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首页> 外文期刊>BMC Medical Informatics and Decision Making >Attitudes among healthcare professionals towards ICT and home follow-up in chronic heart failure care
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Attitudes among healthcare professionals towards ICT and home follow-up in chronic heart failure care

机译：医护人员对信息通信技术和慢性心力衰竭家庭随访的态度

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Background eHealth applications for out-of-hospital monitoring and treatment follow-up have been advocated for many years as a promising tool to improve treatment compliance, promote individualized care and obtain a person-centred care. Despite these benefits and a large number of promising projects, a major breakthrough in everyday care is generally still lacking. Inappropriate organization for eHealth technology, reluctance from users in the introduction of new working methods, and resistance to information and communication technology (ICT) in general could be reasons for this. Another reason may be attitudes towards the potential in out-of-hospital eHealth applications. It is therefore of interest to study the general opinions among healthcare professionals to ICT in healthcare, as well as the attitudes towards using ICT as a tool for patient monitoring and follow-up at home. One specific area of interest is in-home follow-up of elderly patients with chronic heart failure (CHF). The aim of this paper is to investigate the attitudes towards ICT, as well as distance monitoring and follow-up, among healthcare professionals working with this patient group. Method This paper covers an attitude survey study based on responses from 139 healthcare professionals working with CHF care in Swedish hospital departments, i.e. cardiology and medicine departments. Comparisons between physicians and nurses, and in some cases between genders, on attitudes towards ICT tools and follow-up at home were performed. Results Out of the 425 forms sent out, 139 were collected, and 17 out of 21 counties and regions were covered in the replies. Among the respondents, 66% were nurses, 30% physicians and 4% others. As for gender, 90% of nurses were female and 60% of physicians were male. Internet was used daily by 67% of the respondents. Attitudes towards healthcare ICT were found positive as 74% were positive concerning healthcare ICT today, 96% were positive regarding the future of healthcare ICT, and 54% had high confidence in healthcare ICT. Possibilities for distance monitoring/follow-up are good according to 63% of the respondents, 78% thought that this leads to increased patient involvement, and 80% thought it would improve possibilities to deliver better care. Finally, 72% of the respondents said CHF patients would benefit from home monitoring/follow-up to some extent, and 19% to a large extent. However, the best method of follow-up was considered to be home visits by nurse, or phone contact. Conclusion The results indicate that a majority of the healthcare professionals in this study are positive to both current and future use of ICT tools in healthcare and home follow-up. Consequently other factors have to play an important role in the slow penetration of out-of-hospital eHealth applications in daily healthcare practice.
机译：背景技术多年来，人们一直主张将eHealth在院外监测和治疗随访中的应用作为改善治疗依从性，促进个性化护理和获得以人为本的护理的有前途的工具。尽管有这些好处和大量有前途的项目，但在日常护理中仍然普遍缺乏重大突破。原因可能是电子卫生技术组织不当，用户不愿意采用新的工作方法以及普遍抵制信息和通信技术（ICT）。另一个原因可能是对医院外电子卫生保健应用潜力的态度。因此，有必要研究医疗保健专业人员对医疗保健中使用ICT的一般意见，以及对将ICT用作在家中进行患者监测和随访的工具的态度。感兴趣的一个特定领域是对患有慢性心力衰竭（CHF）的老年患者的家庭随访。本文的目的是调查与此患者小组合作的医疗保健专业人员对ICT的态度以及距离监测和随访情况。方法本文涵盖了一项态度调查研究，该研究基于瑞典医院科室（即心脏病科和医学科室）的139名从事CHF护理的医护人员的回答。在医生和护士之间，以及在某些情况下，在性别之间，对信息通信技术工具的态度和在家中的后续行动进行了比较。结果在发出的425张表格中，收集了139张，在21个县和地区中有17张被答复。在受访者中，护士占66％，医生占30％，其他占4％。在性别方面，90％的护士是女性，60％的医生是男性。每天有67％的受访者使用互联网。人们对医疗保健ICT的态度是积极的，因为74％的人对今天的医疗保健ICT持肯定态度，96％的人对医疗保健ICT的未来持肯定态度，而54％的人对医疗保健ICT充满信心。 63％的受访者认为，进行远程监测/随访的可能性很好，78％的受访者认为这会增加患者的参与度，80％的受访者认为这将改善提供更好护理的可能性。最后，有72％的受访者表示，CHF患者将在一定程度上受益于家庭监护/随访，而19％的受访者将在很大程度上受益。但是，最好的随访方法是护士进行家访或电话联系。结论结果表明，本研究中的大多数医疗保健专业人员对医疗保健和家庭随访中当前和将来使用ICT工具都抱有积极的态度。因此，其他因素必须在院外电子卫生保健应用程序在日常医疗保健实践中的缓慢普及中发挥重要作用。

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