Department of Biomedical Informatics, Columbia University, NY 10032, USA.
J Biomed Inform. 2010 Apr;43(2):300-6. doi: 10.1016/j.jbi.2009.09.006. Epub 2009 Sep 29.
Health information technologies (HIT) have great potential to advance health care globally. In particular, HIT can provide innovative approaches and methodologies to overcome the range of access and resource barriers specific to developing countries. However, there is a paucity of models and empirical evidence informing the technology selection process in these settings. We propose a framework for selecting patient-oriented technologies in developing countries. The selection guidance process is structured by a set of filters that impose particular constraints and serve to narrow the space of possible decisions. The framework consists of three levels of factors: (1) situational factors, (2) the technology and its relationship with health interventions and with target patients, and (3) empirical evidence. We demonstrate the utility of the framework in the context of mobile phones for behavioral health interventions to reduce risk factors for cardiovascular disease. This framework can be applied to health interventions across health domains to explore how and whether available technologies can support delivery of the associated types of interventions and with the target populations.
健康信息技术（HIT）具有在全球范围内推动医疗保健发展的巨大潜力。特别是，HIT 可以提供创新的方法和方法，以克服发展中国家特有的一系列获取和资源障碍。然而，在这些环境中，告知技术选择过程的模型和经验证据却很少。我们提出了一个在发展中国家选择面向患者的技术的框架。选择指导过程由一组过滤器构建，这些过滤器施加特定的限制，并有助于缩小可能决策的空间。该框架由三个层次的因素组成：（1）情境因素，（2）技术及其与健康干预措施和目标患者的关系，以及（3）经验证据。我们在用于减少心血管疾病危险因素的行为健康干预措施的移动电话背景下展示了该框架的实用性。该框架可应用于跨健康领域的健康干预措施，以探讨现有的技术如何以及是否可以支持相关类型的干预措施的提供，并针对目标人群。
