Farahat Taghreed M, Hegazy Nagwa N, Mowafy Maha
1Professor of Community & Family Medicine,Departments of Family Medicine, Faculty of Medicine,Menoufia University.
2Lecturer of Family Medicine,Departments of Family Medicine, Faculty of Medicine,Menoufia University.
Prim Health Care Res Dev. 2018 Jan;19(1):88-95. doi: 10.1017/S1463423617000470. Epub 2017 Aug 8.
The health sector has always relied on technologies. According to World Health Organization, they form the backbone of the services to prevent, diagnose, and treat illness and disease. It is increasingly viewed as the most promising tool for improving the overall quality, safety and efficiency of the health delivery system. Aim of the study This was to assess the current situation of information and communication technologies (ICTs) in primary healthcare in the terms of describing and classifying the existing work, identify gaps and exploring the personal experiences and the challenges of ICTs application in the primary healthcare. Subjects and methods A mixed research method in the form of sequential explanatory design was applied. In the quantitative phase a cross-sectional study was conducted among 172 family physicians using a predesigned questionnaire. Followed by qualitative data collection among 35 participants through focused group discussions.
Nearly half of the physicians have ICTs in their work and they were trained on it. None of them developed a community-based research using ICTs technology. Training on ICTs showed a statistically significant difference regarding the availability and the type of ICTs present in the workplace (P<0.05). Focused group discussion revealed that the majority of the participants believe that there is poor commitment of policymaker toward ICTs utilization in the primary care. Nearly 97% thinks that there is insufficient budget allocated for ICTs utilization in the workplace. Almost 88% of the participants demanded more incentives for ICTs users than non-user at the workplace.
ICTs resources are underutilized by health information professionals. Lack of funds, risk of instability of the electric supply and lack of incentives for ICTs users were the most common barriers to ICTs implementation thus a steady steps toward budget allocation and continuous training is needed.
卫生部门一直依赖技术。根据世界卫生组织的说法，技术构成了预防、诊断和治疗疾病服务的支柱。它越来越被视为提高卫生服务系统整体质量、安全性和效率的最有前途的工具。
本研究旨在评估初级卫生保健中信息通信技术（ICT）的现状，包括描述和分类现有工作、找出差距以及探索ICT在初级卫生保健中应用的个人经验和挑战。
采用顺序解释性设计的混合研究方法。在定量阶段，使用预先设计的问卷对172名家庭医生进行横断面研究。随后通过焦点小组讨论对35名参与者进行定性数据收集。
近一半的医生在工作中使用ICT，并且接受过相关培训。但他们中没有人利用ICT技术开展基于社区的研究。关于工作场所中ICT的可用性和类型，ICT培训显示出统计学上的显著差异（P<0.05）。焦点小组讨论表明，大多数参与者认为政策制定者在初级保健中对ICT利用的承诺不足。近97%的人认为工作场所用于ICT利用的预算不足。几乎88%的参与者要求对工作场所使用ICT的用户给予比对非用户更多的激励。
卫生信息专业人员对ICT资源利用不足。资金短缺、电力供应不稳定的风险以及对ICT用户缺乏激励是ICT实施最常见的障碍，因此需要朝着预算分配和持续培训稳步迈进。
