Cargando…

Designing for flexibility in hybrid care services: lessons learned from a pilot in an internal medicine unit

Digital transformation in healthcare during the COVID-19 pandemic led to the development of new hybrid models integrating physical and virtual care. The ability to provide remote care by telemedicine technologies and the need to better manage and control hospitals’ occupancy accelerated growth in ho...

Descripción completa

Detalles Bibliográficos
Autores principales: Pilosof, Nirit Putievsky, Barrett, Michael, Oborn, Eivor, Barkai, Galia, Zimlichman, Eyal, Segal, Gad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10694442/
http://dx.doi.org/10.3389/fmedt.2023.1223002
_version_ 1785153378270052352
author Pilosof, Nirit Putievsky
Barrett, Michael
Oborn, Eivor
Barkai, Galia
Zimlichman, Eyal
Segal, Gad
author_facet Pilosof, Nirit Putievsky
Barrett, Michael
Oborn, Eivor
Barkai, Galia
Zimlichman, Eyal
Segal, Gad
author_sort Pilosof, Nirit Putievsky
collection PubMed
description Digital transformation in healthcare during the COVID-19 pandemic led to the development of new hybrid models integrating physical and virtual care. The ability to provide remote care by telemedicine technologies and the need to better manage and control hospitals’ occupancy accelerated growth in hospital-at-home programs. The Sheba Medical Center restructured to create Sheba Beyond as the first virtual hospital in Israel. These transformations enabled them to deliver hybrid services in their internal medicine unit by managing inpatient hospital-care with remote home-care based on the patients’ medical condition. The hybrid services evolved to integrate care pathways multiplied by the mode of delivery—physical (in person) or virtual (technology enabled)—and the location of care—at the hospital or the patient home. The study examines this home hospitalization program pilot for internal medicine at Sheba Medical Center (MC). The research is based on qualitative semi-structured interviews with Sheba Beyond management, medical staff from the hospital and the Health Maintenance Organization (HMO), Architects, Information Technology (IT), Telemedicine and Medtech organizations. We investigated the implications of the development of hybrid services for the future design of the physical built-environment and the virtual technological platform. Our findings highlight the importance of designing for flexibility in the development of hybrid care services, while leveraging synergies across the built environment and digital platforms to support future models of care. In addition to exploring the potential for scalability in accelerating the flexibility of the healthcare system, we also highlight current barriers in professional, management, logistic and economic healthcare models.
format Online
Article
Text
id pubmed-10694442
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-106944422023-12-05 Designing for flexibility in hybrid care services: lessons learned from a pilot in an internal medicine unit Pilosof, Nirit Putievsky Barrett, Michael Oborn, Eivor Barkai, Galia Zimlichman, Eyal Segal, Gad Front Med Technol Medical Technology Digital transformation in healthcare during the COVID-19 pandemic led to the development of new hybrid models integrating physical and virtual care. The ability to provide remote care by telemedicine technologies and the need to better manage and control hospitals’ occupancy accelerated growth in hospital-at-home programs. The Sheba Medical Center restructured to create Sheba Beyond as the first virtual hospital in Israel. These transformations enabled them to deliver hybrid services in their internal medicine unit by managing inpatient hospital-care with remote home-care based on the patients’ medical condition. The hybrid services evolved to integrate care pathways multiplied by the mode of delivery—physical (in person) or virtual (technology enabled)—and the location of care—at the hospital or the patient home. The study examines this home hospitalization program pilot for internal medicine at Sheba Medical Center (MC). The research is based on qualitative semi-structured interviews with Sheba Beyond management, medical staff from the hospital and the Health Maintenance Organization (HMO), Architects, Information Technology (IT), Telemedicine and Medtech organizations. We investigated the implications of the development of hybrid services for the future design of the physical built-environment and the virtual technological platform. Our findings highlight the importance of designing for flexibility in the development of hybrid care services, while leveraging synergies across the built environment and digital platforms to support future models of care. In addition to exploring the potential for scalability in accelerating the flexibility of the healthcare system, we also highlight current barriers in professional, management, logistic and economic healthcare models. Frontiers Media S.A. 2023-11-20 /pmc/articles/PMC10694442/ http://dx.doi.org/10.3389/fmedt.2023.1223002 Text en © 2023 Pilosof, Barrett, Oborn, Barkai, Zimlichman and Segal. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Medical Technology
Pilosof, Nirit Putievsky
Barrett, Michael
Oborn, Eivor
Barkai, Galia
Zimlichman, Eyal
Segal, Gad
Designing for flexibility in hybrid care services: lessons learned from a pilot in an internal medicine unit
title Designing for flexibility in hybrid care services: lessons learned from a pilot in an internal medicine unit
title_full Designing for flexibility in hybrid care services: lessons learned from a pilot in an internal medicine unit
title_fullStr Designing for flexibility in hybrid care services: lessons learned from a pilot in an internal medicine unit
title_full_unstemmed Designing for flexibility in hybrid care services: lessons learned from a pilot in an internal medicine unit
title_short Designing for flexibility in hybrid care services: lessons learned from a pilot in an internal medicine unit
title_sort designing for flexibility in hybrid care services: lessons learned from a pilot in an internal medicine unit
topic Medical Technology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10694442/
http://dx.doi.org/10.3389/fmedt.2023.1223002
work_keys_str_mv AT pilosofniritputievsky designingforflexibilityinhybridcareserviceslessonslearnedfromapilotinaninternalmedicineunit
AT barrettmichael designingforflexibilityinhybridcareserviceslessonslearnedfromapilotinaninternalmedicineunit
AT oborneivor designingforflexibilityinhybridcareserviceslessonslearnedfromapilotinaninternalmedicineunit
AT barkaigalia designingforflexibilityinhybridcareserviceslessonslearnedfromapilotinaninternalmedicineunit
AT zimlichmaneyal designingforflexibilityinhybridcareserviceslessonslearnedfromapilotinaninternalmedicineunit
AT segalgad designingforflexibilityinhybridcareserviceslessonslearnedfromapilotinaninternalmedicineunit