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Health Care Profess...
Health Care Professionals' Experience of a Digital Tool for Patient Exchange, Anamnesis, and Triage in Primary Care : Qualitative Study.
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- Eldh, Ann Catrine, Docent, 1965- (författare)
- Linköpings universitet,Uppsala universitet,Hälso- och sjukvårdsforskning,Linköping Univ, Dept Hlth Med & Caring Sci, HMV,511-13,Campus Us, S-58183 Linköping, Sweden.,Avdelningen för omvårdnad och reproduktiv hälsa,Medicinska fakulteten,Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden
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- Sverker, Annette M., 1958- (författare)
- Linköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Region Östergötland, Rehabiliteringsmedicinska kliniken
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- Bendtsen, Preben, 1956- (författare)
- Linköpings universitet,Avdelningen för samhälle och hälsa,Medicinska fakulteten,Region Östergötland, Medicinska specialistkliniken
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- Nilsson, Evalill (författare)
- Linköpings universitet,Linnéuniversitetet,Institutionen för medicin och optometri (MEO),Digitala transformationer,eHälsoinstitutet;eHealth Institute;DISA;DISA-IDP,Linköping Univ, Dept Hlth Med & Caring Sci, HMV,511-13,Campus Us, S-58183 Linköping, Sweden.;Linneaus Univ, E Hlth Inst, Dept Med & Optometry, Kalmar, Sweden.,Avdelningen för samhälle och hälsa,Medicinska fakulteten,e-Health Institute, Department of Medicine and Optometry, Linneaus University, Kalmar, Sweden
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(creator_code:org_t)
- 2020-12-14
- 2020
- Engelska.
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Ingår i: JMIR Human Factors. - Toronto, Canada : JMIR Publications. - 2292-9495. ; 7:4
- Relaterad länk:
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https://doi.org/10.2...
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https://humanfactors...
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https://uu.diva-port... (primary) (Raw object)
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https://liu.diva-por... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.2...
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https://urn.kb.se/re...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- BACKGROUND: Despite a growing body of knowledge about eHealth innovations, there is still limited understanding of the implementation of such tools in everyday primary care.OBJECTIVE: The objective of our study was to describe health care staff's experience with a digital communication system intended for patient-staff encounters via a digital route in primary care.METHODS: In this qualitative study we conducted 21 individual interviews with staff at 5 primary care centers in Sweden that had used a digital communication system for 6 months. The interviews were guided by narrative queries, transcribed verbatim, and subjected to content analysis.RESULTS: While the digital communication system was easy to grasp, it was nevertheless complex to use, affecting both staffing and routines for communicating with patients, and documenting contacts. Templates strengthened equivalent procedures for patients but dictated a certain level of health and digital literacy for accuracy. Although patients expected a chat to be synchronous, asynchronous communication was extended over time. The system for digital communication benefited assessments and enabled more efficient use of resources, such as staff. On the other hand, telephone contact was faster and better for certain purposes, especially when the patient's voice itself provided data. However, many primary care patients, particularly younger ones, expected digital routes for contact. To match preferences for communicating to a place and time that suited patients was significant; staff were willing to accept some nuisance from a suboptimal service-at least for a while-if it procured patient satisfaction. A team effort, including engaged managers, scaffolded the implementation process, whereas being subjected to a trial without likely success erected barriers.CONCLUSIONS: A digital communication system introduced in regular primary care involved complexity beyond merely learning how to manage the tool. Rather, it affected routines and required that both the team and the context were addressed. Further knowledge is needed about what factors facilitate implementation, and how. This study suggested including ethical perspectives on eHealth tools, providing an important but novel aspect of implementation.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Annan medicin och hälsovetenskap -- Övrig annan medicin och hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Other Medical and Health Sciences -- Other Medical and Health Sciences not elsewhere specified (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Nyckelord
- communication
- content analysis
- digital technology
- eHealth
- interviews
- primary health care
- qualitative research
- telemedicine
- Health Informatics
- Hälsoinformatik
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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