Mobile phone use and the welfare of community health nurses in Ghana: An analysis of unintended costs.
Mobile phone use and the welfare of community health nurses in Ghana: An analysis of unintended costs.
复制标题
DOI：
10.1016/j.wdp.2021.100317
复制
发表时间：
2021-09
影响因子：
1.9
通讯作者：
Hampshire K
中科院分区：
文献类型：
--
作者：
Abane AM;Mariwah S;Owusu SA;Kasim A;Robson E;Hampshire K
移动的电话的使用正在迅速改变加纳的医疗保健服务。加纳的社区卫生护士使用个人移动的手机工作。然而，超过90%的护士承担了使用移动的手机工作的费用。这种做法给加纳的社区保健护士带来了巨大的经济负担。必须采取一揽子激励措施，减轻护士的负担。移动的电话的使用正在迅速改变加纳的医疗保健服务格局。许多卫生设施现在依靠移动的电话来便利其工作。然而，加纳医疗保健中使用移动的电话的证据有限。为了提供使用移动的手机促进医疗保健价值的证据，我们询问并强调了在该国使用个人移动的手机提供医疗保健服务的社区卫生护士的意外成本。该研究的数据来自598份已完成的问卷，并从与加纳三个主要生态区三个地区的社区卫生护士的焦点小组讨论中摘录。结果显示，超过90%的护士承担了支付通话时间，捆绑和充电器用于工作相关活动的成本，但只有不到10%的人得到直接补偿。这一昂贵的负担有可能使护士失去积极性，并威胁到该国在实现全民医保方面的进展。更重要的是，数据强烈表明，物理距离，区域位置和性别是引发护士产生额外费用的主要因素。我们的结论是，使用个人移动的手机提供医疗服务的社区卫生工作者在加纳造成了巨大的经济负担。一个建议的干预措施，以防止对性能的负面影响是提供激励方案，护士作为财务和非物理成本的补偿，使用个人移动的电话的工作相关的活动。
The use of mobile phones are fast transforming health care delivery in Ghana. Community health nurses in Ghana use their personal mobile phones for work. However, over 90% of nurses bear the cost of using their mobile phones for work. This practice imposes huge financial burden on community health nurses in Ghana. The need for incentive packages to reduce the burden on nurses is imperative. The use of mobile phones is fast transforming the healthcare delivery landscape in Ghana. A substantial number of health facilities are now dependent on mobile phones to facilitate their work. Evidence of the use of mobile phones in Ghana’s healthcare is however limited. In order to contribute to the evidence of the value of using mobile phones to promote healthcare, we interrogated and highlighted unexpected costs imposed on community health nurses who use their personal mobile phones for healthcare delivery in the country. Data for the study were derived from 598 completed questionnaires and extracts from focus group discussions with community health nurses who were sampled from three regions across the three main ecological zones of Ghana. The results show that over 90% of nurses bear the cost of paying for airtime, bundles and chargers used for work-related activities, yet less than 10% of them receive direct compensation. This costly burden has the potential to demotivate the nurses and threaten the country’s progress towards the achievement of universal health coverage. More significantly, the data strongly suggest that physical distance, regional location and gender are the main factors triggering extra costs incurred by the nurses. We conclude that the use of personal mobile phones for healthcare delivery imposed huge financial burden on community health workers in Ghana. A suggested intervention to forestall negative consequences on performance is to offer incentive packages to nurses as a compensation for the financial and non-physical costs of using personal mobile phones for work-related activities.
登录
查看更多内容
影响因子：
1.5
作者：
Baiden, F.;Akanlu, G.;Binkat, F.
通讯作者：
Binkat, F.
影响因子：
5.4
作者：
Hampshire, Kate;Porter, Gina;Milner, James
通讯作者：
Milner, James
MHealth：使用移动技术支持医疗保健。
影响因子：
--
作者：
Okuboyejo S;Eyesan O
通讯作者：
Eyesan O
影响因子：
9.3
作者：
Opoku D;Stephani V;Quentin W
通讯作者：
Quentin W
影响因子：
10.8
作者：
Kaplan WA
通讯作者：
Kaplan WA