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减轻加纳农村地区医疗保健障碍:移动医疗技术的提供者和使用者视角。定性探索。

Lessening barriers to healthcare in rural Ghana: providers and users' perspectives on the role of mHealth technology. A qualitative exploration.

机构信息

Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.

Department of Nursing, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.

出版信息

BMC Med Inform Decis Mak. 2020 Feb 10;20(1):27. doi: 10.1186/s12911-020-1040-4.


DOI:10.1186/s12911-020-1040-4
PMID:32041608
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7011292/
Abstract

BACKGROUND: Key barriers to healthcare use in rural Ghana include those of economic, social, cultural and institutional. Amid this, though rarely recognised in Ghanaian healthcare settings, mHealth technology has emerged as a viable tool for lessening most healthcare barriers in rural areas due to the high mobile phone penetration and possession rate. This qualitative study provides an exploratory assessment of the role of mHealth in reducing healthcare barriers in rural areas from the perspective of healthcare users and providers. METHOD: Semi-structured interviews were conducted with 30 conveniently selected healthcare users and 15 purposively selected healthcare providers within the Birim South District in the Eastern Region of Ghana between June 2017 and April 2018. Data were thematically analysed and normative standpoints of participants were presented as quotations. RESULTS: The main findings were that all the healthcare users had functioning mobile phones, however, their knowledge and awareness about mHealth was low. Meanwhile, rural health care users and providers were willing to use mHealth services involving phone call in the future as they perceived the technology to play an important role in lessening healthcare barriers. Nevertheless, factors such as illiteracy, language barrier, trust, quality of care, and mobile network connectivity were perceived as barriers associated with using mHealth in rural Ghana. CONCLUSION: The support for mHealth service is an opportunity for the development of synergistic relationship between health policy planners and mobile network companies in Ghana to design efficient communication and connectivity networks, accessible, localised, user-friendly and cost-effective mobile phone-based health programmes to assist in reducing healthcare barriers in rural Ghana.

摘要

背景:加纳农村地区医疗保健利用的主要障碍包括经济、社会、文化和体制方面的障碍。尽管在加纳的医疗保健环境中很少得到认可,但移动医疗技术已成为减轻农村地区大多数医疗保健障碍的可行工具,因为移动电话的普及率和拥有率很高。这项定性研究从医疗保健用户和提供者的角度对移动医疗技术在减轻农村地区医疗保健障碍方面的作用进行了探索性评估。

方法:2017 年 6 月至 2018 年 4 月期间,在加纳东部地区伯里姆南部地区,对 30 名随机选择的医疗保健用户和 15 名有目的地选择的医疗保健提供者进行了半结构化访谈。对数据进行了主题分析,并以引用的形式呈现了参与者的规范观点。

结果:主要发现是,所有医疗保健用户都有功能正常的手机,但他们对移动医疗的知识和认识水平较低。与此同时,农村医疗保健用户和提供者愿意在未来使用涉及电话的移动医疗服务,因为他们认为这项技术在减轻医疗保健障碍方面发挥着重要作用。然而,诸如文盲、语言障碍、信任、护理质量和移动网络连接等因素被认为是与在加纳农村使用移动医疗相关的障碍。

结论:对移动医疗服务的支持是加纳卫生政策规划者和移动网络公司之间发展协同关系的机会,可以设计高效的通信和连接网络,提供可访问、本地化、用户友好且具有成本效益的基于手机的健康计划,以帮助减轻加纳农村地区的医疗保健障碍。

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本文引用的文献

[1]
Knowledge, attitude, and use of mHealth technology among students in Ghana: A university-based survey.

BMC Med Inform Decis Mak. 2019-11-12

[2]
Community readiness for adopting mHealth in rural Bangladesh: A qualitative exploration.

Int J Med Inform. 2016-9

[3]
Experience of using mHealth to link village doctors with physicians: lessons from Chakaria, Bangladesh.

BMC Med Inform Decis Mak. 2015-8-5

[4]
Determinants of readiness to adopt mHealth in a rural community of Bangladesh.

Int J Med Inform. 2015-10

[5]
Disparities in mobile phone access and maternal health service utilization in Nigeria: a population-based survey.

Int J Med Inform. 2015-5

[6]
mHealth for Smoking Cessation Programs: A Systematic Review.

J Pers Med. 2014-7-18

[7]
Prospects of mHealth services in Bangladesh: recent evidence from Chakaria.

PLoS One. 2014-11-6

[8]
Mobile technologies for disease surveillance in humans and animals.

Onderstepoort J Vet Res. 2014-4-23

[9]
eHealth and mHealth initiatives in Bangladesh: a scoping study.

BMC Health Serv Res. 2014-6-16

[10]
Methods and meanings: credibility and trustworthiness of qualitative research.

Oncol Nurs Forum. 2014-1-1

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