Saouadogo Issaka, Massom Douglas Mbang, Kabore Soutongnoma Safiata, Fomete Djatsa Ronny Kevin, Seu Josiane, Ngangue Patrice
Institute for Interdisciplinary Research Training in Health Sciences and Education, Ouagadougou, Burkina Faso.
Epidemiology, Intervention and Training Department, Epicentre, Yaounde, Cameroon.
Int J MCH AIDS. 2024 Mar 14;13:e002. doi: 10.25259/IJMA_650. eCollection 2024.
Most countries in sub-Saharan Africa need to catch up in integrating information and communication technologies (ICT) into their health systems. This is mainly because of the need for more infrastructure that allows for reasonable use of the technologies. To support the actions of the Ministry of Health of Burkina Faso, a Non-governmental Organization (NGO) has implemented the integrated electronic diagnostic approach (IeDA) Project. The project includes the deployment of an electronic consultation register (ECR). This article aims to explore the perceptions of healthcare providers on the benefits and disadvantages of using the ECR.
We conducted a qualitative, descriptive study through individual semi-structured interviews with healthcare providers. Data were collected in the Toma health district in December 2021. In addition, a thematic analysis was performed using NVivo software.
Thirty-five healthcare workers were interviewed (19 nurses, 7 midwives, 6 mobile community health and hygiene workers, and 3 birth attendants). Two main themes emerged from our analyses, which are the advantages and disadvantages perceived by ECR users. Our data suggest that using the ECR had many benefits ranging from improving healthcare providers' knowledge and performance in terms of patients' care, assisting and helping in patient diagnosis and treatment and improving patient satisfaction. However, the participants also shared their negative perceptions about the ECR, mentioning that it increased their workload. They also reported lengthened consultation time and work duplication as the tool was still in its trial phase and was used along with the paper consultation register.
The ECR is an effective tool for diagnosis and management, which has several advantages and reasonably satisfies patients. However, disadvantages, including increased workload and lack of fluidity and stability of the system, must be considered to ensure better usability.
撒哈拉以南非洲的大多数国家需要在将信息通信技术(ICT)融入其卫生系统方面迎头赶上。这主要是因为需要更多基础设施以合理利用这些技术。为支持布基纳法索卫生部的行动,一个非政府组织实施了综合电子诊断方法(IeDA)项目。该项目包括部署电子咨询登记册(ECR)。本文旨在探讨医疗服务提供者对使用ECR的利弊的看法。
我们通过对医疗服务提供者进行个人半结构化访谈开展了一项定性描述性研究。2021年12月在托马健康区收集数据。此外,使用NVivo软件进行了主题分析。
对35名医护人员进行了访谈(19名护士、7名助产士、6名流动社区卫生与卫生工作者以及3名接生员)。我们的分析得出两个主要主题,即ECR用户感知到的优点和缺点。我们的数据表明,使用ECR有诸多益处,包括提高医疗服务提供者在患者护理方面的知识和表现、协助患者诊断和治疗以及提高患者满意度。然而,参与者也分享了他们对ECR的负面看法,提到它增加了他们的工作量。他们还报告说,由于该工具仍处于试验阶段且与纸质咨询登记册一起使用,咨询时间延长且工作重复。
ECR是一种有效的诊断和管理工具,有诸多优点且能合理满足患者需求。然而,必须考虑到其缺点,包括工作量增加以及系统缺乏流畅性和稳定性,以确保更好的可用性。