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

Isakov, Terhi-Maija; Härkönen, Henna; Atkova, Irina; Wang, Fan; Vesty, Gillian; Hyvämäki, Piia; Jansson, Miia (2024)

dc.contributor.authorIsakov, Terhi-Maija
dc.contributor.authorHärkönen, Henna
dc.contributor.authorAtkova, Irina
dc.contributor.authorWang, Fan
dc.contributor.authorVesty, Gillian
dc.contributor.authorHyvämäki, Piia
dc.contributor.authorJansson, Miia
dc.date.accessioned2024-10-11T07:10:44Z
dc.date.available2024-10-11T07:10:44Z
dc.date.issued2024
dc.identifier.urihttp://www.theseus.fi/handle/10024/867516
dc.description.abstractBackground 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.
dc.language.isoen
dc.publisherElsevier
dc.relation.ispartofseriesInternational journal of medical informatics
dc.rightsCC BY 4.0
dc.subjectdigital health interventions
dc.subjectdigital health services
dc.subjectdigital transformation
dc.subjecthospital at home
dc.subjectkotisairaanhoito
dc.subjectterveyspalvelut
dc.subjectetäpalvelut
dc.titleFrom challenges to opportunities: Digital transformation in hospital-at-home care
dc.typepublication
dc.identifier.urnURN:NBN:fi-fe2024101179862
dc.type.versionfi=Publisher's version|sv=Publisher's version|en=Publisher's version|
dc.contributor.organizationfi=Oulun ammattikorkeakoulu|sv=Oulun ammattikorkeakoulu|en=Oulu University of Applied Sciences|
dc.type.otherfi=Rinnakkaistallennetut artikkelit|sv=Parallellpublicationer|en=Self-archived articles|
dc.type.okmfi=A1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä|sv=A1 Originalartikel i en vetenskaplig tidskrift|en=A1 Journal article (refereed), original research|
dc.relation.issn1386-5056
dc.relation.volume192
dc.relation.doi10.1016/j.ijmedinf.2024.105644
dc.okm.selfarchivedfi=Rinnakkaistallennettu|sv=parallellpublicerad|en=self-archived version|
dc.source.identifier107224
dc.relation.numberinseries105644


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