基于技术-组织-环境框架的突发公共卫生事件中远程医疗的应用研究

Bokolo Anthony Jnr.
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引用次数: 1

摘要

目的灾害和流行病对医疗保健的提供构成挑战。因此,在为患者提供护理时,需要采用创新的方法。因此,本研究的目的是将远程医疗作为一种为患者提供护理和减少感染传播的创新方法,并倡导采用远程医疗对患者进行数字化治疗。设计/方法论/方法对现有证据进行综合审查,为患者数字化治疗的远程医疗整合提供启示。本文借鉴技术组织环境(TOE)框架,建立了一个模型和命题,从医疗服务的供给侧和需求侧研究影响远程医疗采用的因素。发现这项研究的结果讨论了远程医疗的应用,以及如何将远程医疗用于医疗服务的建议。更重要的是,这项研究的发现和主张可以作为疫情内外潜在研究机会的路线图。此外,这项研究的发现有助于为卫生从业者如何将远程医疗快速融入公共卫生紧急情况的实践提供指导。独创性/价值本研究确定了影响远程医疗采用的社会、技术和组织因素,以及在公共卫生紧急情况下采用远程医疗的机会。这项研究的结论是,具体的政策变化,以改善可互操作解决方案的集成;数据安全;更好的有形基础设施;宽带接入;更好的过渡和工作流程平衡;资金和报酬的可用性;条例和报销;知道培训将改善在公共卫生紧急情况下采用远程医疗的情况。
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Examining the adoption of telehealth during public health emergencies based on technology organization environment framework
Purpose Disasters and pandemics pose challenges to health-care provision. Accordingly, the need for adopting innovative approach is required in providing care to patient. Therefore, the purpose of this study is to present telehealth as an innovative approach for providing care to patients and reducing spread of the infection and advocates for the adoption of telehealth for digitalized treatment of patients. Design/methodology/approach An integrative review methodology of existing evidence was conducted to provide implications for integration of telehealth for digitalized treatment of patients. This paper draws on Technology Organization Environment (TOE) framework to develop a model and propositions to investigate the factors that influence telehealth adoption from the perspective of the supply side and the demand side of medical services. Findings Findings from this study discuss applications adopted for telehealth and recommendations on how telehealth can be adopted for medical-care delivery. More importantly, the findings and propositions of this study can act as a roadmap to potential research opportunities within and beyond the pandemic. In addition, findings from this study help provide guidelines on how health practitioners can rapidly integrate telehealth into practice for public health emergencies. Originality/value This study identifies the social, technological and organizational factors that influence telehealth adoption, and opportunities of adopting telehealth during the public health emergencies. This study concludes that specific policy changes to improve integration of interoperable solutions; data security; better physical infrastructures; broadband access; better transition and workflow balance; availability of funding and remuneration; regulations and reimbursement; awareness; and training will improve telehealth adoption during public health emergencies.
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来源期刊
CiteScore
5.90
自引率
8.70%
发文量
57
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