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在一个发展中国家的传染病流行病背景下验证Delone和McLean的模型
Uche Ikenyei1, Nicole Haggerty2
1Western University, London, ON, Canada. uikenyei@uwo.ca.
BMC infectious diseases
|June 17, 2024
概括
德洛恩和麦克莱恩的故事
科学领域:
- 医疗信息学 医疗信息学
- 信息系统的成功信息系统的成功
- 流行病的准备 流行病的准备
背景情况:
- 验证DeLone和McLean最新的信息系统成功模型 (D&MISS) 在发展中国家的传染病大流行准备和应对中.
- 提高卫生信息系统 (HIS) 的性能,以应对发展中国家未来的流行病准备和应对.
- 解决在卫生危机期间需要基于证据的政策来改善发展中国家的HIS.
研究的目的:
- 评估D&MISS模型在多大程度上可以提供证据来加强HIS在发展中国家的传染病流行病准备和应对.
- 在发展中国家公共卫生紧急情况的具体背景下验证D&MISS模型.
主要方法:
- 横截面研究设计,采用多阶段概率抽样方法.
- 包括尼日利亚和利比里亚的576名初级医疗保健工作者 (96%的响应率).
- 结构方程建模 (SEM) 使用部分最小平方 (PLS) 方法分析基于D&MISS模型的九个假设关系.
主要成果:
- D&MISS模型解释了70%的净利差异,使用和用户满意度是关键预测因素.
- 在9个假设关系中,有8个得到了支持;信息质量与使用的关系并不显著.
- 系统质量和使用,用户满意度和净收益显示出最强的显著正面关系 (p < 0.05).
结论:
- D&MISS模型对于识别发展中国家的疫情准备和应对方面的卫生信息系统缺口具有重要意义.
- 建议进行修改和特定背景的维度,以提高D&MISS模型在发展中国家的适用性.
- 该研究提供了改善HIS的证据,以加强资源有限的环境中的疫情准备和应对能力.
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