移动健康是否会影响社区卫生工作者在弱势群体中的表现? 在乌干达的一个跨国难民定居点进行的一项混合方法研究
Michael T Wagaba1, David Musoke2, Arthur Bagonza1
1Department of Community Health and Behavioral Sciences, School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda.
PLOS global public health
|December 29, 2023
概括
难民定居点的社区卫生工作者表现不佳,只有17%的表现最佳. 建议采用移动健康 (mHealth) 和改善工作条件,以提高医疗保健的有效性.
科学领域:
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
- 全球健康 全球健康
背景情况:
- 社区卫生工作者 (CHWs) 对于在服务不足的人群中提供医疗保健至关重要,包括难民定居点.
- 医疗保健的表现经常受到各种挑战的阻碍,促使人们采用移动无线技术 (m-Health).
- 评估CHW的表现和难民环境中的影响因素对于优化医疗保健服务至关重要.
研究的目的:
- 评估社区卫生工作者 (CHWs) 在多国难民安置中的表现.
- 确定与CHW绩效相关的因素,比较m-Health和基于纸张的方法.
- 为改善CHW在难民环境中的表现提供建议.
主要方法:
- 一项采用混合定量和定性数据收集方法的横截面研究.
- 来自300家医疗保健机构的绩效记录的定量数据; 来自焦点小组讨论,深入访谈和关键信息人访谈的定性数据.
- 对定性数据进行主题分析 (AtlasTi v9) 和对定量数据进行统计分析 (Stata v14).
主要成果:
- 只有17%的CHW表现出最佳表现;10分之2的表现令人满意.
- 显著影响表现的因素包括高等教育,副职业和m-Health使用 (显示了负相关性,表明表现改善).
- 定性发现强调工作量,激励和物质充足是关键影响因素,对基于纸张的方法的移动健康有强烈的偏好.
结论:
- 难民营中医疗卫生服务的表现仍然不理想,需要有针对性的干预措施.
- 移动健康 (m-Health) 技术和改善的工作条件对于提高医疗保健工作效率至关重要.
- 执行伙伴应优先采用移动健康,并解决工作量和激励措施等因素,以提高医疗保健的有效性.
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