在医疗保健服务中采用技术创新:医疗保健决策者的心理学观点

IF 1.4 Q3 HEALTH CARE SCIENCES & SERVICES BMJ Innovations Pub Date : 2023-06-26 DOI:10.1136/bmjinnov-2022-001003
J. H. Wong, Katharina Näswall, Fleur Pawsey, J. Chase, S. Malinen
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引用次数: 0

摘要

技术进步对于提高卫生系统向个人提供健康和福祉惠益的能力至关重要。尽管在医疗保健技术创新方面投入了大量资金,但患者报告仅从30%-60%的新医疗保健技术中受益。我们认为,失败的采用可归因于创新发展和吸收的人为方面的优先考虑不足。在本文中,我们通过医疗保健员工的角度阐述了在工作中引入新技术的心理体验。然后,我们为医疗保健决策者提出了一个基于心理学的实践框架,称为“Tech-ISM”,以鼓励更多以人为中心的技术实施流程、资源和领导力。该框架确定了在医疗保健服务环境中可能影响个人对采用新技术态度的关键个人和关系,然后为决策者如何将新技术融入工作场所(即,提供的组织资源和流程类型)以及随着时间的推移管理这些社会动态(即,通过领导培养的工作文化类型)提供建议。虽然Tech-ISM是为医疗保健决策者编写的,但任何参与医疗保健技术实施的个人都可以从对工作场所的社会和组织因素如何与人类的新奇和变化体验相互关联的整体理解中受益。
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Adoption of technological innovation in healthcare delivery: a psychological perspective for healthcare decision-makers
Technological advancements are vital for improving the capacity of the health system to deliver health and well-being benefits to individuals. Despite significant financial investments in technological innovations in healthcare, patients reported benefiting from only 30%–60% of new healthcare technologies. We argue that failed adoption can be attributed to the underprioritisation of the human aspect of innovation development and uptake. In this paper, we elaborate on the psychological experience of being introduced to new technology at work through the perspective of a healthcare employee. We then present a psychology-based practical framework called ‘Tech-ISM’ for healthcare decision-makers to encourage more human-centric technology implementation processes, resources and leadership. The framework identifies the key individuals and relationships within a healthcare delivery context that can influence individual attitudes towards adoption, before offering recommendations for how decision-makers can socialise new technology into the workplace (ie, types of organisational resources and processes to provide), and manage these social dynamics over time (ie, types of work cultures to cultivate through leadership). While Tech-ISM is written for a healthcare decision-maker, any individuals involved with healthcare technology implementation can benefit from a holistic understanding of how social and organisational factors of a workplace inter-relate with the human experience of novelty and change.
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来源期刊
BMJ Innovations
BMJ Innovations Medicine-Medicine (all)
CiteScore
4.20
自引率
0.00%
发文量
63
期刊介绍: Healthcare is undergoing a revolution and novel medical technologies are being developed to treat patients in better and faster ways. Mobile revolution has put a handheld computer in pockets of billions and we are ushering in an era of mHealth. In developed and developing world alike healthcare costs are a concern and frugal innovations are being promoted for bringing down the costs of healthcare. BMJ Innovations aims to promote innovative research which creates new, cost-effective medical devices, technologies, processes and systems that improve patient care, with particular focus on the needs of patients, physicians, and the health care industry as a whole and act as a platform to catalyse and seed more innovations. Submissions to BMJ Innovations will be considered from all clinical areas of medicine along with business and process innovations that make healthcare accessible and affordable. Submissions from groups of investigators engaged in international collaborations are especially encouraged. The broad areas of innovations that this journal aims to chronicle include but are not limited to: Medical devices, mHealth and wearable health technologies, Assistive technologies, Diagnostics, Health IT, systems and process innovation.
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