菲律宾电子健康实施的形成性评估:一种定性研究
Bettina D Evio1, Sheila R Bonito1
1College of Nursing, University of the Philippines Manila.
Acta medica Philippina
|July 29, 2024
概括
实施信息和通信技术 (ICT) 用于健康,或电子健康,需要解决上下文,过程和内容因素. 菲律宾成功采用电子健康取决于领导力,利益相关者的参与,资源,准备以及适当的解决方案设计.
科学领域:
- 医疗信息学 医疗信息学
- 公共卫生 公共卫生
- 信息系统信息系统信息系统
背景情况:
- 信息和通信技术 (ICT) 用于健康,称为电子健康,对于普遍获得医疗保健至关重要.
- 识别电子健康的促进者和障碍者至关重要,特别是在像菲律宾这样的资源有限的环境中.
- 这项研究与菲律宾电子健康战略框架和2014-2020年计划一致.
研究的目的:
- 确定影响菲律宾实施电子健康解决方案的因素.
- 分析菲律宾电子卫生战略框架和计划的开发过程和初始成果.
- 确定影响eHealth采用的上下文,流程和内容因素.
主要方法:
- 在菲律宾的15个早期采用市镇/城市进行了一项描述性-定性研究.
- 数据是通过对电子健康解决方案的审查和与医疗保健专业人员的关键信息人采访收集的.
- 使用定向内容分析来综合影响因素.
主要成果:
- 电子医疗记录是实施的主要电子健康解决方案.
- 环境因素 (个人特征,政策,第三方支持),过程因素 (实施实践,参与,资源管理) 和内容因素 (电子卫生设计,适应性,互操作性) 显著影响了实施.
- 这些因素的限制可能会使实施复杂化,导致浪费时间和资源.
结论:
- 对电子卫生实施因素的多维理解对于卫生系统的实用性至关重要.
- 成功实施电子健康需要强有力的领导,治理,利益相关者参与,充足的资源,以及对变革的准备.
- 适当的电子健康解决方案设计和全面的培训对于成功采用至关重要.
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