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首页> 外文期刊>Innovation and Entrepreneurship in Health >eHealth innovations in LMICs of Africa and Asia: a literature review exploring factors affecting implementation, scale-up, and sustainability
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eHealth innovations in LMICs of Africa and Asia: a literature review exploring factors affecting implementation, scale-up, and sustainability

机译：非洲和亚洲中低收入国家的电子卫生保健创新：文献综述，探讨影响实施，扩大规模和可持续性的因素

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Background: In many low- and middle-income countries (LMICs), health system challenges relating to weak governance, health workforce shortages, and geographic and economic barriers to care impede effective delivery of health services to those in need. The rapid development of information and communication technologies over the last few decades offers the potential for addressing some of these challenges with innovative solutions, especially if offered at scale. This review reflects on the features of larger and more established eHealth interventions that may contribute to their utilization, scale-up and sustainability and, ultimately, to improved health outcomes. Methods: Eight researchers conducted a literature review of eHealth innovations in LMICs of Asia and Africa. Peer-reviewed literature published between March 2010 and March 2015 was considered for inclusion in the review. Major online databases searched included Medline (via PubMed) and Web of Science. Some minor databases were also accessed. Articles addressing eHealth innovations were selected based on the following criteria: interventions located in LMICs of Asia and Africa; interventions of more than 1 year in duration; and interventions that cover at least one district or province of a country. Selected articles were analyzed and compared using a framework approach. Results: Based on specified inclusion and exclusion criteria, 14 peer-reviewed articles (eight intervention studies, six reviews) were identified that reported on eHealth innovations. Six key dimensions were identified as influential for the successful implementation, utilization and scale-up of an eHealth innovation. eHealth projects need to: be designed in response to identified health needs and priorities; be supported by an enabling environment; ensure IT systems integration; establish effective partnership between stakeholders; ensure implementation requirements are met; and pre-empt and address issues related to end users' abilities to access, trust, accept, and utilize an eHealth product. Conclusion: Consideration of the features identified in this review may be useful to health policy makers, program implementers, and innovators involved in the planning, design, and implementation of effective eHealth innovations intended to address large-scale population health needs in resource-constrained settings.
机译：背景：在许多低收入和中等收入国家（LMIC）中，与治理薄弱，卫生人力短缺以及护理的地理和经济障碍有关的卫生系统挑战阻碍了向有需要的人有效提供卫生服务。在过去的几十年中，信息和通信技术的飞速发展提供了通过创新解决方案应对其中一些挑战的潜力，特别是如果大规模提供的话。这项审查反映了更大，更成熟的eHealth干预措施的特征，这些措施可能有助于其利用，扩大规模和可持续性，并最终改善健康状况。方法：八名研究人员对亚洲和非洲的中低收入国家的电子卫生保健创新进行了文献综述。在2010年3月至2015年3月之间发表的同行评审文献被认为包括在该评价中。搜索的主要在线数据库包括Medline（通过PubMed）和Web of Science。还访问了一些次要数据库。根据以下标准选择了有关电子卫生保健创新的文章：位于亚洲和非洲中低收入国家的干预措施;持续时间超过一年的干预措施;以及覆盖一国至少一个地区或省的干预措施。使用框架方法对选定的文章进行分析和比较。结果：根据指定的纳入和排除标准，确定了14篇经同行评审的文章（八项干预研究，六篇评论），其中报道了有关eHealth创新的报道。六个关键方面被确定对成功实施，利用和扩大电子卫生保健创新有影响。电子卫生保健项目需要：根据确定的卫生需求和优先重点进行设计;得到有利环境的支持;确保IT系统集成;在利益相关者之间建立有效的伙伴关系;确保满足实施要求;并抢占和解决与最终用户访问，信任，接受和使用eHealth产品的能力有关的问题。结论：考虑本次评估中确定的功能可能对参与规划，设计和实施有效的eHealth创新的卫生政策制定者，计划实施者和创新者有用，这些创新旨在解决资源受限环境中的大规模人口卫生需求。

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