Health workers' experiences, barriers, preferences and motivating factors in using mHealth forms in Ethiopia.
Health workers' experiences, barriers, preferences and motivating factors in using mHealth forms in Ethiopia.
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DOI：
10.1186/1478-4491-13-2
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发表时间：
2015-01-15
影响因子：
4.5
通讯作者：
Dinant GJ
中科院分区：
文献类型：
--
作者：
Medhanyie AA;Little A;Yebyo H;Spigt M;Tadesse K;Blanco R;Dinant GJ
移动医疗（mHealth）应用，比如智能手机上的创新电子表单，可能会提高发展中国家医护人员的工作表现以及卫生系统的效能。然而，关于医护人员在医疗服务中大规模应用此类界面可能存在的障碍以及激励因素的相关实际证据却很匮乏。
一份预先测试过的半结构化问卷被用于评估埃塞俄比亚孕产妇保健背景下医护人员使用智能手机上的移动医疗表单的经历、障碍、偏好以及激励因素。在埃塞俄比亚提格雷地区13个基层医疗保健机构工作的25名卫生推广工作者和助产士参与了这项研究。
在6个月的时间里，共有1122名妇女的2893份电子健康记录通过互联网提交到了一台中央计算机上。16名（69.6%）工作人员认为这些表单很好地提醒了他们该做什么以及需要问什么问题。12名（52.2%）工作人员表示电子表单内容全面，9名（39.1%）工作人员将电子表单视为学习工具。所有工作人员都更倾向于不受限制地使用智能手机，并认为这有助于他们为了工作目的适应智能手机和电子表单。在语言偏好方面，18名（78.3%）工作人员更喜欢使用当地语言（提格雷尼亚语）版本的表单，而不是英语版本。确定的未能持续使用电子表单的障碍包括与电子表单相关的挑战（例如，5名（21.7%）工作人员报告的用户名和密码设置问题）、智能手机相关的问题（例如，9名（39.1%）工作人员报告的智能手机死机或锁定问题）以及卫生系统相关的问题（例如，19名（82.6%）工作人员报告的医护人员频繁流动问题）。
卫生推广工作者和助产士都发现智能手机上的电子表单对他们日常的孕产妇保健服务工作很有用。然而，如果不向医护人员提供技术支持、确保移动网络通话时长以及改善更大的卫生系统的关键功能，此类工作工具的可持续使用和大规模实施将会面临巨大困难。
本文的网络版（doi:10.1186/1478 - 4491 - 13 - 2）包含补充材料，授权用户可获取。
Mobile health (mHealth) applications, such as innovative electronic forms on smartphones, could potentially improve the performance of health care workers and health systems in developing countries. However, contextual evidence on health workers’ barriers and motivating factors that may influence large-scale implementation of such interfaces for health care delivery is scarce. A pretested semistructured questionnaire was used to assess health workers’ experiences, barriers, preferences, and motivating factors in using mobile health forms on smartphones in the context of maternal health care in Ethiopia. Twenty-five health extension workers (HEWs) and midwives, working in 13 primary health care facilities in Tigray region, Ethiopia, participated in this study. Over a 6-month period, a total of 2,893 electronic health records of 1,122 women were submitted to a central computer through the Internet. Sixteen (69.6%) workers believed the forms were good reminders on what to do and what questions needed to be asked. Twelve (52.2%) workers said electronic forms were comprehensive and 9 (39.1%) workers saw electronic forms as learning tools. All workers preferred unrestricted use of the smartphones and believed it helped them adapt to the smartphones and electronic forms for work purposes. With regards to language preference, 18 (78.3%) preferred using the local language (Tigrinya) version of the forms to English. Indentified barriers for not using electronic forms consistently include challenges related to electronic forms (for example, problem with username and password setting as reported by 5 (21.7%), smartphones (for example, smartphone froze or locked up as reported by 9 (39.1%) and health system (for example, frequent movement of health workers as reported by 19 (82.6%)). Both HEWs and midwives found the electronic forms on smartphones useful for their day-to-day maternal health care services delivery. However, sustainable use and implementation of such work tools at scale would be daunting without providing technical support to health workers, securing mobile network airtime and improving key functions of the larger health system. The online version of this article (doi:10.1186/1478-4491-13-2) contains supplementary material, which is available to authorized users.
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影响因子：
7.4
作者：
Källander K;Tibenderana JK;Akpogheneta OJ;Strachan DL;Hill Z;ten Asbroek AH;Conteh L;Kirkwood BR;Meek SR
通讯作者：
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影响因子：
4.5
作者：
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影响因子：
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影响因子：
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作者：
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通讯作者：
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DOI：
10.1136/amiajnl-2011-000476
发表时间：
2012-07-01
影响因子：
6.4
作者：
Rajput, Zeshan A.;Mbugua, Samuel;Were, Martin C.
通讯作者：
Were, Martin C.