From challenges to opportunities: Digital transformation in hospital-at-home care.

Autor: Isakov TM; Research Unit of Health Sciences and Technology, University of Oulu, Oulu, Finland; Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Finland. Electronic address: terhi-maija.isakov@oulu.fi., Härkönen H; Research Unit of Health Sciences and Technology, University of Oulu, Oulu, Finland; Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Finland. Electronic address: henna.harkonen@oulu.fi., Atkova I; University of Oulu, Oulu, Finland. Electronic address: irina.atkova@oulu.fi., Wang F; Martti Ahtisaari Institute, Oulu Business School, University of Oulu, Finland. Electronic address: fan.wang@oulu.fi., Vesty G; School of Accounting, RMIT University, Melbourne, Australia. Electronic address: gillian.vesty@rmit.edu.au., Hyvämäki P; Research Unit of Health Sciences and Technology, University of Oulu, Oulu, Finland; Oulu University of Applied Sciences, Oulu, Finland. Electronic address: Piia.hyvamaki@oamk.fi., Jansson M; Research Unit of Health Sciences and Technology, University of Oulu, Oulu, Finland; RMIT University, Melbourne, Australia. Electronic address: miia.jansson@oulu.fi.
Jazyk: angličtina
Zdroj: International journal of medical informatics [Int J Med Inform] 2024 Dec; Vol. 192, pp. 105644. Date of Electronic Publication: 2024 Oct 10.
DOI: 10.1016/j.ijmedinf.2024.105644
Abstrakt: Background: Digital transformation is an ongoing sosio-technological process that can create opportunities in the health sector. However, the current landscape of digital transformation in hospital-at-home care is unknown.
Aim: To describe healthcare providers' perspectives of digital transformation in hospital-at-home care.
Methods: A total of 25 semi-structured interviews were conducted in September-October 2023 in all Finnish wellbeing services counties (n = 21), the city of Helsinki (n = 1), and private health care providers (n = 3). Snowball sampling was used (N = 46). The data underwent an inductive content analysis.
Result: The analysis revealed four main and 17 generic categories of challenges and opportunities of digital transformation in hospital-at-home care. These challenges and opportunities were related to 1) Health information exchange in and across hospital-at-home care; 2) Management of hospital-at-home care; 3) Logistics in hospital-at-home care planning and delivery; and 4) Digital health interventions in hospital-at-home care delivery.
Conclusions: The challenges and opportunities of digital transformation in the hospital-at-home care is intricately linked to the efficiency of health information exchange, management, logistics, and digital health interventions. Addressing the key areas of improvement in health information exchange can lead to more streamlined patient care processes and improved communication between healthcare professionals and patients. Digital transformation in management and logistics can improve overall efficiency within healthcare systems. Digital health interventions may promote equitable and universal access to high-quality healthcare. Continued focus on health care information infrastructure, in particular interoperability of electronic health records and optimization of information flow, will be essential to realize the full potential of digitalization.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 The Author(s). Published by Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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