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首页> 外文期刊>BMC Medical Informatics and Decision Making >The design and development of technology platforms in a developing country healthcare context from an ecosystem perspective
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The design and development of technology platforms in a developing country healthcare context from an ecosystem perspective

机译：生态系统视角下发展中国家医疗背景技术平台的设计与开发

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Research on the development and functioning of technology platforms specifically for health applications in sub-Saharan Africa (SSA), is limited. The healthcare sector has also been resistant to platform adoption due to characteristics such as sensitive data and high cost of failure. A framework for the design, development and implementation of technology platforms in the South African health context could therefore contribute to the gap in research as well as provide a practical tool that platform owners could use to potentially increase the adoption of platforms in this context. The research design for this study was based on the Grounded Theory Conceptual Framework Analysis process. The process focused on mapping and investigating data sources, categorising and integrating concepts, synthesising these concepts into a framework and iteratively evaluating the framework. The first stage of the evaluation process was a preliminary evaluation exploring an existing Health platform in South Africa (MomConnect). The second evaluation stage included local and international interviews with nine experts to identify any missing concepts in the framework. Stage three included a case study and case study interviews which led to the formulation of the final framework and management tool. The developed and evaluated framework comprised three components, namely the pre-use component, which includes considerations the platform owner should be aware of prior to using the framework. The framework comprises of two dimensions, 1) an ecosystem dimension to guide the platform owner to consider different ecosystem actors before embarking on designing a platform 2) a platform development dimension that include typical platform development components and presents an interpretation of the viewpoints included in the ecosystem levels. The final framework can be used by platform owners as a management tool. A unique contribution of this study is that the framework draws from two platform perspectives, namely the engineering and the economic perspectives to provide a holistic understanding of platforms. Finally, a contribution of this article is the tailoring of the framework for the South African health context.
机译：专门针对撒哈拉以南非洲（SSA）的技术平台的开发和运作研究，是有限的。由于敏感数据等特性和失效成本高，医疗保健部门也因平台采用而抵抗。因此，南非健康背景技术平台设计，开发和实施的框架可以促进研究中的差距，并提供平台所有者可以使用的实用工具，以便在这种情况下可能增加平台的采用。本研究的研究设计基于接地理论概念框架分析过程。该过程专注于映射和调查数据源，分类和集成概念，将这些概念综合为框架并迭代地评估框架。评估过程的第一阶段是初步评估，探索南非的现有健康平台（MOMCONNECT）。第二个评估阶段包括与九名专家的地方和国际访谈，以确定框架中的任何缺失概念。第三阶段包括一个案例研究和案例研究面试，导致了最终框架和管理工具的制定。开发和评估的框架包括三个组件，即预使用组件，包括考虑因素平台所有者在使用框架之前应该知道。该框架包括两个维度，1）生态系统维度，以指导平台所有者在开始设计平台2之前，以考虑不同的生态系统演员，该平台2）一个包括典型平台开发组件的平台开发维度，并提出了包括在内的观点的解释生态系统水平。最终框架可以由平台所有者作为管理工具使用。这项研究的独特贡献是，该框架从两个平台的角度绘制，即工程和经济角度来提供对平台的整体理解。最后，本文的贡献是南非健康背景框架的裁剪。

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