A New eHealth Investment Appraisal Framework for Africa: Validation.
A New eHealth Investment Appraisal Framework for Africa: Validation.
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DOI：
10.3390/ijerph20146426
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发表时间：
2023-07-21
影响因子：
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通讯作者：
Scott, Richard E
中科院分区：
文献类型：
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作者：
Broomhead, Sean C;Mars, Maurice;Scott, Richard E
(1) 背景：使用电子医疗的决定很复杂，涉及解决巨大的机会成本。合理的选择至关重要。在资源有限的环境中，权衡投资选择具有挑战性，因为通常没有足够的经济数据和专业知识来进行充分的评估。为了解决这个问题，我们设计并开发了一个新的非洲电子医疗投资评估框架（eHIAF）。本文的目的是验证新框架，以考虑其是否适合目的并根据需要对其进行完善。 (2) 方法：对特意选择的电子卫生专家进行在线调查，对拟议的非洲 eHIAF 进行桌面验证。调查涵盖了框架开发过程、结构、内容、完整性和实用性。制定了专家意见，并使用反思和迭代过程来评估该工具并提取改进建议。 (3) 结果：完成调查的 11 名电子卫生专家拥有非洲国家和其他地方的经验。大多数人同意 eHIAF 非洲发展方法和成果。他们为细微的改进提供了宝贵的建议，并认为通过这些修订，非洲的 eHIAF 将“适合目的”。 (4) 结论：非洲 eHIAF 被认为适合在资源有限环境中工作、面临选择最佳电子卫生投资任务的政策制定者和决策者使用。它具有在非洲以外地区适用的潜力，该框架现在应该在非洲国家进行测试。
(1) Background: Decisions to use eHealth are complex and involve addressing a large opportunity cost. Sound choices are essential. Weighing up investment options is challenging in resource-constrained settings where there are frequently insufficient economics data and expertise to conduct adequate appraisals. To address this, a new eHealth Investment Appraisal Framework (eHIAF) for Africa has been designed and developed. The aim of this paper was to validate the new framework to consider whether it is fit for purpose and to refine it as needed. (2) Methods: An online survey of purposively selected eHealth experts was used to conduct a desktop validation of the proposed eHIAF for Africa. The survey covered the framework development process, structure, content, completeness, and utility. Expert opinions were charted, and a reflective and iterative process used to assess the tool and extract recommendations for refinement. (3) Results: Eleven eHealth experts who completed the survey had experience in African countries and elsewhere. The majority agreed with the eHIAF for Africa development approach and output. They provided valuable suggestions for minor refinements and felt that with these amendments, the eHIAF for Africa would be ‘fit for purpose’. (4) Conclusions: The eHIAF for Africa is considered appropriate for use by policy- and decision-makers working in resource-constrained settings who face the task of selecting optimal eHealth investments. It has the potential for applicability beyond Africa and the framework should now be tested in African countries.