TY - JOUR AU - Svedberg, Petra AU - Arvidsson, Susann AU - Larsson, Ingrid AU - Carlsson, Ing-Marie AU - Nygren, Jens M PY - 2019 DA - 2019/11/15 TI -影响电子卫生服务成功实施的障碍和促成因素Sisom:儿童参与儿科护理的多中心研究JO - J Med Internet Res SP - e14271 VL - 21 IS - 11kw -儿童KW -儿科KW -电子卫生KW -卫生保健KW -质量改进KW -创新扩散KW -实施科学KW -参与性医学AB -背景:儿童参与卫生保健是其疾病管理中最重要的组成部分之一。适应儿童需要的电子保健服务有可能改变儿童和专业人员的合作方式。因此，开发了一种数字交互式评估和交流工具Sisom，让6至12岁的儿童在自己的保健方面有发言权。然而，在儿科医疗保健的日常实践中实施诸如Sisom等电子健康服务的研究很少。目的:本研究旨在探讨瑞典儿科护理中实施儿童Sisom的过程。更具体地说，本研究旨在(1)评估实施策略是否按计划进行，(2)了解在儿科护理环境中实施策略的障碍和促进因素，(3)深入了解专业人员如何使用特定干预措施，(4)从专业人员的角度深入了解干预措施的有用性和效果。方法:采用过程评价设计对瑞典4个儿科护理中心实施Sisom进行研究。通过自我报告检查表、备忘录和与专业人士的访谈，在干预前、干预中和干预后收集了大量定性和定量数据。共有46名6至13岁的儿童参与了研究。 The children used Sisom on two occasions during 6 months. When they used Sisom, a printed report formed the basis for a forthcoming dialogue between professionals, children, and their parents. Results: To our knowledge, this is the first implementation study of an eHealth communication tool aimed at strengthening children’s participation in pediatric health care. Key factors for successful implementation were alignment of the solution with the values and goals of the organization, health care professionals’ beliefs in the usefulness and usability of the solution, and health care professionals’ willingness to change their professional roles guided by the solution. Conclusions: The results from the study show that it is possible to restructure health care delivery toward a child-centered approach, if there is a willingness and preparedness in the organization to implement an eHealth solution with the aim of restructuring the way of working with children’s participation. SN - 1438-8871 UR - //www.mybigtv.com/2019/11/e14271 UR - https://doi.org/10.2196/14271 UR - http://www.ncbi.nlm.nih.gov/pubmed/31730040 DO - 10.2196/14271 ID - info:doi/10.2196/14271 ER -