{"id":147,"date":"2025-11-11T21:40:39","date_gmt":"2025-11-11T21:40:39","guid":{"rendered":"https:\/\/sundhedoginnovation.dk\/?p=147"},"modified":"2025-11-11T22:15:38","modified_gmt":"2025-11-11T22:15:38","slug":"16-3-2-2","status":"publish","type":"post","link":"https:\/\/sundhedoginnovation.dk\/?p=147","title":{"rendered":"De 10 st\u00f8rste grunde til at velf\u00e6rdsteknologiprojekterne ikke lykkes."},"content":{"rendered":"

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Den st\u00f8rste misforst\u00e5else: Kommunerne forveksler digitalisering med velf\u00e6rdsteknolog
<\/strong>Den allerst\u00f8rste grund er f\u00f8rst og fremmest den udbredte misforst\u00e5else, at der sker en sammenblanding af digitalisering og velf\u00e6rdsteknologi som \u00e9n og samme sag. Det er en stor misforst\u00e5else.<\/span><\/span><\/p>\n

N\u00e5r kommunerne investerer i digitalisering, sker det, fordi de skal sikre bedre kontrol, styring (vagtplanl\u00e6gning), dokumentation (sundheds-it), sagsbehandling (sundheds-it), kvalitet (FS3, n\u00f8dkald) og planl\u00e6gning.<\/span><\/p>\n

N\u00e5r kommunerne investerer i velf\u00e6rdsteknologi, sker det, fordi de vil hj\u00e6lpe med at bevare eller udvikle en velf\u00e6rdsydelse for \u00e9n eller flere m\u00e5lgrupper. Det er ikke den samme sag \u2013 og det kalder p\u00e5 helt forskellige fagprofessionelle kompetencer.<\/span><\/p>\n

Digitalisering i kommunerne er top-down-styret med en central projektleder, der sammen med en projektgruppe og en styregruppe analyserer, realiserer og gennemf\u00f8rer projekt efter projekt. P\u00e5 grund af denne top-down-metode er der stort set intet fokus p\u00e5 forandringsledelse og p\u00e5 serviceringen af medarbejdere eller borgere, der forventesr udf\u00f8rte deres arbejde p\u00e5 \u00e9n m\u00e5de, og nu skal til at udf\u00f8re det p\u00e5 en anden m\u00e5de.<\/span><\/p>\n

Velf\u00e6rdsteknologiprojekter er derfor fuldst\u00e6ndig omvendte. N\u00e5r kommunen investerer i velf\u00e6rdsteknologi, er det en misforst\u00e5et og forfejlet strategi at udpege en central projektleder i toppen af pyramiden og give vedkommende ansvaret for udrulningen af fx spiserobotter. I det hele taget er det misforst\u00e5et, n\u00e5r kommunerne v\u00e6lger at investere i spiserobotter, hvis projektet ikke er f\u00f8dt ud fra et lokalt fagprofessionelt \u00f8nske.<\/span><\/p>\n

Velf\u00e6rdsteknologi er individuelt orienteret mod borger eller medarbejder og har til form\u00e5l at fremme uafh\u00e6ngighed, reducere adf\u00e6rdssymptomer, forbedre trivsel, styrke livskvalitet og mindske stress. Derfor er det vigtigt, at energien og ledelsen af velf\u00e6rdsteknologiprojekterne sker decentralt blandt de borgere eller medarbejdere, der oprindeligt har behov for teknologien.<\/span><\/p>\n

Endvidere er det vigtigt, at medarbejderne omkring velf\u00e6rdsteknologiprojekterne arbejder ud fra en forbedringsmodel, s\u00e5som Plan\u2013Do\u2013Study\u2013Act-hjulet (PDSA).<\/span><\/p>\n

Jeg er godt klar over, at kommunerne gerne vil h\u00f8ste hurtige frugter og se positive business cases ved hver investering. Men den overordnede pr\u00e6mis er, at vi om 15\u201320 \u00e5r vil st\u00e5 over for en alvorlig personalemangel p\u00e5 mange sundhedsomr\u00e5der. Kommunerne har kun lige skrabet overfladen af teknologiens muligheder, og man m\u00e5 derfor indse, at det koster penge p\u00e5 den korte bane for at tjene penge p\u00e5 den lange bane.<\/span><\/p>\n

De fagprofessionelles ti n\u00f8gleansvar i succesfuld implementering af velf\u00e6rdsteknologi<\/strong><\/span>
De 10 st\u00f8rste grunde til, at velf\u00e6rdsteknologi ikke lykkes, skal findes i placeringen af ejerskab, ledelsen og i de decentrale fagprofessionelles kompetencer. Medarbejderne skal mange steder radikalt nyt\u00e6nke deres omsorgsopgaver, s\u00e5ledes at:<\/span><\/p>\n

1, Medarbejderen selv skal skabe mening om teknologien \u2013 f\u00f8rst alene og senere sammen med borgeren \u2013 p\u00e5 en m\u00e5de, s\u00e5 borgeren k\u00f8ber ind p\u00e5 id\u00e9en og v\u00e6lger at adoptere teknologien.<\/span><\/p>\n

2, Den enkelte medarbejder har et \u00e9n-til-\u00e9n-ansvar for, at borgeren l\u00e6rer at bruge teknologien.<\/span><\/p>\n

3, Den enkelte medarbejder har et fagligt ansvar for, at teknologien ikke skader den enkelte borger.<\/span><\/p>\n

4, Medarbejderen har et ansvar for, at teknologien gavner borgeren, s\u00e5 v\u00e6rdien faktisk hjemtages.<\/span><\/p>\n

5, N\u00e5r borgeren bliver d\u00e5rligere eller pludselig v\u00e6lger at modarbejde brugen af teknologien, skal medarbejderen kunne h\u00e5ndtere det med faglighed, personligt diplomati og relationskompetence.<\/span><\/p>\n

6, Det faglige personale skal v\u00e6re kreativt og innovativt i opgaven, s\u00e5 borgeren f\u00e5r fuld gl\u00e6de af teknologien.<\/span><\/p>\n

7, Et tv\u00e6rfagligt samarbejde mellem flere forskellige fagpersoner omkring borgeren skal kunne lykkes.<\/span><\/p>\n

8, Screeningen og matchningen af borgere og teknologi skal v\u00e6re optimal, da mange borgere ikke har uendelig t\u00e5lmodighed. Medarbejderen skal derfor t\u00e6nke borgerens livshistorie, situation og v\u00e6rdier ind.<\/span><\/p>\n

9, Medarbejderen skal konstant t\u00e6nke velf\u00e6rdsteknologi ind i afhj\u00e6lpningen af borgernes udfordringer.<\/span><\/p>\n

10, Den enkelte medarbejder p\u00e5 gulvet, som til daglig har ansvaret for, at borgerne plejes og hj\u00e6lpes optimalt, skal kunne h\u00e5ndtere de mods\u00e6tninger og faglige overvejelser, der opst\u00e5r, n\u00e5r vedkommende ogs\u00e5 bliver en slags \u201dfremskudt salgsarbejder\u201d \u2013 en rolle, som kan v\u00e6re interpersonelt konfliktfyldt.
<\/span>\u00a0<\/span><\/p>\n

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Succes starter p\u00e5 gulvet \u2013 ikke i toppen
<\/strong>Som sagt skal ledelsen og energien i velf\u00e6rdsteknologiprojekterne uddelegeres decentralt, hvor der skal v\u00e6re tid og mulighed for omstilling. Organisationen skal i f\u00e6llesskab g\u00f8res klar til at arbejde p\u00e5 helt nye m\u00e5der.<\/span><\/p>\n

F\u00f8r i tiden skulle medarbejderne sikre borgernes pleje og trivsel. Det skal de stadig, men i dag skal de ogs\u00e5 have fokus p\u00e5 effektive velf\u00e6rdsydelser af h\u00f8j kvalitet, der underst\u00f8tter borgerens selvhjulpenhed og empowerment.<\/span><\/p>\n

Succesfulde velf\u00e6rdsteknologiprojekter kalder alts\u00e5 p\u00e5 et dynamisk kapacitetsl\u00f8ft decentralt og fokus p\u00e5 nye faglige medarbejderkompetencer \u2013 noget, der ikke er n\u00f8dvendigt i digitaliseringsprojekter<\/span><\/p>\n

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Den st\u00f8rste misforst\u00e5else: Kommunerne forveksler digitalisering med velf\u00e6rdsteknologDen allerst\u00f8rste grund er f\u00f8rst og fremmest den udbredte misforst\u00e5else, at der sker en sammenblanding af digitalisering og velf\u00e6rdsteknologi som \u00e9n og samme sag. Det er en stor misforst\u00e5else. 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Fra passiv patient til aktiv partner.\u00a0<\/strong>
Adgang til egne sundhedsdata er ikke blot en praktisk teknisk l\u00f8sning, men et udtryk for \u00f8nsket om st\u00f8rre inddragelse og ligev\u00e6rd, som peger mod en grundl\u00e6ggende kultur\u00e6ndring. Sundhedsv\u00e6senet har historisk v\u00e6ret organiseret omkring den passive patient og den alvidende l\u00e6ge. Denne struktur er nu under forandring, og forestillingen om, at \u201cl\u00e6gen ved bedst\u201d, udfordres af nye krav om indsigt, transparens og partnerskab i patientforl\u00f8b.<\/p>\n

Hvordan sundhedsr\u00e5dene kan g\u00f8re op med \u201cl\u00e6gen ved bedst\u201d<\/strong>
Sundhedsr\u00e5dene kan v\u00e6re med til at bryde med denne gamle forestilling. N\u00e5r r\u00e5dene samler kommune, region og praktiserende l\u00e6ger om f\u00e6lles n\u00e6rsundhedsplaner, kan de blandt andet arbejde p\u00e5 at sikre, at patienternes data og stemme bliver en naturlig del af beslutningerne. Det handler om at flytte fokus fra systemets behov til borgerens behov og om at skabe strukturer, hvor patienten er aktiv medspiller, ikke tilskuer.<\/p>\n

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N\u00e5r patienter kan f\u00f8lge pr\u00f8vesvar, helbredstal og behandlingsplaner, f\u00e5r de mulighed for at handle tidligere, forebygge komplikationer og tage st\u00f8rre ejerskab i eget forl\u00f8b. 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Sundhedsr\u00e5dene skal gribe chancen<\/strong>
\u00d8konomi, planl\u00e6gning og styring fylder meget i de aftaler og kommissorier de handler om sundhedsr\u00e5dene. Patientens rolle n\u00e6vnes kun i generelle vendinger. Men der st\u00e5r intet om, at r\u00e5dene skal tage det egentlige opg\u00f8r med den gamle kultur, hvor systemet og l\u00e6gen ved bedst, og patienten blot f\u00f8lger med.\u00a0Men hvis sundhedsr\u00e5dene reduceres til tekniske styringsfora, mister vi chancen for forandring.<\/p>\n

Sundhedsr\u00e5dene skal v\u00e6re retningsgivende<\/strong>
Sundhedsr\u00e5dene skal v\u00e6re stedet, hvor patientens perspektiv for alvor bliver retningsgivende. Patienternes stemmer skal ikke blot v\u00e6re et punkt i et h\u00f8ringsudvalg. Derfor m\u00e5 vi insistere p\u00e5, at r\u00e5dene f\u00e5r et klart mandat til at sikre gennemsigtighed, til at udfordre silot\u00e6nkning og til at placere patienten som aktiv partner i eget forl\u00f8b.<\/p>\n

Patienten skal frem i bussen<\/strong>
De nye sundhedsr\u00e5d er helt afg\u00f8rende. De skal s\u00e6tte retning for et sundhedsv\u00e6sen, hvor patienten fremover skal have mere kontrol og indsigt.\u00a0 Dette skal ikke v\u00e6re et\u00a0 privilegier for den gruppe, der ved hj\u00e6lp af Chatrobotter og andre teknologier kan gennemskue konsekvensen af deres diagnoser og forl\u00f8b. Dette skal v\u00e6re en rettighed for alle patienter og p\u00e5r\u00f8rende. Og de skal sikres gennem den digitale udvikling som skal v\u00e6re med til at skabe ligev\u00e6rdighed. Sundhedsr\u00e5dene skal dermed passe p\u00e5 ikke til at cementere gamle magtstrukturer.<\/p>\n

Det kr\u00e6ver, at sundhedsr\u00e5dene t\u00f8r stille krav: at data deles p\u00e5 tv\u00e6rs af sektorer, at journaler er tilg\u00e6ngelige for patienten i et sprog, der kan forst\u00e5s, og at uenigheder mellem kommune og hospital h\u00e5ndteres \u00e5bent frem for at blive patientens problem.<\/p>\n

R\u00e5dene skal v\u00e6re det sted, hvor vi tager det grundl\u00e6ggende opg\u00f8r med forestillingen om, at sundhedsv\u00e6senet ved bedst uden patienten. De skal v\u00e6re garanten for, at alle beslutninger\u00a0 fra de store planer til de sm\u00e5 hverdagsforl\u00f8b\u00a0 ses gennem patientens \u00f8jne.<\/p>\n

S\u00e5dan kan vi skabe et sundhedsv\u00e6sen, hvor patienter ikke l\u00e6ngere passivt modtager behandling, men aktivt deltager i at forme deres eget forl\u00f8b og i at bygge bro mellem systemets siloer.<\/p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\"1\" admin_label=\"Related Posts\" _builder_version=\"4.16\" custom_width_px__hover=\"1080px\" custom_width_px__hover_enabled=\"1080px\" custom_width_percent__hover=\"80%\" custom_width_percent__hover_enabled=\"80%\" locked=\"off\" global_colors_info=\"{}\" gutter_width__hover=\"3\" gutter_width__hover_enabled=\"3\" parallax_1__hover=\"off\" parallax_1__hover_enabled=\"off\" parallax_2__hover=\"off\" parallax_2__hover_enabled=\"off\" parallax_3__hover=\"off\" parallax_3__hover_enabled=\"off\" parallax_method_1__hover=\"on\" parallax_method_1__hover_enabled=\"on\" parallax_method_2__hover=\"on\" parallax_method_2__hover_enabled=\"on\" parallax_method_3__hover=\"on\" 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