{"title":"远程医疗视频会议对医疗工作系统的影响:为持续实践而设计","authors":"Nicola Green , David Tappin , Tim Bentley","doi":"10.1016/j.apergo.2025.104641","DOIUrl":null,"url":null,"abstract":"<div><div>Good health is vital for sustainable social and economic development and improving access to healthcare can help progress this goal. Telehealth is a digital technology that can strengthen health systems. One example is healthcare consultations using videoconferencing (VC) to connect patients and providers. Despite stakeholder benefits, there are challenges in integrating VC into routine practice which has led to failed VC services. This study, guided by the Systems Engineering Initiative for Patient Safety (SEIPS) 2.0 framework, investigated the impact of VC on healthcare work systems in Aotearoa New Zealand. Interviews with experts, healthcare providers and patients (n = 40) and observations at three healthcare sites showed that using VC has cross-level system impacts, including new ways of working, change, human connection and equity. The findings suggest human-centred design and consideration of system interactions could support sustained VC healthcare, with implications for future technology adoption and opportunities for ergonomics and human factors in system analysis and design.</div></div>","PeriodicalId":55502,"journal":{"name":"Applied Ergonomics","volume":"130 ","pages":"Article 104641"},"PeriodicalIF":3.4000,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The impact of telehealth videoconferencing on the healthcare work system: designing for sustained practice\",\"authors\":\"Nicola Green , David Tappin , Tim Bentley\",\"doi\":\"10.1016/j.apergo.2025.104641\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>Good health is vital for sustainable social and economic development and improving access to healthcare can help progress this goal. Telehealth is a digital technology that can strengthen health systems. One example is healthcare consultations using videoconferencing (VC) to connect patients and providers. Despite stakeholder benefits, there are challenges in integrating VC into routine practice which has led to failed VC services. This study, guided by the Systems Engineering Initiative for Patient Safety (SEIPS) 2.0 framework, investigated the impact of VC on healthcare work systems in Aotearoa New Zealand. Interviews with experts, healthcare providers and patients (n = 40) and observations at three healthcare sites showed that using VC has cross-level system impacts, including new ways of working, change, human connection and equity. The findings suggest human-centred design and consideration of system interactions could support sustained VC healthcare, with implications for future technology adoption and opportunities for ergonomics and human factors in system analysis and design.</div></div>\",\"PeriodicalId\":55502,\"journal\":{\"name\":\"Applied Ergonomics\",\"volume\":\"130 \",\"pages\":\"Article 104641\"},\"PeriodicalIF\":3.4000,\"publicationDate\":\"2025-09-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Applied Ergonomics\",\"FirstCategoryId\":\"5\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0003687025001772\",\"RegionNum\":2,\"RegionCategory\":\"工程技术\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"ENGINEERING, INDUSTRIAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Applied Ergonomics","FirstCategoryId":"5","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0003687025001772","RegionNum":2,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ENGINEERING, INDUSTRIAL","Score":null,"Total":0}
The impact of telehealth videoconferencing on the healthcare work system: designing for sustained practice
Good health is vital for sustainable social and economic development and improving access to healthcare can help progress this goal. Telehealth is a digital technology that can strengthen health systems. One example is healthcare consultations using videoconferencing (VC) to connect patients and providers. Despite stakeholder benefits, there are challenges in integrating VC into routine practice which has led to failed VC services. This study, guided by the Systems Engineering Initiative for Patient Safety (SEIPS) 2.0 framework, investigated the impact of VC on healthcare work systems in Aotearoa New Zealand. Interviews with experts, healthcare providers and patients (n = 40) and observations at three healthcare sites showed that using VC has cross-level system impacts, including new ways of working, change, human connection and equity. The findings suggest human-centred design and consideration of system interactions could support sustained VC healthcare, with implications for future technology adoption and opportunities for ergonomics and human factors in system analysis and design.
期刊介绍:
Applied Ergonomics is aimed at ergonomists and all those interested in applying ergonomics/human factors in the design, planning and management of technical and social systems at work or leisure. Readership is truly international with subscribers in over 50 countries. Professionals for whom Applied Ergonomics is of interest include: ergonomists, designers, industrial engineers, health and safety specialists, systems engineers, design engineers, organizational psychologists, occupational health specialists and human-computer interaction specialists.