Konduri Niranjan, Bastos L Gustavo V, Sawyer Kelly, Reciolino L Fernando A
Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program, Management Sciences for Health, 4301 N. Fairfax Dr., Suite 400, Arlington, VA 22203, USA.
Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program, Management Sciences for Health, 4301 N. Fairfax Dr., Suite 400, Arlington, VA 22203, USA.
Int J Med Inform. 2017 Jun;102:118-129. doi: 10.1016/j.ijmedinf.2017.03.017. Epub 2017 Mar 27.
e-TB Manager, a web-based eHealth system has been successfully institutionalized in 10 resource-constrained countries that account for one-third of the world's tuberculosis (TB) burden, but user experience has never been evaluated.
A cross-sectional, anonymous survey in eight unique languages based on the targeted countries. e-TB Manager users included nurses, doctors, pharmacists, statisticians/data officers, laboratory professionals/assistants, health workers, and administrators.
With an 86.3% completion rate for all required questions, 1,511 completed responses were analyzed. Users had worked in TB programs for a median of five years and had used e-TB Manager for a median of two years. Overall, 60.2% of respondents were female, 65% were clustered in the age groups of 30-39 and 40-49 years old, and nearly half (49%) were using e-TB Manager at the district and sub-district levels of a country's health system. Older respondents aged over 50, regardless of location and with at least 6 or more years of experience in public-sector TB programs, had higher mean satisfaction scores than did their younger counterparts. Overall, those who had used e-TB Manager for more than two years had significantly higher mean scores for the majority of the survey statements than did those who had used e-TB Manager for less than two years. Ukraine had significantly higher mean scores for finding patient information available in e-TB Manager and in its benefit in improving patient care compared to Brazil, Armenia, Nigeria, and Indonesia. Brazil and Ukraine differed significantly from five other countries in that they did not need additional training, thereby demonstrating their institutional capacity after more than five years of using e-TB Manager.
Although users gave high ratings to e-TB Manager in terms of helping to improve patient care, found it to be reliable, and were generally satisfied, there is need for a combination of refresher training and e-learning methodologies to keep pace with programmatic changes.
电子结核病管理系统（e-TB Manager）是一个基于网络的电子健康系统，已在10个资源有限的国家成功制度化，这些国家承担着全球三分之一的结核病负担，但从未对用户体验进行过评估。
在目标国家开展了一项基于八种语言的横断面匿名调查。e-TB Manager用户包括护士、医生、药剂师、统计学家/数据官员、实验室专业人员/助理、卫生工作者和管理人员。
所有必填问题的完成率为86.3%，共分析了1511份完整回复。用户在结核病项目中的工作年限中位数为五年，使用e-TB Manager的年限中位数为两年。总体而言，60.2%的受访者为女性，65%集中在30至39岁和40至49岁年龄组，近一半（49%）在国家卫生系统的地区和分区层面使用e-TB Manager。50岁以上的年长受访者，无论身处何地且在公共部门结核病项目中至少有6年或以上经验，其平均满意度得分均高于年轻受访者。总体而言，使用e-TB Manager超过两年的受访者在大多数调查项目上的平均得分显著高于使用e-TB Manager不到两年的受访者。与巴西、亚美尼亚、尼日利亚和印度尼西亚相比，乌克兰在查找e-TB Manager中的患者信息及其在改善患者护理方面的益处方面，平均得分显著更高。巴西和乌克兰与其他五个国家的显著不同之处在于，它们不需要额外培训，这表明在使用e-TB Manager五年多后它们具备了机构能力。
尽管用户对e-TB Manager在帮助改善患者护理方面给予了高度评价，认为其可靠且总体满意，但仍需要结合进修培训和电子学习方法，以跟上项目变化的步伐。
