在改善埃塞俄比亚结核病护理方面采用数字坚持技术的促进者和障碍:一项定性研究
Zewdneh Shewamene1, Mahilet Belachew2, Amanuel Shiferaw2
1London School of Hygiene & Tropical Medicine, London, United Kingdom.
PLOS digital health
|November 21, 2024
概括
数字坚持技术 (DAT) 在埃塞俄比亚对结核病 (TB) 治疗的接受率很高,改善了患者的坚持和关系. 网络问题和耻辱感等关键障碍存在,但扩大规模的机会也存在.
科学领域:
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
- 数字健康数字健康
背景情况:
- 结核病 (TB) 的直接观察疗法 (DOT) 有局限性.
- 数字坚持技术 (DATs) 为改善结核病治疗完成提供了以人为中心的替代方案.
- 在现实环境中缺乏关于促进者和阻碍DAT采用障碍的证据.
研究的目的:
- 探讨埃塞俄比亚采用数字依附技术 (DAT) 的促进者和障碍.
- 收集结核病患者 (PWTB),医疗保健工作者 (HCW) 和政策利益相关者的观点.
- 为结核病治疗中的DAT提供政策和计划实施信息.
主要方法:
- 定性研究设计. 定性研究设计.
- 从埃塞俄比亚的PWTB,HCW和主要政策利益相关方收集数据.
- 对参与者对DAT实施的观点的分析.
主要成果:
- 据报道,尽管存在实施挑战,但DAT的普及率很高.
- DATs提高了患者的坚持,灵活性和患者与医疗服务提供者的关系,减少了治疗负担.
- 促进者包括简单性,积极的社会反和政策机会.
- 障碍包括网络问题,缺乏包容性,以及对耻辱的担忧.
- 糟糕的基础设施被确定为一个重要的障碍.
结论:
- 在埃塞俄比亚的各种参与者中,DAT的接受度很高.
- 为了成功实施DAT,需要解决基础设施和耻辱等关键障碍.
- 政策利益相关者看到了可行的DAT实施,适应和扩展的机会.
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