eHealth and mHealth initiatives in Bangladesh: a scoping study.
eHealth and mHealth initiatives in Bangladesh: a scoping study.
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DOI：
10.1186/1472-6963-14-260
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发表时间：
2014-06-16
影响因子：
2.8
通讯作者：
Iqbal M
中科院分区：
文献类型：
--
作者：
Ahmed T;Lucas H;Khan AS;Islam R;Bhuiya A;Iqbal M
孟加拉国的卫生系统面临着可及性和负担能力的挑战。尽管在许多健康指标方面取得了令人印象深刻的进展，但最近的证据引起了人们对保健利用、质量和公平性的关切。在新的和不熟悉的公共卫生挑战，包括高人口密度和快速城市化的背景下，孟加拉国正在推广电子保健和移动保健，作为实现具有成本效益，公平和高质量医疗保健的途径。本文的目的是强调这些举措，并了解其真正的潜力。这项范围界定研究采用了一系列研究工具，探索孟加拉国的26项电子保健和移动保健举措。通过修改Arksey & O'Malley的框架，开发了一个筛选矩阵，并进一步辅以案例研究和SWOT分析，以确定所选干预措施的共同特征。然后采用世卫组织卫生系统积木式方法对这些特征进行专题分析。调查结果表明，大多数电子保健和移动保健举措在私营部门内使用移动的电话激增。最常见的举措包括远程咨询、处方和转诊。虽然少数项目有监测和评价框架，但进行评价的不到四分之一。大多数倡议使用卫生管理信息系统来监测执行情况。然而，这些措施并没有为各行为者之间有效分享信息和相互联系提供条件。在孟加拉国，接受电子卫生培训的人很少，对能力建设和经验分享的需求很大，特别是在执行和决策方面。关于如何设计干预措施以满足民众的需要以及潜在的惠益，也缺乏研究证据。这项研究的结论是，孟加拉国需要大量的准备和规划，以成功地维持电子保健和移动保健举措。额外的形成性和操作性研究对于探索该技术的真正潜力至关重要。电子保健治理方面的监管框架应成为今后关于将电子保健和移动保健纳入孟加拉国卫生系统的研究的目标。
The health system of Bangladesh is haunted by challenges of accessibility and affordability. Despite impressive gains in many health indicators, recent evidence has raised concerns regarding the utilization, quality and equity of healthcare. In the context of new and unfamiliar public health challenges including high population density and rapid urbanization, eHealth and mHealth are being promoted as a route to cost-effective, equitable and quality healthcare in Bangladesh. The aim of this paper is to highlight such initiatives and understand their true potential. This scoping study applies a combination of research tools to explore 26 eHealth and mHealth initiatives in Bangladesh. A screening matrix was developed by modifying the framework of Arksey & O’Malley, further complemented by case study and SWOT analysis to identify common traits among the selected interventions. The WHO health system building blocks approach was then used for thematic analysis of these traits. Findings suggest that most eHealth and mHealth initiatives have proliferated within the private sector, using mobile phones. The most common initiatives include tele-consultation, prescription and referral. While a minority of projects have a monitoring and evaluation framework, less than a quarter have undertaken evaluation. Most of the initiatives use a health management information system (HMIS) to monitor implementation. However, these do not provide for effective sharing of information and interconnectedness among the various actors. There are extremely few individuals with eHealth training in Bangladesh and there is a strong demand for capacity building and experience sharing, especially for implementation and policy making. There is also a lack of research evidence on how to design interventions to meet the needs of the population and on potential benefits. This study concludes that Bangladesh needs considerable preparation and planning to sustain eHealth and mHealth initiatives successfully. Additional formative and operational research is essential to explore the true potential of the technology. Frameworks for regulation in regards to eHealth governance should be the aim of future research on the integration of eHealth and mHealth into the Bangladesh health system.
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DOI：
10.1186/1748-5908-5-69
发表时间：
2010-09-20
期刊：
Implementation science : IS
影响因子：
--
作者：
Levac D;Colquhoun H;O'Brien KK
通讯作者：
O'Brien KK
影响因子：
9.7
作者：
Kahn, James G.;Yang, Joshua S.;Kahn, James S.
通讯作者：
Kahn, James S.
影响因子：
11.2
作者：
Garawi, S;Istepanian, RSH;Abu-Rgheff, MA
通讯作者：
Abu-Rgheff, MA
影响因子：
--
作者：
Hendy, Jane;Fulop, Naomi;Collin, Simon
通讯作者：
Collin, Simon