...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>BMC Medical Informatics and Decision Making >Barriers to exchanging healthcare information in inter-municipal healthcare services: a qualitative case study
【24h】

Barriers to exchanging healthcare information in inter-municipal healthcare services: a qualitative case study

机译：城际医疗保健服务中交换医疗保健信息的障碍：定性案例研究

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

In recent years, inter-municipal cooperation in healthcare services has been an important measure implemented to meet future demographic changes in western countries. This entails an increased focus on communication and information sharing across organisational borders. Technology enables efficient and effective solutions to enhance such cooperation. However, the systems in the healthcare sector tend not to communicate with one another. There is a lack of literature focusing on communication and information sharing in inter-municipal healthcare services. The aim of this article is to investigate both the characteristics of communication and information sharing, and the factors that serve as barriers to communication and information sharing for employees in inter-municipal healthcare services. In this study, a qualitative case study approach is used to investigate both characteristics of communication and information sharing, and factors enabling barriers to communication and information sharing for employees in newly established inter-municipal healthcare services. Data collection methods were individual interviews, focus group interviews, observation studies and a workshop. A total of 18 persons participated in the study. The interviews, observations and workshop were conducted over a period of ten months. Communication and information sharing practices were found to be complex and characterised by multiple actors, information types and a combination of multiple actions. Findings indicate that 1. IT capability and usability 2. Differences 3. Privacy, confidentiality and security and 4. Awareness are all factors enabling barriers to communication and information sharing in inter-municipal healthcare services. Specifically, these barriers were related to lack of EHR usability, inadequate workflow processes, digital systems incompatibility, the understanding of needs in different systems and knowledge and practices regarding privacy and confidentiality. By focusing on the context of inter-municipal cooperation when assessing communication and information sharing in healthcare services, this article contributes to close a gap in existing knowledge. The perspective of the employees provides useful insight, and findings can be relevant for future theory development and for managers and policymakers in inter-municipal services.
机译：近年来，在医疗服务领域的省际合作已成为应对西方国家未来人口变化的重要措施。这需要更加关注跨组织边界的交流和信息共享。技术可以提供有效有效的解决方案，以加强这种合作。但是，医疗保健部门中的系统往往无法相互通信。缺乏关于城市间医疗保健服务中的交流和信息共享的文献。本文的目的是调查沟通和信息共享的特征，以及在城市间医疗保健服务中阻碍员工进行沟通和信息共享的因素。在这项研究中，定性案例研究方法用于调查沟通和信息共享的特征，以及在新建立的市际医疗保健服务中为员工带来沟通和信息共享障碍的因素。数据收集方法是个人访谈，焦点小组访谈，观察研究和研讨会。共有18人参加了研究。访谈，观察和讲习班进行了十个月。人们发现，交流和信息共享的做法很复杂，具有多个参与者，信息类型和多种行动的组合。调查结果表明：1. IT能力和可用性2.差异3.隐私，保密性和安全性以及4.意识都是在城际医疗保健服务中阻碍沟通和信息共享的因素。具体而言，这些障碍与缺少电子病历系统可用性，工作流程流程不足，数字系统不兼容，对不同系统的需求的理解以及有关隐私和机密性的知识和实践有关。通过在评估医疗保健服务中的交流和信息共享时，重点关注市际合作的背景，本文有助于缩小现有知识的差距。员工的观点提供了有用的见解，其发现可能与未来的理论发展以及城市间服务的管理人员和决策者相关。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号