Leaders' support for using online symptom checkers in Finnish primary care: Survey study
Leaders' support for using online symptom checkers in Finnish primary care: Survey study
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DOI：
10.1177/14604582211052259
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发表时间：
2021-10-01
影响因子：
3
通讯作者：
Heponiemi, Tarja
中科院分区：
文献类型：
--
作者：
Laukka, Elina;Kujala, Sari;Heponiemi, Tarja
在线症状检查器（SC）是电子健康解决方案，为医疗机构提供了使患者能够独立评估其症状的可能性。成功实施电子保健解决方案，如供应链，需要一个支持性的组织文化和领导。然而，对领导人支持使用在册种姓的相关因素了解有限。该研究的目的是确定与初级保健领导人支持SC分诊相关的因素，以及他们使用SC的好处和挑战的经验。一项在线调查被用来收集来自84个芬兰初级保健领导人的数据。采用内容分析法和统计分析法对数据进行分析。视力清晰度、感知效率提高以及认为服务对患者有益与领导对服务的支持相关（β值范围为0.41至0.44，p < 0.001）。领导者对服务的支持也与领导者向下属提供有关服务的信息的程度有关（beta =0.22，p < 0.048）。在册种姓对保健专业人员的工作提出的挑战略多于福利。SC的开发人员应该更多地关注减少卫生专业人员工作量的功能，以及解决方案如何使患者受益。
Online symptom checkers (SCs) are eHealth solutions that offer healthcare organizations the possibility to empower their patients to independently assess their symptoms. The successful implementation of eHealth solutions, such as SCs, requires a supportive organizational culture and leadership. However, there is limited knowledge about the factors associated with leaders' support for the use of SCs. The aim of the study was to identify the factors associated to primary care leaders' support for SCs in triage and their experiences of the benefits and challenges related to the use of SCs. An online survey was used to collect data from 84 Finnish primary care leaders. The data were analyzed using statistical analysis methods and content analysis. Vision clarity, perceiving efficiency improvements, and considering the service to be beneficial for patients were associated with leaders' support for the service (beta ranging from 0.41 to 0.44, p < 0.001). Leaders' support for the service was also associated with how well the leaders provided information about the service to their subordinates (beta =0.22, p < 0.048). SCs present slightly more challenges than benefits regarding health professionals' work. The developers of SCs should focus more on features that decrease health professionals' workload as well as how the solution can benefit patients.