Team AHead, Bordeaux Population Health INSERM-U1219, Univ. Bordeaux, Bordeaux, 33000, France.
Ministry of Health and Public Hygiene, Ouagadougou, Burkina Faso.
BMC Med Inform Decis Mak. 2024 Jun 19;24(1):171. doi: 10.1186/s12911-024-02574-4.
Digital health is being used as an accelerator to improve the traditional healthcare system, aiding countries in achieving their sustainable development goals. Burkina Faso aims to harmonize its digital health interventions to guide its digital health strategy for the coming years. The current assessment represents upstream work to steer the development of this strategic plan.
This was a quantitative, descriptive study conducted between September 2022 and April 2023. It involved a two-part survey: a self-administered questionnaire distributed to healthcare information managers in facilities, and direct interviews conducted with software developers. This was complemented by a documentary review of the country's strategic and standards documents on digital transformation.
Burkina Faso possesses a relatively comprehensive collection of governance documents pertaining to digital transformation. The study identified a total of 35 digital health interventions. Analysis showed that 89% of funding originated from technical and financial partners as well as the private sector. While the use of open-source technologies for the development of the applications, software, or platforms used to implement these digital health interventions is well established (77%), there remains a deficiency in the integration of data from different platforms. Furthermore, the classification of digital health interventions revealed an uneven distribution between the different elements across domains: the health system, the classification of digital health interventions (DHI), and the subsystems of the National Health Information System (NHIS). Most digital health intervention projects are still in the pilot phase (66%), with isolated electronic patient record initiatives remaining incomplete. Within the public sector, these records typically take the form of electronic registers or isolated specialty records in a hospital. Within the private sector, tool implementation varies based on expressed needs. Challenges persist in adhering to interoperability norms and standards during tool design, with minimal utilization of the data generated by the implemented tools.
This study provides an insightful overview of the digital health environment in Burkina Faso and highlights significant challenges regarding intervention strategies. The findings serve as a foundational resource for developing the digital health strategic plan. By addressing the identified shortcomings, this plan will provide a framework for guiding future digital health initiatives effectively.
数字健康正在被用作改善传统医疗体系的加速器，帮助各国实现其可持续发展目标。布基纳法索旨在协调其数字健康干预措施，以指导未来几年的数字健康战略。当前的评估代表了引导该战略计划制定的上游工作。
这是一项于 2022 年 9 月至 2023 年 4 月间进行的定量、描述性研究。它包括两部分调查：一是向医疗机构的医疗信息管理人员分发的自填式问卷，二是对软件开发人员进行的直接访谈。此外，还对该国关于数字转型的战略和标准文件进行了文献回顾。
布基纳法索拥有相对全面的数字转型治理文件集。研究确定了总共 35 项数字健康干预措施。分析表明，89%的资金来自技术和财务伙伴以及私营部门。虽然使用开源技术来开发用于实施这些数字健康干预措施的应用程序、软件或平台已经很成熟（77%），但不同平台的数据集成仍存在不足。此外，数字健康干预措施的分类显示，不同领域的不同元素之间分布不均：卫生系统、数字健康干预措施分类（DHI）和国家卫生信息系统（NHIS）的子系统。大多数数字健康干预项目仍处于试点阶段（66%），孤立的电子患者记录倡议仍未完成。在公共部门，这些记录通常以电子登记簿或医院内孤立的专科记录的形式存在。在私营部门，工具的实施取决于表达的需求。在工具设计过程中遵守互操作性规范和标准仍然存在挑战，所实施工具生成的数据利用率极低。
本研究深入了解了布基纳法索的数字健康环境，并强调了干预策略方面的重大挑战。研究结果为制定数字健康战略计划提供了基础资源。通过解决已确定的不足之处，该计划将为有效指导未来的数字健康计划提供框架。
