Strengthening urban primary healthcare service delivery using electronic health technologies: A qualitative study in urban Nepal

被引：3

作者：

Bhattarai, Prayog ^{[1
]}

Shrestha, Abha ^{[2
]}

Xiong, Shangzhi ^{[3
,4
]}

Peoples, Nicholas ^{[5
]}

Ramakrishnan, Chandrika ^{[6
]}

Shrestha, Shrinkhala ^{[7
]}

Yin, Ruoyu ^{[8
]}

Karmacharya, Biraj ^{[9
]}

Yan, Lijing L. ^{[10
]}

Jafar, Tazeen H. ^{[6
]}

机构：

[1] Yale NUS Coll, Singapore, Singapore

[2] Kathmandu Univ, Sch Med Sci KUSMS, Panauti, Nepal

[3] Duke Kunshan Univ, Suzhou, Peoples R China

[4] Univ New South Wales, George Inst Global Hlth, Sydney, NSW, Australia

[5] Baylor Coll Med, Houston, TX 77030 USA

[6] Duke NUS Med Sch, Singapore, Singapore

[7] Kathmandu Univ, Sch Med Sci, Panauti, Nepal

[8] Nanyang Technol Univ, Dept Family Med & Primary Care, Singapore, Singapore

[9] Kathmandu Univ, Sch Med Sci KUSMS, Dept Community Programs, Panauti, Nepal

[10] Duke Kunshan Univ, Global Hlth Res Ctr, Suzhou, Peoples R China

来源：

DIGITAL HEALTH | 2022年 / 8卷

关键词：

Electronic health; primary healthcare; non-communicable diseases; Nepal; readiness; NONCOMMUNICABLE DISEASES; HYPERTENSION; READINESS; COUNTRIES; FRAMEWORK; SUPPORT; WORKERS;

D O I：

10.1177/20552076221114182

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Background Nepal is a South Asian country with a high burden of non-communicable diseases. Electronic health technologies are a promising strategy to mitigate the rising burden of non-communicable diseases by strengthening primary healthcare center service delivery. However, electronic health implementation in Nepal is limited. Furthermore, electronic health use at the primary healthcare center level is chronically understudied. This qualitative study seeks to understand the perceived awareness, benefits, and determinants of electronic health uptake in Nepal, focusing on primary healthcare center-level non-communicable disease management. Methods We conducted in-depth interviews with 27 participants including policymakers, health experts, facility administrators, providers, and non-communicable diseases patients in 2019. We selected six urban primary healthcare center facilities via cluster convenience sampling for recruiting facility administrators, providers, and patients, and used convenience sampling to recruit policymakers and experts. We conducted thematic data analysis inductively and deductively using the electronic health readiness assessment framework to understand perceived barriers and facilitators of electronic health implementation. Results While there was general awareness and acceptance of electronic health, multiple barriers impede readiness for implementation. These include policy making gaps, language barriers, low user technical literacy, concerns of overreliance on technology, and inadequate training for administrators and providers. Stakeholder suggestions include creating electronic health interfaces that meet the needs of end users (providers and patients), providing training to enable end users to effectively use electronic health technologies, and strong policy support at the national level. Conclusion We identify several determinants for effectively promoting the use of electronic health for non-communicable diseases service delivery at the primary healthcare center level in Nepal.

引用

页数：17

共 44 条

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