在发展中国家成功采用数字卫生系统的概念框架
Haythem Nakkas1, Philip Scott2
1School of Computing, University of Portsmouth, Portsmouth, UK.
Studies in health technology and informatics
|July 1, 2025
概括
在发展中国家实施数字卫生系统 (DHS) 需要解决基础设施和劳动力限制等障碍. 影响力网络框架 (NIF) 确定了成功改善医疗保健的关键因素.
科学领域:
- 医疗信息学 医疗信息学
- 全球健康 全球健康
- 卫生系统研究 卫生系统研究
背景情况:
- 数字卫生系统 (DHS) 为改善发展中国家的医疗保健提供了巨大的潜力.
- 实施经常受到政治不稳定,文化抵抗,基础设施不足和劳动力短缺等挑战的阻碍.
研究的目的:
- 制定一个全面的框架,以了解和克服发展中国家实施数字卫生系统 (DHS) 的障碍.
- 确定影响DHS采用和可持续性的关键成功因素和相互依存关系.
主要方法:
- 采用混合方法方法,将系统文献综述与深入访谈 (n=25) 和调查 (n=350) 结合起来.
- 影响力网络框架 (NIF) 通过这个研究过程被开发和完善.
主要成果:
- 精细的NIF突出了关键的成功因素,如减轻大脑流失,增强能力建设,促进基于证据的实践,并保护组织记忆.
- 该框架强调了推动者和障碍者之间的复杂关系,并指出了基础设施赤字和对变革的抵抗等系统性问题如何阻碍领导和监管工作.
结论:
- 为了在发展中国家成功实施DHS,需要采用特定环境的战略,以整体的方式解决已识别的推动因素和障碍.
- 建议进行进一步的研究,调查这些因素之间的相互依赖关系,旨在促进可持续和包容性的医疗保健提供模式.
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