Benefits, challenges and sustainability of digital healthcare for NHS Wales: a qualitative study.

Autor:	Johns G; Informatics, Technology Enabled Care Cymru, Aneurin Bevan Health Board, Gwent, UK gemma.johns3@wales.nhs.uk., Whistance B; Informatics, Technology Enabled Care Cymru, Aneurin Bevan Health Board, Gwent, UK., Burhouse A; Director of Quality Development RUBIS. Qi Northumbria Healthcare NHS Foundation Trust, The Health Foundation, London, UK., Khalil S; Informatics, Technology Enabled Care Cymru, Aneurin Bevan Health Board, Gwent, UK., Whistance M; Informatics, Technology Enabled Care Cymru, Aneurin Bevan Health Board, Gwent, UK., Ahuja S; Informatics, Technology Enabled Care Cymru, Aneurin Bevan Health Board, Gwent, UK., Ogonovsky M; Informatics, Technology Enabled Care Cymru, Aneurin Bevan Health Board, Gwent, UK., Ahuja A; Informatics, Technology Enabled Care Cymru, Aneurin Bevan Health Board, Gwent, UK.; Specialist Child and Adolescent Mental Health, Aneurin Bevan University Health Board, Newport, UK.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2023 May 29; Vol. 13 (5), pp. e069371. Date of Electronic Publication: 2023 May 29.
DOI:	10.1136/bmjopen-2022-069371
Abstrakt:	Introduction: Digital healthcare in the UK was adopted out of necessity rather than choice during the COVID-19 pandemic. However, as we move forward, UK governments and healthcare services have acknowledged its evident benefits for patients, staff and the National Health Service (NHS), and are keen to sustain its improvements in the long term. Objective: To understand the benefits, challenges and sustainability of a future-proof digital healthcare. Design: A semi-structured interview study was conducted. Setting: In NHS services in Wales, UK. Participants: With clinical and non-clinical staff across a mix of clinical specialties. Outcome Measures: Semi-structured interviews were conducted to address benefits, challenges and sustainability of a national video consulting (VC) service, and thematically coded using a quantification method of qualitative work. Results: A total of 203 interviews were conducted and 3 dominant domains emerged, with 7 themes and 26 categories. Limitations: It is important to acknowledge that these findings were captured during a pandemic. Conclusions: NHS Wales has demonstrated that currently there are an equal measure of benefits and challenges to a national digital healthcare. However, with ongoing government and service support, improvement and evaluation, it has potential for a sustainable digital future, in which the benefits can outweigh the challenges. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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