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A technology selection framework for supporting delivery of patient-oriented health interventions in developing
Connie V Chan1, David R Kaufman
1Department of Biomedical Informatics, Columbia University, NY 10032, USA. connie.chan@dbmi.columbia.edu
This study introduces a framework to guide the selection of health information technologies (HIT) for developing countries. It helps choose appropriate patient-oriented technologies to overcome access barriers and improve healthcare delivery.
Area of Science:
- Global Health
- Health Informatics
- Technology Adoption
Background:
- Health information technologies (HIT) offer innovative solutions for global healthcare challenges.
- Developing countries face unique access and resource barriers in healthcare delivery.
- Existing models and evidence for selecting HIT in these settings are limited.
Purpose of the Study:
- To propose a novel framework for selecting patient-oriented health information technologies in developing countries.
- To provide structured guidance for technology selection, addressing specific contextual needs.
- To enhance the effective implementation of HIT in resource-limited settings.
Main Methods:
- Development of a three-level selection framework: situational factors, technology-intervention-patient relationship, and empirical evidence.
- Utilizing a filtering process to narrow down technology choices based on defined constraints.
- Demonstration of the framework's utility through a case study involving mobile health interventions for cardiovascular disease risk reduction.
Main Results:
- The proposed framework offers a systematic approach to technology selection for patient-oriented interventions.
- It effectively guides the choice of technologies by considering context, intervention fit, and evidence.
- Mobile phones were identified as a viable technology for behavioral health interventions in the case study.
Conclusions:
- The framework provides a valuable tool for selecting appropriate HIT in developing countries.
- It can be adapted across various health domains to assess technology suitability for interventions and target populations.
- Implementing this framework can improve the strategic deployment of health technologies to address global health disparities.
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