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利用健康信息技术的障碍和促进因素:范围综述。

Barriers and facilitators of using health information technologies by women: a scoping review.

机构信息

Department of Health Information Technology, Faculty of Paramedical, Ilam University of Medical Sciences, Ilam, Iran.

School of medicine, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

BMC Med Inform Decis Mak. 2023 Sep 5;23(1):176. doi: 10.1186/s12911-023-02280-7.

Abstract

BACKGROUND AND AIM

Health information technologies play a vital role in addressing diverse health needs among women, offering a wide array of services tailored to their specific requirements. Despite the potential benefits, the widespread utilization of these technologies by women faces numerous barriers and challenges. These barriers can cause women to either reduce their usage of health technologies or refrain from using them altogether. Therefore, this review was done with the aim of identifying and classifying barriers and facilitators.

METHODS

Some databases, including PubMed, Web of Sciences, and Scopus were searched using related keywords. Then, according to the inclusion and exclusion criteria, the articles were evaluated and selected. Finally, the barriers and facilitators were identified and classified.

RESULTS

Out of 14,399 articles, finally 35 articles were included in the review. In general, 375 barriers (232 items) and facilitators (143 items) were extracted from the studies. After merging similar items, 121 barriers (51 items) and facilitators (70 items) identified were organized into five main themes (management, technological, legal and regulatory, personal, and data and information management). The most important barriers were "privacy, confidentiality, and security concerns" (n = 24), "deficiencies and limitations of infrastructure, software, hardware, and network" (n = 19), "sociocultural challenges" (n = 15), and "poor economic status" (n = 15). Moreover, the most important facilitators were "increasing awareness, skills and continuous education of women" (n = 17, in personal theme), "providing training services" (n = 14, in management theme), "simple, usable, and user-friendly design of technologies" (n = 14, in technological theme), and "providing financial or non-financial incentives (motivation) for women" (n = 14, in personal theme).

CONCLUSION

This review showed that in order to use technologies, women face many barriers, either specific to women (such as gender inequality) or general (such as lack of technical skills). To overcome these barriers, policymakers, managers of organizations and medical centers, and designers of health systems can consider the facilitators identified in this review.

摘要

背景与目的

健康信息技术在满足女性多样化的健康需求方面发挥着至关重要的作用,为满足她们的特定需求提供了广泛的定制服务。尽管这些技术具有潜在的益处,但女性广泛使用这些技术面临着众多障碍和挑战。这些障碍可能导致女性减少或完全放弃使用健康技术。因此,本综述旨在识别和分类障碍和促进因素。

方法

使用相关关键词在 PubMed、Web of Sciences 和 Scopus 等一些数据库中进行搜索。然后,根据纳入和排除标准对文章进行评估和选择。最后,确定并分类了障碍和促进因素。

结果

在 14399 篇文章中,最终有 35 篇文章被纳入综述。总的来说,从研究中提取了 375 个障碍(232 项)和促进因素(143 项)。在合并相似项目后,确定了 121 个障碍(51 项)和促进因素(70 项),并将其组织成五个主要主题(管理、技术、法律和监管、个人和数据及信息管理)。最重要的障碍是“隐私、保密性和安全问题”(n=24)、“基础设施、软件、硬件和网络的缺陷和限制”(n=19)、“社会文化挑战”(n=15)和“经济状况不佳”(n=15)。此外,最重要的促进因素是“提高妇女的意识、技能和持续教育”(n=17,在个人主题)、“提供培训服务”(n=14,在管理主题)、“技术的简单、可用和用户友好的设计”(n=14,在技术主题)和“为妇女提供财务或非财务激励(动机)”(n=14,在个人主题)。

结论

本综述表明,为了使用技术,女性面临许多障碍,这些障碍要么是特定于女性的(如性别不平等),要么是普遍的(如缺乏技术技能)。为了克服这些障碍,政策制定者、组织和医疗中心的管理人员以及卫生系统的设计者可以考虑本综述中确定的促进因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1acc/10478440/258c33022b87/12911_2023_2280_Fig1_HTML.jpg

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