健康消费者参与的概念化:资源整合、共同创造和参与的扩展框架

K. Burns, S. Tuzovic
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引用次数: 2

摘要

“参与”一词越来越多地用于医疗保健和医疗实践(Bright et al. 2015),并已成为政策制定者的关键优先事项(Fumagalli et al. 2014)。虽然患者参与在医疗保健文献中受到越来越多的关注,但“对于什么是参与,是什么导致患者被认为参与或不参与,或者参与度是如何发生的,几乎没有共识”(Bright et al. 2015, p. 643)。事实上,在现有文献中仍然缺乏描述和测量患者参与的本体论框架(Prey et al. 2014)。此外,研究还没有解决自我监测患者的作用日益扩大,也没有从消费者的角度看待数据。在这种背景下,“医疗自拍”已经成为一种患者资源,可以促进共同创造和患者参与(McColl-Kennedy et al. 2012;华盛顿2014年)。通过生成医疗数据,患者的作用日益扩大,在服务网络中支持医疗。本文提出了“健康消费者参与”的理论模型,该模型基于患者及其对等网络参与和激活,在服务生态系统内收集和提供医疗照片和健康数据。两项定性研究的结果表明,医疗自拍可以吸引并赋予患者权力,为医疗服务提供者提供了一个与消费者共同创造医疗服务的机会,从而提高了消费者的信任度、服务满意度和对可靠性的认知。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Conceptualizing health consumer engagement: an extended framework of resource integration, co-creation and engagement
The term ‘engagement’ is increasingly used in healthcare and medical practice (Bright et al. 2015) and has become a key priority for policy makers (Fumagalli et al. 2014). While patient engagement has received increasing attention in the healthcare literature, there is “little consensus on what engagement is, what leads to a patient being perceived as engaged or disengaged or indeed, how engagement occurs” (Bright et al. 2015, p. 643). Indeed, an ontological framework for describing and measuring patient engagement is still absent in extant literature (Prey et al. 2014). Furthermore, research has not addressed the expanding role of the self-monitoring patient or viewed the data from the perspective of the consumer. In this context “medical self-photography” has emerged as a patient resource that can promote co-creation and patient engagement (McColl-Kennedy et al. 2012; Washington 2014). By generating medical data, patients are increasingly expanding their role, supporting medical treatment in the service network. This paper proposes a theoretical model of “health consumer engagement” based on the involvement and activation of patients and their peer network to collect and provide medical photos and health data within the service ecosystem. Results of two qualitative studies demonstrate that medical self-photography can engage and empower patients, offering health providers an opportunity to co-create the delivery of healthcare services with consumers improving credence service satisfaction and perceptions of reliability.
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