当代码与护理相结合时:为可持续的初级卫生系统重新考虑新兴的数字健康技术
1Department of Information Systems and Technology, The University of Dodoma, Dodoma City, Tanzania.
Journal of health organization and management
|November 3, 2025
概括
数字健康技术可以提高坦桑尼亚的初级医疗保健可持续性. 然而,成功实施需要解决运营,机构和环境因素,以及强有力的培训和政策支持.
科学领域:
- 卫生系统研究 卫生系统研究
- 数字健康数字健康
- 主要医疗保健 可持续性 主要医疗保健 可持续性
背景情况:
- 在资源较低的环境中,初级医疗保健系统面临着可持续性挑战.
- 新兴的数字健康技术提供了潜在的解决方案,但需要仔细整合.
- 了解这些技术的多维影响至关重要.
研究的目的:
- 调查数字卫生技术对坦桑尼亚初级医疗保健可持续性的影响.
- 分析可持续性的运营,机构,社会和环境层面.
- 确定成功实施数字健康的关键预测因素.
主要方法:
- 使用定量 (问卷) 和定性 (访谈) 数据进行融合混合方法设计.
- 基于技术-组织-环境 (TOE) 框架的回归分析.
- 对参与者的感知和经验进行主题分析.
主要成果:
- 可用性,可靠性和员工能力预测了运营可持续性 (R2=0.760).
- 培训,领导和政策支持预测了机构的可持续性 (R2=0.844).
- 由于基础设施和融资问题,环境可持续性最低;定性数据显示对公平和治理的担忧.
结论:
- 该研究将TOE框架扩展到初级医疗保健中的多维可持续性.
- 可持续的数字健康需要技术,组织和政策的协调.
- 解决环境弹性和公平性对于在低资源环境中包容性数字健康至关重要.
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