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利用技术:肯尼亚克里乔县医疗保健领域信息通信技术的横断面研究。

Utilizing technology: A cross-sectional study on ICT in healthcare in Kericho County, Kenya.

作者信息

Tareh Cyrus T, Kosgei Rose J, Opiyo Elisha O

机构信息

Department of Biological Sciences, University of Kabianga, Kericho, Kenya.

Department of Pediatrics and Child Health, Faculty of Health Sciences, University of Nairobi, Nairobi, Kenya.

出版信息

Front Health Inform. 2023;12(1). doi: 10.30699/fhi.v12i0.479. Epub 2023 Sep 9.

Abstract

INTRODUCTION

The potential for Information and Communication Technology (ICT) in healthcare is immense, revolutionizing the delivery of medical services and improving patient outcomes. ICT efficiently manages health information, facilitating electronic health records (EHRs) and streamlined communication among healthcare professionals, leading to significant changes, especially in underserved areas.

MATERIAL AND METHODS

This cross-sectional study took place between March and April 2023 among healthcare professionals in Kericho County, Kenya. Participants were selected using simple random sampling and completed a self-administered questionnaire. Data on the ICT status of health facilities were collected using a checklist. The qualitative component involved key informant interviews with a health record and information department officer. Collected data were entered into Excel and analysed using R software for quantitative data and thematic analysis for qualitative data.

RESULTS

The study engaged 201 participants. Findings showed a 67.66% [95% CI=0.607, 0.741]; p-value<0.0001, uptake of ICT among healthcare workers. Those with computer training were approximately 10 times [OR = 10.867, 95% CI=3.121, 40.99] more likely to utilize ICT in service delivery than those without IT training. Operating at least one healthcare database was associated with over 2 times [OR=2.552, 95% CI=0.7475, 8.7195] higher likelihood of ICT uptake compared to those without this skill. Health facilities with eHealth platforms showed, on average, 38% higher [OR=1.386, 95% CI=0.7661, 2.223] utilization of ICT than those without.

CONCLUSION

IT training for personnel is crucial, ensuring they can operate preferred health management and information systems (HMIS) within the sector. The presence of an IT department and the use of ICT for administrative purposes significantly affected the general uptake of ICT in health facilities. Additionally, infrastructure such as roads, power, and security had a significant association with ICT compliance. Improving these supportive elements will considerably enhance ICT uptake in healthcare.

摘要

引言

信息通信技术(ICT)在医疗保健领域的潜力巨大,它正在彻底改变医疗服务的提供方式并改善患者治疗效果。ICT有效地管理健康信息,促进电子健康记录(EHR)以及医疗保健专业人员之间的简化沟通,带来了重大变革,尤其是在服务不足的地区。

材料与方法

这项横断面研究于2023年3月至4月在肯尼亚克里乔县的医疗保健专业人员中进行。参与者采用简单随机抽样选取,并完成一份自填式问卷。使用清单收集关于医疗机构ICT状况的数据。定性部分涉及对健康记录和信息部门官员的关键信息提供者访谈。收集的数据录入Excel,并使用R软件进行定量数据分析,定性数据进行主题分析。

结果

该研究纳入了201名参与者。研究结果显示,医疗保健工作者中ICT的使用率为67.66%[95%置信区间=0.607, 0.741];p值<0.0001。接受过计算机培训的人员在服务提供中使用ICT的可能性比未接受IT培训的人员高出约10倍[比值比=10.867, 95%置信区间=3.121, 40.99]。与没有此技能的人相比,运营至少一个医疗保健数据库与ICT使用率高出2倍多[比值比=2.552, 95%置信区间=0.7475, 8.7195]相关。拥有电子健康平台的医疗机构,其ICT利用率平均比没有的机构高38%[比值比=1.386, 95%置信区间=0.7661, 2.223]。

结论

对人员进行IT培训至关重要,以确保他们能够在该部门内操作首选的健康管理和信息系统(HMIS)。IT部门的存在以及将ICT用于行政目的显著影响了医疗机构中ICT的总体使用率。此外,道路、电力和安全等基础设施与ICT合规性有显著关联。改善这些支持性要素将大大提高医疗保健领域对ICT的使用率。

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