Saleh Shadi, Khodor Rawya, Alameddine Mohamad, Baroud Maysa
Department of Health Management and Policy, American University of Beirut, Riad El Solh, PO Box 11-0236, Beirut, 1107 2020, Lebanon.
BMC Health Serv Res. 2016 Nov 10;16(1):644. doi: 10.1186/s12913-016-1896-2.
BACKGROUND: eHealth can positively impact the efficiency and quality of healthcare services. Its potential benefits extend to the patient, healthcare provider, and organization. Primary healthcare (PHC) settings may particularly benefit from eHealth. In these settings, healthcare provider readiness is key to successful eHealth implementation. Accordingly, it is necessary to explore the potential readiness of providers to use eHealth tools. Therefore, the purpose of this study was to assess the readiness of healthcare providers working in PHC centers in Lebanon to use eHealth tools. METHODS: A self-administered questionnaire was used to assess participants' socio-demographics, computer use, literacy, and access, and participants' readiness for eHealth implementation (appropriateness, management support, change efficacy, personal beneficence). The study included primary healthcare providers (physicians, nurses, other providers) working in 22 PHC centers distributed across Lebanon. Descriptive and bivariate analyses (ANOVA, independent t-test, Kruskal Wallis, Tamhane's T2) were used to compare participant characteristics to the level of readiness for the implementation of eHealth. RESULTS: Of the 541 questionnaires, 213 were completed (response rate: 39.4 %). The majority of participants were physicians (46.9 %), and nurses (26.8 %). Most physicians (54.0 %), nurses (61.4 %), and other providers (50.9 %) felt comfortable using computers, and had access to computers at their PHC center (physicians: 77.0 %, nurses: 87.7 %, others: 92.5 %). Frequency of computer use varied. The study found a significant difference for personal beneficence, management support, and change efficacy among different healthcare providers, and relative to participants' level of comfort using computers. There was a significant difference by level of comfort using computers and appropriateness. A significant difference was also found between those with access to computers in relation to personal beneficence and change efficacy; and between frequency of computer use and change efficacy. CONCLUSION: The implementation of eHealth cannot be achieved without the readiness of healthcare providers. This study demonstrates that the majority of healthcare providers at PHC centers across Lebanon are ready for eHealth implementation. The findings of this study can be considered by decision makers to enhance and scale-up the use of eHealth in PHC centers nationally. Efforts should be directed towards capacity building for healthcare providers.
背景:电子健康可对医疗服务的效率和质量产生积极影响。其潜在益处惠及患者、医疗服务提供者及医疗机构。基层医疗(PHC)机构可能尤其能从电子健康中受益。在这些机构中,医疗服务提供者的准备情况是电子健康成功实施的关键。因此,有必要探究提供者使用电子健康工具的潜在准备情况。所以,本研究的目的是评估在黎巴嫩基层医疗中心工作的医疗服务提供者使用电子健康工具的准备情况。 方法:采用自填式问卷来评估参与者的社会人口统计学特征、计算机使用情况、读写能力及获取途径,以及参与者对电子健康实施的准备情况(适宜性、管理支持、变革效能、个人受益)。该研究纳入了在黎巴嫩各地分布的22个基层医疗中心工作的基层医疗服务提供者(医生、护士、其他提供者)。使用描述性和双变量分析(方差分析、独立t检验、克鲁斯卡尔 - 沃利斯检验、塔姆哈尼T2检验)来比较参与者特征与电子健康实施准备水平。 结果:在541份问卷中,213份被完成(回复率:39.4%)。大多数参与者是医生(46.9%)和护士(26.8%)。大多数医生(54.0%)、护士(61.4%)和其他提供者(50.9%)对使用计算机感到自在,且在其基层医疗中心能使用计算机(医生:77.0%,护士:87.7%,其他:92.5%)。计算机使用频率各不相同。研究发现不同医疗服务提供者之间以及相对于参与者使用计算机的自在程度,在个人受益、管理支持和变革效能方面存在显著差异。在使用计算机的自在程度和适宜性方面存在显著差异。在是否能使用计算机方面,在个人受益和变革效能之间也存在显著差异;在计算机使用频率和变革效能之间也存在显著差异。 结论:没有医疗服务提供者的准备就绪,电子健康的实施就无法实现。本研究表明,黎巴嫩各地基层医疗中心的大多数医疗服务提供者已为电子健康实施做好准备。决策者在全国范围内加强和扩大基层医疗中心电子健康的使用时可考虑本研究结果。应致力于医疗服务提供者的能力建设。
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