会发展前提。作为 APVV 19-0579 项目研究任务的一部分,本研究在 2022 年 4 月至 2023 年 11 月期间通过对在斯洛伐克医院工作的医生和护士进行问卷调查收集了一手数据。我们联系了斯洛伐克的 40 家医院,样本包括 212 名医生和 752 名护士。在发现数据不呈正态分布时,通过直方图和高斯曲线对数据分布的正态性进行了检验。随后,通过描述性统计和对应分析对数据进行分析。对应分析用于研究数字化和行政负担与受访者基本特征之间的关系,并通过对应图将两者之间的关系可视化。此外,还要分析工作数字化和行政负担的影响,因为智能医疗元素应该对减少或简化医生和护士工作中的行政管理产生积极影响。研究结果表明,医生和护士都缺乏对新技术的应用,而新技术和医疗实践中的工作数字化会带来很多好处。研究结果凸显了医疗保健数字化转型的重要性,明确了技术应用对医疗实践各方面的影响,如诊断的速度和准确性。医疗保健系统中的数字化元素为医生和护士的日常工作带来了现代化效应和更快的数据可用性。然而,对工作满意度的影响并不充分,恰恰使人产生了相反的看法。结论是,尽管医疗保健领域的一些行政活动实现了数字化,但行政负担并没有显著改变,仍然是一个重要问题,这也可被视为决策者面临的挑战。
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DIGITIZATION PROCESSES IN SLOVAK HEALTHCARE SECTOR – THE ISSUE OF SLOVAK DOCTORS AND NURSES
One of the main health policy initiatives in European Union countries is the transition from a patriarchal medical model to a co-managed and integrated approach of personalized healthcare. The 2030 Agenda elements implementation for Health and Quality of Life in terms of technological advances enables the of healthcare delivery optimization. The impact of the elements of digital health and care can be observed on the patient care delivery side and also on the healthcare professionals’ performance side. It has the potential to contribute to reducing, in particular, preventable and avoidable mortality, which represent large economic losses in terms of lost productive years. This study focuses on the assessment of job satisfaction with digitalization among doctors and nurses working in hospitals. The research was conducted through a questionnaire survey. The respondents were doctors and nurses working in hospitals in Slovakia. The study evaluates the satisfaction of doctors and nurses with the digitization of work according to the basic characteristics of the respondents by means of correspondence analysis. The goal of the study is to investigate the bureaucratic burden of nurses and doctors regarding digitalization of work in health care institutions as a modern society development prerequisite based on smart technologies. The research was conducted on primary data collected between April 2022 and November 2023 through a questionnaire survey among doctors and nurses working in Slovak hospitals as part of the research task of the APVV 19-0579 project. Forty hospitals in Slovakia were contacted and the sample consisted of 212 doctors and 752 nurses. The normality of the data distribution was carried out by means of histogram and Gaussian curve when being found out to be not normally distributed. Subsequently, they were analysed through descriptive statistics and correspondence analysis. Correspondence analysis was used to investigate the relationship between digitization and administrative burden to the basic characteristics of the respondents, and the relationships were visualized through a correspondence map. The impact of digitization of work and administrative burden is to be also analysed, as smart healthcare elements should have a positive impact on reducing or simplifying administration within the work of doctors and nurses. The results have revealed that, both doctors and nurses lack application of new technologies that along with digitization of work in medical practice bring up a lot of benefits. The results of the study highlight the importance of digital transformation in healthcare, identifying the impact of technologies usage on various aspects of medical practice, such as speed and accuracy of diagnosis. Elements of digitization implemented into healthcare systems bring a modernization effect and faster data availability to the daily work of doctors and nurses. However, the impact on job satisfaction is insufficient and makes precisely the opposite perception. The conclusion is that the administrative burden has not changed significantly despite the digitization of several administrative activities in healthcare and still remains a significant issue, which can also be considered as a challenge for policy makers.
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期刊介绍: The Journal of Management (JOM) aims to publish rigorous empirical and theoretical research articles that significantly contribute to the field of management. It is particularly interested in papers that have a strong impact on the overall management discipline. JOM also encourages the submission of novel ideas and fresh perspectives on existing research. The journal covers a wide range of areas, including business strategy and policy, organizational behavior, human resource management, organizational theory, entrepreneurship, and research methods. It provides a platform for scholars to present their work on these topics and fosters intellectual discussion and exchange in these areas.
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