揭示了在坦桑尼亚初级医疗保健中有效决策支持的EHR实施障碍:从从业人员的见解
Augustino Mwogosi1, Stephen Kibusi2
1Department of Information Systems and Technology, University of Dodoma, Dodoma, Tanzania.
Health informatics journal
|November 23, 2024
概括
在坦桑尼亚的初级医疗保健中实施电子健康记录 (EHR) 面临着基础设施不良和工作量问题等障碍. 解决这些问题需要领导层的支持和更好的技术整合,以改善患者的治疗结果.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健中的信息系统
- 公共卫生 公共卫生
背景情况:
- 电子健康记录 (EHR) 系统对于医疗保健中的决策支持至关重要.
- 像坦桑尼亚这样的低资源环境中的初级卫生保健 (PHC) 设施在采用新技术方面面临着独特的挑战.
- 成功实施EHR需要了解上下文障碍和用户接受.
研究的目的:
- 调查阻碍在坦桑尼亚卫生健康中心设施中实施电子健康记录系统的决策支持障碍.
- 提出可行的策略,以克服已识别的EHR实施挑战.
- 为在资源有限的环境中对健康信息学的讨论做出贡献.
主要方法:
- 采用了定性,归纳式的研究方法.
- 数据是通过半结构化采访收集的,采用了坦桑尼亚多多马的14名参与者,使用雪球采样.
- 用主题分析来确定关键障碍,以创新传播 (DOI),技术接受模型 (TAM) 和社会技术系统理论为指导.
主要成果:
- 确定的主要障碍包括领导力支持不足,网络基础设施不足,医疗保健专业人员的工作量增加以及对技术采用的阻力.
- 诸如频繁的系统停机和熟练人员短缺等技术挑战阻碍了有效使用EHR.
- 这些挑战导致运营效率低下,系统采用不完整,并对患者护理结果产生负面影响.
结论:
- 坦桑尼亚医疗保健中心设施中的EHR实施受到领导,基础设施,工作量和技术因素的组合的严重阻碍.
- 解决这些障碍需要采取多方面的方法,包括加强领导力承诺,基础设施开发,用户培训和技术优化.
- 调查结果为决策者,医疗保健领导者和IT开发人员提供了实际建议,以提高EHR在类似的低资源环境中的采用和有效性.
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