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【6h】 Evaluating the impact of enhancing information and communication technology in a rural, community-model primary health care setting in Newfoundland and Labrador.

机译在纽芬兰和拉布拉多的农村社区模式初级卫生保健机构中评估增强信息和通信技术的影响。

【摘要】The Connaigre Peninsula primary health care (PHC) setting was chosen by the Newfoundland and Labrador government to explore the value of sharing client information in an interdisciplinary environment, by building on existing technologies to fill gaps in information and communication capabilities. A series of technical enhancements were implemented in this setting over approximately one year. The purpose of this study was to evaluate the impact of these technical enhancements. Key stakeholders were engaged in the development of an evaluation framework and later evaluation protocol that was used to guide the evaluation.;Primary data collection included a survey and focus group with PHC team members and interviews with key stakeholders. Secondary data collection included use of data collected at the same sites as part of another study (Team Effectiveness/Scope of Practice Survey and Client Satisfaction Survey) and a review of existing documents.;Findings indicate that the enhancement of information and communication technology (ICT) can facilitate various aspects of PHC delivery including team functioning, quality of care and administrative functioning. Findings and lessons learned can be used to support the enhancement of ICT in other community-model PHC settings, as well as facilitate the advancement of a province-wide electronic health record (EHR).;Using a comparative case study design, two additional PHC sites with varying levels of technical capacity were included as comparison sites in the evaluation: Bonne Bay, which had minimal technical capacity, and Twillingate/New World Island, which had a high level of technical capacity.

【摘要机译】纽芬兰和拉布拉多政府选择了Connaigre半岛的初级卫生保健(PHC)设置,以通过利用现有技术来填补信息和通信能力的空白,探索跨学科环境中共享客户信息的价值。在大约一年的时间里,在这种情况下实施了一系列技术改进。这项研究的目的是评估这些技术改进的影响。关键利益相关者参与了评估框架和后来用于指导评估的评估协议的开发。主要数据收集包括与PHC团队成员进行的调查和焦点小组以及与关键利益相关者的访谈。二次数据收集包括使用在同一地点收集的数据作为另一项研究的一部分(团队有效性/业务范围调查和客户满意度调查)以及对现有文件的审查。研究结果表明,信息和通信技术(ICT)的增强)可以促进PHC交付的各个方面,包括团队职能,护理质量和行政职能。研究结果和经验教训可用于支持在其他社区模式的初级卫生保健机构中增强ICT,以及促进全省范围内的电子健康记录(EHR)的发展;使用比较案例研究设计,另外两个初级卫生保健中心评价中将具有不同技术能力水平的地点作为比较地点:技术能力最低的邦纳湾(Bonne Bay)和技术能力水平较高的特威林加特/新世界岛。

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