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A generic quality assurance model (GQAM) for successful e-health implementation in rural hospitals in South Africa

机译:南非乡村医院成功实施电子医疗的通用质量保证模型(GQAM)

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摘要

Although e-health can potentially facilitate the management of scarce resources and improve the quality of healthcare services, implementation of e-health programs continues to fail or not fulfil expectations. A key contributor to the failure of e-health implementation in rural hospitals is poor quality management of projects. Based on a survey 35 participants from five rural hospitals in the Eastern Cape Province of South Africa, and using a qualitative case study research methodology, this article attempted to answer the question: does the adoption of quality assurance (QA) models add value and help to ensure success of information technology projects, especially in rural health settings? The study identified several weaknesses in the application of QA in these hospitals; however, findings also showed that the QA methods used, in spite of not being formally applied in a standardised manner, did nonetheless contribute to the success of some projects. The authors outline a generic quality assurance model (GQAM), developed to enhance the potential for successful acquisition of e-health solutions in rural hospitals, in order to improve the quality of care and service delivery in these hospitals.
机译:尽管电子医疗可以潜在地促进稀缺资源的管理并改善医疗服务的质量,但是电子医疗计划的实施仍然失败或没有达到预期。农村医院实施电子医疗失败的关键原因是项目质量管理不善。基于对来自南非东开普省五家乡村医院的35名参与者的调查,并使用定性案例研究方法,本文试图回答以下问题:采用质量保证(QA)模型是否会增加价值并有所帮助确保信息技术项目成功,尤其是在农村卫生环境中?该研究发现了在这些医院中实施质量保证的几个缺点。然而,调查结果还表明,尽管没有以标准化的方式正式应用质量保证方法,但它们确实为某些项目的成功做出了贡献。作者概述了通用质量保证模型(GQAM),其开发目的是增强在农村医院成功获取电子医疗解决方案的潜力,以提高这些医院的护理质量和服务质量。

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