Challenges of design, implementation, acceptability, and potential for, biomedical technologies in the Peruvian Amazon.
Challenges of design, implementation, acceptability, and potential for, biomedical technologies in the Peruvian Amazon.
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DOI：
10.1186/s12939-022-01773-7
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发表时间：
2022-12-19
影响因子：
4.8
通讯作者：
Zavaleta-Cortijo, Carol
中科院分区：
文献类型：
--
作者：
Bressan, Tiana;Valdivia-Gago, Andrea;Silvera-Ccallo, Rosa M.;Llanos-Cuentas, Alejandro;Condor, Daniel F.;Padilla-Huamantinco, Pierre G.;Vilcarromero, Stalin;Miranda, J. Jaime;Zavaleta-Cortijo, Carol
生物医学技术有可能在偏远社区发挥优势。然而，关于技术使用者普遍面临的障碍和偏远土著社区面临的障碍的信息很少。这项研究的目的是描述在秘鲁亚马逊地区使用生物医学技术的研究人员面临的主要挑战。这项探索性的定性研究采用现象学的方法，描述了参与者的生活经历，他们是过去五年里在秘鲁亚马逊地区从事生物医学技术工作的研究人员。分析基于三个核心主题：设计、实施和可接受性。分主题包括环境、社区和文化。在确定和联系的24名潜在参与者中，14人同意参加，13人符合纳入标准并完成了半结构化面试。结果被发送给每个参与者，并有机会提供反馈并参与30分钟的验证会议。5名与会者同意举行后续会议，以验证结果并提供进一步的谅解。与会者认识到重大挑战，包括脱离实际情况设计的技术、难以在亚马逊地区运输技术、自然环境(如湿度、洪水)的影响以及电力和受过适当培训的卫生人员等现有基础设施有限。与会者还确定了文化因素，包括需要处理过去的技术和卫生干预经验，了解并适当地传达社区利益，以及了解人口结构(例如年龄、教育)对接受和采用技术的影响。还确定了诸如权力腐败和废物处理等相辅相成的挑战，以及关于共同设计等技术和卫生干预措施的建议。这项研究提出，如果不努力尊重当地文化和健康优先事项，或者不理解和预见背景挑战，技术和卫生干预将无法实现其改善亚马逊偏远社区获得医疗保健的机会的目标。此外，腐败对卫生服务的影响以及对环境的不当废物处理可能会导致更有害的健康不平等。网上版载有补充材料，可在10.1186/s12939-022-01773-7查阅。
Biomedical technologies have the potential to be advantageous in remote communities. However, information about barriers faced by users of technology in general and in remote Indigenous communities is scarce. The purpose of this study was to characterize the leading challenges faced by researchers who have used biomedical technologies in the Peruvian Amazon. This exploratory, qualitative study with a phenomenological approach depicts the lived experience of participants who were researchers with experience working with biomedical technologies in the Peruvian Amazon in the past five years. Analysis was based on three core themes: design, implementation, and acceptability. Sub-themes included environment, community, and culture. Of the 24 potential participants identified and contacted, 14 agreed to participate, and 13 met inclusion criteria and completed semi-structured interviews. Results were sent to each participant with the opportunity to provide feedback and partake in a 30-minute validation meeting. Five participants consented to a follow-up meeting to validate the results and provide further understanding. Participants recognized significant challenges, including technologies designed out-of-context, difficulty transporting the technologies through the Amazon, the impact of the physical environment (e.g., humidity, flooding), and limited existing infrastructure, such as electricity and appropriately trained health personnel. Participants also identified cultural factors, including the need to address past experiences with technology and health interventions, understand and appropriately communicate community benefits, and understand the effect of demographics (e.g., age, education) on the acceptance and uptake of technology. Complementary challenges, such as corruption in authority and waste disposal, and recommendations for technological and health interventions such as co-design were also identified. This study proposes that technological and health interventions without efforts to respect local cultures and health priorities, or understand and anticipate contextual challenges, will not meet its goal of improving access to healthcare in remote Amazon communities. Furthermore, the implications of corruption on health services, and improper waste disposal on the environment may lead to more detrimental health inequities. The online version contains supplementary material available at 10.1186/s12939-022-01773-7.
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影响因子：
5
作者：
Diez-Canseco F;Zavala-Loayza JA;Beratarrechea A;Kanter R;Ramirez-Zea M;Rubinstein A;Martinez H;Miranda JJ
通讯作者：
Miranda JJ
影响因子：
5.2
作者：
Bhaskar S;Bradley S;Chattu VK;Adisesh A;Nurtazina A;Kyrykbayeva S;Sakhamuri S;Yaya S;Sunil T;Thomas P;Mucci V;Moguilner S;Israel-Korn S;Alacapa J;Mishra A;Pandya S;Schroeder S;Atreja A;Banach M;Ray D
通讯作者：
Ray D
影响因子：
7.3
作者：
DAVIS, FD
通讯作者：
DAVIS, FD
影响因子：
5.4
作者：
Bussalleu, Alejandra;King, Nia;Harper, Sherilee L.
通讯作者：
Harper, Sherilee L.
DOI：
10.1136/bmj.m4785
发表时间：
2021-02-15
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Beran D;Pesantes MA;Berghusen MC;Hennig BJ;Jacobi J;Lazo-Porras M;Llanque A;Placella E;Robledo-Abad C;Bayona MT;Miranda JJ
通讯作者：
Miranda JJ