沙特阿拉伯王国糖尿病自我管理中的移动健康：障碍与解决方案
mHealth for diabetes self-management in the Kingdom of Saudi Arabia: barriers and solutions.
作者信息
Alanzi Turki
机构信息
Health Information Management and Technology Department, College of Public Health, Imam Abdulrahman Bin Faisal University, Dammam, Kingdom of Saudi Arabia,
出版信息
J Multidiscip Healthc. 2018 Oct 8;11:535-546. doi: 10.2147/JMDH.S174198. eCollection 2018.
PURPOSE
In this paper I present a perspective of mobile health (mHealth) technologies for diabetes in conjunction with an overview of the current status of mHealth technologies for diabetes self-management and the clinical evidence in the Kingdom of Saudi Arabia. In addition, a small survey to identify the barriers to mHealth for diabetes care in the Kingdom and the relevant solutions are discussed.
PARTICIPANTS AND METHODS
In order to study the relevant obstacles for adopting mHealth solutions for diabetes care and to suggest appropriate solutions, a small survey study was conducted with a specific questionnaire deployed to >40 anonymous leading health care professionals and decision-makers of the Kingdom. The survey was distributed by means of a link to the target population through a WhatsApp group. The data were collected during 1 month, and three reminders were sent to the group to complete the survey. Basic descriptive statistics were used to analyze the survey data.
RESULTS
The high percentages of agreement among the participants suggest that mHealth expertise and human shortage; funding and infrastructure investments; legal, privacy standardization and regulatory obstacles; and health care organizational and bureaucracy impediments are barriers to the implementation of mHealth technologies in the self-management of diabetes in this region. However, most of these barriers can be mitigated by the creation of the appropriate leadership and clinical environment in the current health care system.
CONCLUSION
The mHealth technologies for diabetes self-management have not yet been translated successfully in the Kingdom of Saudi Arabia as it was detected in the literature review carried out in this work. Among other possibilities, the causes of this situation are the existence of human, organizational, funding, bureaucracy, and legal barriers, as shown by the results of the survey conducted among decision-makers and senior clinicians of the Kingdom of Saudi Arabia.
目的
在本文中，我将阐述移动健康（mHealth）技术在糖尿病领域的应用前景，并概述mHealth技术在糖尿病自我管理方面的现状以及沙特阿拉伯王国的临床证据。此外，还将讨论一项旨在识别沙特阿拉伯王国糖尿病护理中mHealth应用障碍及相关解决方案的小型调查。
参与者与方法
为了研究采用mHealth解决方案进行糖尿病护理的相关障碍并提出适当的解决方案，我们开展了一项小型调查研究，向沙特阿拉伯王国40多名匿名的主要医疗保健专业人员和决策者发放了一份特定问卷。该调查通过WhatsApp群组向目标人群发送链接进行分发。数据收集为期1个月，并向该群组发送了三次提醒以完成调查。采用基本描述性统计方法分析调查数据。
结果
参与者中高比例的认同表明，mHealth专业知识和人员短缺、资金和基础设施投资、法律、隐私标准化和监管障碍以及医疗保健组织和官僚作风阻碍是该地区在糖尿病自我管理中实施mHealth技术的障碍。然而，通过在当前医疗保健系统中营造适当的领导环境和临床环境，这些障碍大多可以得到缓解。
结论
正如本研究文献综述中所发现的那样，沙特阿拉伯王国尚未成功将用于糖尿病自我管理的mHealth技术转化应用。在其他可能的原因中，这种情况的原因包括存在人力、组织、资金、官僚作风和法律障碍，沙特阿拉伯王国决策者和高级临床医生的调查结果表明了这一点。
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