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The challenge of adopting a collaborative information system for independent healthcare workers in France: a comprehensive study.
Gaucher, Laurent; Puill, Céline; Baumann, Sophie; Hommey, Sophie; Touzet, Sandrine; Rudigoz, René-Charles; Cortet, Marion; Huissoud, Cyril; Gaucherand, Pascal; Dupont, Corinne; Mougeot, Frédéric.
Afiliación
  • Gaucher L; Pôle de santé publique, Hospices Civils de Lyon, 69500, Bron, France. laurent.gaucher01@chu-lyon.fr.
  • Puill C; Research on Healthcare Performance (RESHAPE), INSERM U1290, Université Claude Bernard Lyon 1, 69008, Lyon, France. laurent.gaucher01@chu-lyon.fr.
  • Baumann S; GENeva MIdwifery Research unit, Geneva School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland, Geneva, Switzerland. laurent.gaucher01@chu-lyon.fr.
  • Hommey S; Independent Midwife, 94120, Val de Marne, France.
  • Touzet S; Midwifery Department, EA 7285, Versailles Saint Quentin University, 78180, Montigny-le-Bretonneux, France.
  • Rudigoz RC; Department of Obstetrics and Gynecology, Poissy-Saint Germain Hospital, 78300, Poissy, France.
  • Cortet M; Pôle de santé publique, Hospices Civils de Lyon, 69500, Bron, France.
  • Huissoud C; Pôle de santé publique, Hospices Civils de Lyon, 69500, Bron, France.
  • Gaucherand P; Hospices Civils de Lyon, Hôpital de la Croix-Rousse, 69004, Lyon, France.
  • Dupont C; Hospices Civils de Lyon, Hôpital de la Croix-Rousse, 69004, Lyon, France.
  • Mougeot F; Hospices Civils de Lyon, Hôpital Femme Mère Enfant, 69004, Lyon, France.
Sci Rep ; 14(1): 11429, 2024 05 19.
Article en En | MEDLINE | ID: mdl-38763960
ABSTRACT
This study aimed to explore the perception of an underutilised collaborative information system through qualitative research, utilizing semi-structured, in-depth interviews with independent midwives and physician. PROSPERO, is a collaborative information system designed to bridge the communication gap between community-based healthcare workers and hospital-based care teams for parturients in Lyon, France. Through 27 semi-structured in-depth interviews with midwives, obstetricians, and general practitioners, we identified key themes related to the system's adoption implementation challenges, utilisation barriers, interprofessional dynamics, and hidden variables affecting system use. Participants recognised the potential of PROSPERO to improve information sharing and care coordination but expressed concerns about the system's integration into existing workflows, time constraints, and the need for adequate training and technical support. Interprofessional dynamics revealed differing perspectives between hospital and independent practitioners, emphasising the importance of trust-building and professional recognition. Hidden variables, such as hierarchical influences and confidentiality concerns, further complicated the system's adoption. Despite the consensus on the benefits of a collaborative information system, its implementation was hindered by mistrust between healthcare workers (i.e. between independent practitioners and hospital staff). Our findings suggest that fostering trust and addressing the identified barriers are crucial steps towards successful system implementation. The study contributes to understanding the complex interplay of factors influencing the adoption of collaborative healthcare technologies and highlights the need for strategies that support effective interprofessional collaboration and communication.ClinicalTrials ID NCT02593292.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Personal de Salud Límite: Adult / Female / Humans / Male / Pregnancy País/Región como asunto: Europa Idioma: En Revista: Sci Rep Año: 2024 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Personal de Salud Límite: Adult / Female / Humans / Male / Pregnancy País/Región como asunto: Europa Idioma: En Revista: Sci Rep Año: 2024 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Reino Unido