肯尼亚贫困社区健康信息系统优化的上下文障碍:通过节创新和信息和通信技术为发展提供信息的定性研究
Danny Nyatuka, Md Shafiqur Rahman Jabin1,2, Lisa Dionne-Morris3
1Department of Medicine and Optometry, Linnaeus University, Universitetsplatsen 1, Bradford, BD7 3EN, Kalmar, 392 31, Sweden, 44 7915673612.
JMIR formative research
|March 11, 2026
概括
在缺乏服务的非洲环境中,优化卫生信息系统 (HIS) 面临着挑战. 通过节创新和ICT4D识别环境障碍,可以为低收入人群提供更好的医疗保健服务.
科学领域:
- 医疗信息学 医疗信息学
- 全球健康 全球健康
- 加强卫生系统 加强卫生系统
背景情况:
- 卫生信息系统 (HIS) 对服务不足地区的卫生系统至关重要.
- 许多非洲HIS处于数据可用性问题的早期阶段.
- 有限的资源阻碍了其优化和可扩展性.
研究的目的:
- 在非洲服务不足的环境中确定HIS优化的上下文障碍.
- 探索节的创新 (FI) 和发展的信息通信技术 (ICT4D),以加强医疗保健.
- 改善低收入人群的医疗保健服务.
主要方法:
- 定性研究方法.
- 采访了32名参与者.
- 中心主题:背景障碍和阻碍HIS优化的挑战.
主要成果:
- 出现了四个主要的主题类别:HIS上下文化,卫生系统因素,服务提供商问题和HIS整合.
- 调查结果为在服务不足的环境中转变HIS提供了洞察力.
- 改善医疗保健质量是一个潜在的结果.
结论:
- 在低收入和中等收入国家,HIS的优化受到数字基础设施和上下文障碍的限制.
- 节约型创新和ICT4D镜头确定了4个关键障碍:卫生系统,HIS上下文化,HIS整合和HIS服务提供商.
- 通过FI和ICT4D重新思考HIS战略,可以创建负担得起,可持续,以用户为中心的解决方案.
相关概念视频
Barriers to Effective Communication II
5.3K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
5.3K
Methods Of Healthcare Delivery System
4.2K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
4.2K
Health Information Technology and Healthcare Information System
3.5K
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
3.5K
Health Literacy
5.6K
Health literacy is an individual's or a community's capacity to comprehend, receive, read, and use relevant healthcare information and services. The World Health Organization (WHO, 2018) defines health literacy as the cognitive and social skills that determine the ability of individuals to gain access to, understand, and use information in ways that promote and maintain good health. As a result, the WHO helps individuals manage long-term health concerns, participate in preventative...
5.6K
Issues And Trends In Healthcare Delivery System
6.3K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
6.3K
Introduction To Health Care Delivery System
4.4K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
4.4K


