标题： 利益相关者对医疗保健中数字孪生实施挑战的观点：来自提供者数字孪生案例研究的见解 显示英文标题

标题： Stakeholder Perspectives on Digital Twin Implementation Challenges in Healthcare: Insights from a Provider Digital Twin Case Study

摘要： 数字孪生（DT）技术通过实时监控、预测分析和敏捷干预，具有巨大的潜力来变革医疗系统，以支持各种决策需求。 然而，其成功实施取决于解决一系列复杂的社技术挑战。 通过提供者工作量DT的案例研究，本研究通过捕捉四位不同利益相关者的观点，调查医疗保健中的DT实施挑战：家庭医学专家（FMS）、组织心理学家（OP）、工程师（EE）和实施科学家（IS）。 我们进行了由更新后的实施研究综合框架（CFIR 2.0）指导的半结构化访谈，这是一个广泛用于理解影响实施结果因素的实施科学框架。 然后，我们映射了每个利益相关者群体的偏好和关注点，揭示了一个复杂的情景，展示了交汇和分歧的观点，突显了共同和群体特定的实施障碍。 通过主题编码，识别出的66个挑战被归类为七个领域：与数据相关的、财务和经济的、运营的、组织的、人员的、监管和伦理的以及技术的。 我们的研究结果揭示了共同的关注点，如数据隐私和安全、互操作性以及监管合规性。 然而，也出现了分歧，反映了每个小组的功能重点。 这些发现强调了需要一种多学科的、利益相关者敏感的方法，以解决功能性和实际性问题，突出了定制化实施策略的重要性，以支持医疗保健中DT的成功采用。 显示英文摘要

摘要： Digital twin (DT) technology holds immense potential for transforming healthcare systems through real-time monitoring, predictive analysis, and agile interventions to support various decision-making needs. However, its successful implementation depends on addressing a range of complex sociotechnical challenges. Using a case study of provider workload DT, this research investigates DT implementation challenges in healthcare by capturing the perspectives of four distinct stakeholders: family medicine specialists (FMS), organizational psychologists (OP), engineers (EE), and implementation scientists (IS). We conducted semi-structured interviews guided by the updated Consolidated Framework for Implementation Research (CFIR 2.0), a widely used implementation science framework for understanding factors that influence implementation outcomes. We then mapped each stakeholder group's preferences and concerns, revealing a nuanced landscape of converging and diverging perspectives that highlight both shared and group-specific implementation barriers. Through thematic coding, the 66 identified challenges were categorized into seven domains: data-related, financial and economic, operational, organizational, personnel, regulatory and ethical, and technological. Our findings reveal shared concerns such as data privacy and security, interoperability, and regulatory compliance. However, divergences also emerged, reflecting each group's functional focus. These findings emphasize the need for a multidisciplinary, stakeholder-sensitive approach that addresses both functional and practical concerns, highlighting the importance of tailored implementation strategies to support successful DT adoption in healthcare.