Experience of using mHealth to link village doctors with physicians: lessons from Chakaria, Bangladesh.
Experience of using mHealth to link village doctors with physicians: lessons from Chakaria, Bangladesh.
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DOI：
10.1186/s12911-015-0188-9
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发表时间：
2015-08-05
影响因子：
3.5
通讯作者：
Bhuiya A
中科院分区：
文献类型：
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作者：
Khan NUZ;Rasheed S;Sharmin T;Ahmed T;Mahmood SS;Khatun F;Hanifi S;Hoque S;Iqbal M;Bhuiya A
孟加拉国面临着训练有素的卫生专业人员严重短缺的问题。在孟加拉国多元化的医疗保健系统中，正规医疗保健提供者仅占劳动力总数的5%;其余为非正规医疗保健提供者。信息通信技术（ICT）越来越被视为将社区与正规医疗服务提供者联系起来的有力工具。我们的研究评估了一项干预措施，从参与干预措施的乡村医生的角度出发，通过呼叫中心将乡村医生（从事现代医学的非正式医疗保健提供者骨干）与正式医生联系起来。该研究于2013年4月至5月在孟加拉国东南部偏远农村地区Chakaria进行。从参与移动的卫生干预的55名村医中有目的地选择了12名村医。进行了深入访谈以收集数据。使用出现的主题手动分析数据。村医们谈到了商业利益（获得正式医生的服务、获得决策支持以及有权请受过培训的医生）和个人利益（经济和非经济利益）。提到的一些主要障碍是与进入呼叫中心、收取咨询费有关的技术问题，以及不熟悉呼叫中心的医生。乡村医生看到了与移动医疗干预措施提供的训练有素的医生建立业务关系的许多好处。通过呼叫中心提供的移动保健有可能确保在缺乏合格保健提供者的情况下，通过现有的非正规保健提供者向人口提供咨询服务。
Bangladesh is facing serious shortage of trained health professionals. In the pluralistic healthcare system of Bangladesh, formal health care providers constitute only 5 % of the total workforce; the rest are informal health care providers. Information Communication Technologies (ICTs) are increasingly seen as a powerful tool for linking the community with formal healthcare providers. Our study assesses an intervention that linked village doctors (a cadre of informal health care providers practising modern medicine) to formal doctors through call centres from the perspective of the village doctors who participated in the intervention. The study was conducted in Chakaria, a remote rural area in south-eastern Bangladesh during April–May 2013. Twelve village doctors were selected purposively from a pool of 55 village doctors who participated in the mobile health (mHealth) intervention. In depth interviews were conducted to collect data. The data were manually analysed using themes that emerged. The village doctors talked about both business benefits (access to formal doctors, getting support for decision making, and being entitled to call trained doctors) and personal benefits (both financial and non-financial). Some of the major barriers mentioned were technical problems related to accessing the call centre, charging consultation fees, and unfamiliarity with the call centre physicians. Village doctors saw many benefits to having a business relationship with the trained doctors that the mHealth intervention provided. mHealth through call centres has the potential to ensure consultation services to populations through existing informal healthcare providers in settings with a shortage of qualified healthcare providers.