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研究农村医疗保健人员对电子医疗保健使用的看法和基本信息通信技术支持的框架:印度经验。

A framework for studying perceptions of rural healthcare staff and basic ICT support for e-health use: an Indian experience.

机构信息

Department of Biomedical Engineering, Manipal Institute of Technology, Manipal University, Manipal, Karnataka, India.

出版信息

Telemed J E Health. 2010 Jan-Feb;16(1):80-8. doi: 10.1089/tmj.2009.0081.


DOI:10.1089/tmj.2009.0081
PMID:20070160
Abstract

Current research observes that electronic healthcare has various advantages, such as easy recording, retrieval, and sharing of patient data anytime and anywhere while providing data privacy. Almost all developed countries currently practice e-health. On the other hand, many developing countries still rely on traditional paper-based healthcare systems that are quite vulnerable to data loss, loss of patients' privacy due to nonsecured data sharing, and mandatory consumption of physical space to store patients' records as stacks of files. India is a developing country that broadly applies a traditional healthcare system. Unfortunately, no studies have been conducted to identify precise reasons why e-health solutions have not been adopted in the Indian primary health centers (PHCs). To fill the research gap, this work is an attempt to propose a complete framework that includes (1) a systematic survey of available resources at the level of healthcare staffs' perceptions toward using e-health and basic information communication technology (ICT) supports at the organizational level and (2) a mathematical model to engineer significant factors for analysis of overall preparedness of the health centers. Healthcare administrators (Block Medical Officer of Health) from each PHC (n = 10) and in total 50 healthcare staff (e.g., doctors, nurses, pharmacists, and midwives) participated in the study. Initially, a systematic survey was conducted to explore the possible factors at the individual (e.g., healthcare personnel) and organizational (e.g., healthcare administration) levels. A questionnaire was generated to capture the data based on the factors identified. The collected data were mathematically modeled to run regressions with significance tests examining the effects of these factors on the level of satisfaction of the end users. The result shows that basic ICT for support at the organizational levels is significantly lacking to implement e-health in these PHCs, although healthcare staffs are ready to use it. Proper measures have to be adopted mostly at the organizational level, such as improving basic ICT support before what will in all probability be a successful implementation and practice of e-health in Indian PHCs.

摘要

目前的研究表明,电子医疗具有许多优势,例如可以随时随地轻松记录、检索和共享患者数据,并提供数据隐私保护。几乎所有发达国家目前都在实施电子医疗。另一方面,许多发展中国家仍然依赖传统的纸质医疗系统,这些系统非常容易因数据丢失、数据共享时患者隐私泄露以及必须消耗物理空间来存储患者记录而导致文件堆积。印度是一个广泛应用传统医疗系统的发展中国家。不幸的是,目前还没有研究确定为什么电子医疗解决方案没有在印度初级保健中心(PHC)得到采用的确切原因。为了填补研究空白,本工作试图提出一个完整的框架,包括(1)系统调查医疗保健人员对使用电子医疗和基本信息通信技术(ICT)支持的看法,以及(2)一个数学模型,用于分析卫生中心整体准备情况的重要因素。每个 PHC 的医疗保健管理人员(区块卫生官员)(n=10)和总共 50 名医疗保健人员(例如医生、护士、药剂师和助产士)参与了这项研究。最初,进行了系统调查,以探索个人(例如医疗保健人员)和组织(例如医疗保健管理)层面的可能因素。生成了一份问卷,以根据确定的因素捕获数据。收集的数据进行了数学建模,以运行回归并进行显著性检验,以检查这些因素对最终用户满意度的影响。结果表明,尽管医疗保健人员准备使用电子医疗,但组织层面支持的基本 ICT 严重缺乏,无法在这些 PHC 中实施电子医疗。必须采取适当的措施,主要是在组织层面,例如在很可能成功实施和实践印度 PHC 电子医疗之前,改善基本的 ICT 支持。

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