HISP Centre & Department of Informatics, University of Oslo, Norway.
SINTEF Digital, Trondheim, Norway.
Stud Health Technol Inform. 2022 Nov 3;299:33-43. doi: 10.3233/SHTI220961.
eHealth applications and tools have the potential to improve coordination, knowledge, and information sharing between health professionals as well as continuity of care. One of the main obstacles hindering its full integration and use, particularly in the healthcare sector in developing and low and middle-income countries is the lack of qualified staff and healthcare personnel. To explore obstacles that hinder capacity and innovation promotion initiatives, a survey was conducted among BETTEReHEALTH partners. A questionnaire was used to collect quantitative data from 37 organizations. Although there are different buckets of capacity-building and innovation promotion activities going on, the findings showed very few targeting policymakers and eHealth specialists. The findings found that obstacles to capacity building and innovation promotion include lack of finance, poor infrastructure, poor leadership, and governance, and these obstacles are context or region specific. Findings from our study concur with those from previous research on the need to identify practical solutions and simple interventions to address eHealth obstacles to capacity building in developing countries. As measures to mitigate these obstacles, our study proposed the need for adequate policies, strong political commitment, the development of academic modules to be integrated into existing educational programs, and the creation of more in-country and on-site capacity-building activities. While this study contributes to the discourse on eHealth capacity-building and innovation promotion initiatives among healthcare and public health professionals, the study has a limitation as data was collected only from BETTEReHEALTH partners.
电子健康应用程序和工具有可能改善卫生专业人员之间的协调、知识和信息共享以及护理的连续性。阻碍其充分整合和使用的主要障碍之一,特别是在发展中国家和中低收入国家的医疗保健部门,是缺乏合格的员工和医疗保健人员。为了探索阻碍能力建设和创新促进举措的障碍,对 BETTEReHEALTH 合作伙伴进行了调查。问卷调查收集了来自 37 个组织的定量数据。尽管正在开展不同的能力建设和创新促进活动,但调查结果表明,针对政策制定者和电子健康专家的活动很少。调查结果表明,能力建设和创新促进的障碍包括缺乏资金、基础设施差、领导不力和治理不善,这些障碍具有特定的背景或区域特点。本研究的结果与先前关于需要确定切实可行的解决方案和简单干预措施以解决发展中国家电子卫生能力建设障碍的研究结果一致。作为减轻这些障碍的措施,本研究提出需要制定适当的政策、坚定的政治承诺、开发要纳入现有教育计划的学术模块以及开展更多的国内和现场能力建设活动。虽然这项研究有助于医疗保健和公共卫生专业人员就电子卫生能力建设和创新促进举措进行讨论,但这项研究存在局限性,因为数据仅来自 BETTEReHEALTH 合作伙伴。
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