Dublin City University, Ireland.
University College Cork, Ireland.
Health Informatics J. 2020 Dec;26(4):2637-2659. doi: 10.1177/1460458220909715. Epub 2020 Jun 20.
Despite the benefits promised by mobile health, the introduction of these solutions is often met with resistance from various stakeholders. This article adopts a shared mental model approach to unearth the current perceptions, concerns, and mentalities of key stakeholders engaged in the provision of healthcare in Nigeria. These include policy makers, academics, healthcare professionals, and health information systems developers. Interviews and focus groups were used to examine stakeholders' views across three mental models: (1) the technology, (2) processes, and (3) the team. Our investigations reveal disparities in stakeholders' existing mental models and their perceptions of the proposed mobile health solution. We argue that fostering a common understanding of mobile health, as well as elucidating an improved understanding of processes and team behaviours, will mitigate the risk of resistance among stakeholders involved in the design and delivery of community healthcare services and culminate in a positive attitude towards new mobile health solutions among these stakeholders. We highlight the need to enhance communication and training from national to rural levels to promote complementary mental models and positively influence team performance.
尽管移动医疗带来了诸多益处，但这些解决方案的引入常常遭到来自各方利益相关者的抵制。本文采用共享心智模型方法，揭示了在尼日利亚从事医疗保健服务的关键利益相关者（包括政策制定者、学者、医疗保健专业人员和健康信息系统开发者）当前的认知、关注点和心态。我们采用访谈和焦点小组的方式，从三个心智模型（技术、流程和团队）来考察利益相关者的观点。调查结果显示，利益相关者现有的心智模型及其对拟议的移动医疗解决方案的看法存在差异。我们认为，促进对移动医疗的共同理解，以及阐明对流程和团队行为的更好理解，将减轻参与社区医疗服务设计和提供的利益相关者的抵制风险，并最终促使这些利益相关者对新的移动医疗解决方案持积极态度。我们强调需要加强从国家到农村各级的沟通和培训，以促进互补的心智模型，并对团队绩效产生积极影响。
