Department of Health Information Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Health Management and Economics Research Center, Health Management Research Institute, Iran University of Medical Sciences, Tehran, Iran.
BMC Health Serv Res. 2024 Sep 27;24(1):1130. doi: 10.1186/s12913-024-11633-5.
Abortion and its complications have always been associated with challenges such as the lack of awareness, high cost of receiving in-person services, lack of access to the skilled healthcare workers, distance from healthcare centers in remote areas, and cultural sensitivities. Therefore, the use of mobile health technology in post-abortion care has been suggested. This study aimed to investigate factors influencing the acceptance and use of mhealth technology in post-abortion care.
A mixed-methods study was completed in 2023. Initially, a literature review was conducted. Then, a five-point Likert-scale questionnaire was designed based on the results of the literature review. The research participants were gynecologists (n = 24), midwives (n = 38), and women who had experience of abortion (n = 183). Data were analyzed using descriptive and inferential statistics.
The findings revealed that the participants had different opinions about the importance of motivating and inhibiting factors which included individual, technical, economic, organizational, and ethico-legal aspects. It seems that the individual, organizational, economic, and ethico-legal motivating factors as well as the ethico-legal inhibiting factors were more important than other factors and had higher mean values. In addition, there was a statistically significant difference between the mean values of gynecologists and patients regarding the individual motivating (P = 0.014) and technical inhibiting factors (P = 0.016). The gynecologists' opinions regarding the technical motivating factors were also significantly different from midwives (P = 0.044) and patients (P = 0.010).
Multiple factors may influence the acceptance and use of mhealth technology in post-abortion care. Therefore, mhealth service developers must consider these factors to improve the quality of services and increase technology adoption. This will lead to saving costs, improving health, reducing abortion complications, and ultimately improving quality of life for women. However, further research in patient engagement and health interventions tailored to diverse cultural contexts are recommended.
人工流产及其并发症一直与各种挑战相关，例如意识缺乏、接受面对面服务的成本高、缺乏熟练的医疗保健工作者、偏远地区离医疗中心远以及文化敏感性等。因此，有人建议在流产后护理中使用移动医疗技术。本研究旨在调查影响流产后护理中移动医疗技术接受和使用的因素。
2023 年完成了一项混合方法研究。首先进行文献回顾，然后根据文献回顾的结果设计了一个五点李克特量表问卷。研究参与者包括妇科医生（n=24）、助产士（n=38）和有流产经验的女性（n=183）。使用描述性和推断性统计分析数据。
研究结果表明，参与者对激励和抑制因素的重要性有不同的看法，这些因素包括个人、技术、经济、组织和伦理法律方面。似乎个人、组织、经济和伦理法律激励因素以及伦理法律抑制因素比其他因素更重要，具有更高的平均值。此外，妇科医生和患者在个人激励因素（P=0.014）和技术抑制因素（P=0.016）方面的平均值存在统计学显著差异。妇科医生对技术激励因素的看法也与助产士（P=0.044）和患者（P=0.010）明显不同。
多种因素可能会影响流产后护理中移动医疗技术的接受和使用。因此，移动医疗服务开发者必须考虑这些因素，以提高服务质量并增加技术采用率。这将导致节省成本、改善健康、减少流产并发症，最终提高女性的生活质量。然而，建议进一步研究患者参与度和针对不同文化背景的健康干预措施。
