• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>The HIM journal >Assessment of health provider readiness for telemedicine services in Uganda
【24h】

Assessment of health provider readiness for telemedicine services in Uganda

机译：评估乌干达远程医疗服务的健康提供者准备

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background: There are few telemedicine projects in Africa that have reached scale. One of the reasons proposed for this has been failure to assess health provider readiness for telemedicine prior to implementation. Objective: To assess health provider readiness for implementation and integration of telemedicine services at three levels of Uganda's health facilities, namely, a national referral hospital (NRH), regional referral hospitals (RRHs) and level 4 health centres (HC-IVs) and to investigate factors associated with readiness for telemedicine. Method: A cross-sectional descriptive study was conducted at public healthcare facilities in Uganda. One RRH and HC-IV was identified from each of the Western, Eastern and Northern regions using a multistage random sampling technique. Mulago Hospital, which doubles as an RRH and HC-IV in the central region, was purposively identified for the study. After validation, a questionnaire was distributed for self-administration to senior administrators and doctors selected at the NRH, RRHs and HC-IVs. Data were analysed using bivariate associations between the outcome and the potential independent variables. Results: In total, I 14 healthcare workers completed the questionnaire. Of the respondents, 24 (21%) were from HC-IVs, 44 (39%) were from RRHs, and 46 (40%) from NRH. Doctors made up 45.8% (I I) of respondents at HC-IVs, 59% (26) at RRHs, and 30.4% (14) at NRH. Administrators across all health facility levels were more likely to integrate telemedicine into the healthcare system than doctors (odd ratio = 1.39 [95% confidence interval = 0.38—4.95]). A significant association existed between the state of readiness and type of health facility, p < 0.001. The NRH and RRHs are more likely to integrate telemedicine into their systems than the HC-IVs. Among the factors investigated (job title, health facility, technology type, reason for referral and frequency of electronic communication), the level of health facility and title or role of healthcare worker were found to have a significant statistical association with being ready to integrate telemedicine into the healthcare system. Conclusion: Health provider readiness to integrate telemedicine services varies at the different levels of the health facility and job title or role. However, referral hospitals and administrators were more likely to integrate telemedicine than HC-IVs and doctors, respectively. While this study shows physicians and administrators are ready, other sectors (nurses, allied healthcare workers, public) will also need to be assessed.
机译：背景：非洲的远程医疗项目很少已达到规模。提出的原因之一是在实施之前未能评估远程医疗的健康提供者准备。目的：评估卫生提供商在乌干达卫生设施三级实施和整合远程医疗服务，即全国转诊医院（NRH），区域转诊医院（RRHS）和4级卫生中心（HC-IVS）以及调查与远程医疗准备相关的因素。方法：在乌干达公共医疗保健设施进行横截面描述研究。使用多级随机采样技术从西部，东部和北部区域中的每一个鉴定了一个RRH和HC-IV。 Mulago医院加倍作为中部地区的RRH和HC-IV，被杀死了该研究。在验证后，向在NRH，RRHS和HC-IVS中选择的高级管理人员和医生分发了调查问卷。使用结果与潜在的独立变量与潜在的独立变量之间的双变量关联进行分析数据。结果：总共，14个医疗工作者完成了调查问卷。受访者，24（21％）来自HC-IV，44（39％）来自RRH，46（40％）来自NRH。医生在HC-IVS，59％（26）的受访者上占RRH的45.8％（II），并在NRH处获得30.4％（14）。所有卫生设施水平的管理人员更有可能将远程医疗整合到医疗保健系统中，而不是医生（奇数比率= 1.39 [95％置信区间= 0.38-4.95]）。在卫生设备的准备状态和卫生机构类型的状态之间存在显着的关联，P <0.001。 NRH和RRH更有可能将远程医疗集成到其系统中，而不是HC-IVS。在调查的因素（职称，卫生机构，技术类型，电子通信推荐的原因）中，发现医疗保健工人的卫生设施和标题或作用的水平与准备整合远程医疗进入医疗保健系统。结论：卫生提供者准备融入远程医疗服务的含量不同，卫生设施和职称或作用的不同程度。但是，推荐医院和管理员分别比HC-IVS和医生分别将远程医疗融入。虽然本研究显示医生和管理人员已准备就绪，但其他部门（护士，盟军医疗保健工人，公众）还将需要进行评估。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号