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拉丁美洲和加勒比地区的信息通信技术(ICT)与电子健康政策:国家政策综述及社会经济背景评估

Information and communication technology (ICT) and eHealth policy in Latin America and the Caribbean: a review of national policies and assessment of socioeconomic context.

作者信息

Jimenez-Marroquin Maria Carolina, Deber Raisa, Jadad Alejandro R

机构信息

Centre for Global eHealth Innovation, Toronto, Canada.

Institute of Health Policy, Management and Evaluation, University of Toronto, ,

出版信息

Rev Panam Salud Publica. 2014 May-Jun;35(5-6):329-36.

Abstract

OBJECTIVE

To examine the availability of national information and communication technology (ICT) or eHealth policies produced by countries in Latin America and the Caribbean (LAC), and to determine the influence of a country's socioeconomic context on the existence of these policies.

METHODS

Documents describing a national ICT or eHealth policy in any of the 33 countries belonging to the LAC region as listed by the United Nations were identified from three data sources: academic databases; the Google search engine; and government agencies and representatives. The relationship between the existence of a policy and national socioeconomic indicators was also investigated.

RESULTS

There has been some progress in the establishment of ICT and eHealth policies in the LAC region. The most useful methods for identifying the policies were 1) use of the Google search engine and 2) contact with Pan American Health Organization (PAHO) country representatives. The countries that have developed a national ICT policy seem to be more likely to have a national eHealth policy in place. There was no statistical significant association between the existence of a policy and a country's socioeconomic context.

CONCLUSIONS

Governments need to make stronger efforts to raise awareness about existing and planned ICT and eHealth policies, not only to facilitate ease of use and communication with their stakeholders, but also to promote collaborative international efforts. In addition, a better understanding of the effect of economic variables on the role that ICTs play in health sector reform efforts will help shape the vision of what can be achieved.

摘要

目的

研究拉丁美洲和加勒比地区(LAC)各国制定的国家信息通信技术(ICT)或电子健康政策的可得性,并确定国家社会经济背景对这些政策存在的影响。

方法

从三个数据源中识别描述联合国列出的LAC地区33个国家中任何一个国家的ICT或电子健康政策的文件:学术数据库;谷歌搜索引擎;政府机构和代表。还调查了政策存在与国家社会经济指标之间的关系。

结果

LAC地区在制定ICT和电子健康政策方面取得了一些进展。识别这些政策最有用的方法是:1)使用谷歌搜索引擎;2)与泛美卫生组织(PAHO)国家代表联系。已制定国家ICT政策的国家似乎更有可能制定了国家电子健康政策。政策的存在与国家社会经济背景之间没有统计学上的显著关联。

结论

各国政府需要做出更大努力,提高对现有和计划中的ICT及电子健康政策的认识,这不仅有助于方便与利益相关者的使用和沟通,还能促进国际合作努力。此外,更好地理解经济变量对ICT在卫生部门改革努力中所起作用的影响,将有助于塑造对可实现目标的愿景。

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