Perceived Improvement in Integrated Management of Childhood Illness Implementation Through Use of Mobile Technology: Qualitative Evidence From a Pilot Study in Tanzania
Perceived Improvement in Integrated Management of Childhood Illness Implementation Through Use of Mobile Technology: Qualitative Evidence From a Pilot Study in Tanzania
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DOI：
10.1080/10810730.2011.649105
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发表时间：
2012-01-01
影响因子：
4.4
通讯作者：
Hedt-Gauthier, Bethany
中科院分区：
文献类型：
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作者：
Mitchell, Marc;Getchell, Maya;Hedt-Gauthier, Bethany
本研究考察了医疗保健提供者和看护人对儿童疾病电子综合管理（eIMCI）诊断和治疗儿童疾病的看法。作者对坦桑尼亚Pwani地区的护理人员（n = 20）和卫生保健提供者（n = 11）进行了半结构化访谈。这个定性研究嵌套在一个更大的定量研究中，测量eIMCI对提供者遵守IMCI协议的影响。与传统的纸质表格相比，参与大型研究的护理人员和卫生保健工作者提供了他们对eIMCI的看法。来自每个参与保健中心的一名保健提供者参加了定性访谈；从参与定量研究的1个保健中心选取20名护理人员。访谈以斯瓦希里语进行，每次持续5-10分钟。提供者对电子疾病综合管理表示了积极的看法，指出个人数字助理比纸质表格更快、更容易使用，并鼓励遵守电子疾病综合管理程序。看护人也对eIMCI持积极态度，注意到提供者的服务有所改善，对孩子的检查更彻底，并且认为使用个人数字助理的提供者更有知识。研究表明普遍不遵守儿童疾病综合管理指南，建议改进实施儿童疾病综合管理的方法是必要的。作者得出结论，eIMCI代表了一种有希望的改善医疗服务的方法，因为它改善了医疗服务提供者和护理人员对临床遭遇的看法。对这项技术的进一步调查是有必要的。
This study examined health care provider and caretaker perceptions of electronic Integrated Management of Childhood Illness (eIMCI) in diagnosing and treating childhood illnesses. The authors conducted semi-structured interviews among caretakers (n = 20) and health care providers (n = 11) in the Pwani region of Tanzania. This qualitative study was nested within a larger quantitative study measuring impact of eIMCI on provider adherence to IMCI protocols. Caretakers and health care workers involved in the larger study provided their perceptions of eIMCI in comparison with the conventional paper forms. One health care provider from each participating health center participated in qualitative interviews; 20 caretakers were selected from 1 health center involved in the quantitative study. Interviews were conducted in Swahili and lasted 5-10 min each. Providers expressed positive opinions of eIMCI, noting that the personal digital assistants were faster and easier to use than were the paper forms and encouraged adherence to IMCI procedures. Caretakers also held a positive view of eIMCI, noting improved service from providers, more thorough examination of their child, and a perception that providers who used the personal digital assistants were more knowledgeable. Research indicates widespread nonadherence to IMCI guidelines, suggesting improved methods for implementing IMCI are necessary. The authors conclude that eIMCI represents a promising method for improving health care delivery because it improves health care provider and caretaker perception of the clinical encounter. Further investigation into this technology is warranted.