Comput Methods Programs Biomed - LabPush: a pilot study of providing remote clinics with laboratory results via short message service (SMS) in Swaziland, Africa - a qualitative study.

Tópicos

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Resumo

CKGROUND: Developing countries are confronting a steady growth in the prevalence of the infectious diseases. Mobile technologies are widely available and can play an important role in health care at the regional, community, and individual levels. Although labs usually able to accomplish the requested blood test and produce the results within two days after receiving the samples, but the time for the results to be delivered back to clinics is quite variable depending on how often the motorbike transport makes trips between the clinic and the lab.OBJECTIVE: In this study, we seek to assess factors facilitating as well as factors hindering the adoption of mobile devices in the Swazi healthcare through evaluating the end-users of the LabPush system.METHODS: A qualitative study with semi-structured and in-depth one on one interviews were conducted over two month period July-August 2012. Purposive sampling was used; participants were those operating and using the LabPush system at the remote clinics, at the national laboratory and the supervisors of users at Swaziland. Interview questions were focused on perceived of ease of use and usefulness of the system. All interviews were recorded and then transcribed.RESULTS: This study had aimed its primary focus on reducing TAT, prompt patient care, reducing bouncing of patients and defaulting of patients which were challenges that the clinicians have always had. Therefore, the results revealed several barriers and facilitators to the adoption of mobile device by healthcare providers in the Swaziland. The themes Shortens TAT, Technical support, Patient-centered care, Mindset, Improved communication, Missing Reports, Workload, Workflow, Security of smart phone, Human error and Ownership are sorted by facilitators to barriers.CONCLUSION: Thus the end-users perspective, prompt patient care, reduced bouncing of patients, technical support, better communication, willing participant and social influence were facilitators of the adoption m-health in the Swazi healthcare.

Resumo Limpo

ckground develop countri confront steadi growth preval infecti diseas mobil technolog wide avail can play import role health care region communiti individu level although lab usual abl accomplish request blood test produc result within two day receiv sampl time result deliv back clinic quit variabl depend often motorbik transport make trip clinic labobject studi seek assess factor facilit well factor hinder adopt mobil devic swazi healthcar evalu endus labpush systemmethod qualit studi semistructur indepth one one interview conduct two month period julyaugust purpos sampl use particip oper use labpush system remot clinic nation laboratori supervisor user swaziland interview question focus perceiv eas use use system interview record transcribedresult studi aim primari focus reduc tat prompt patient care reduc bounc patient default patient challeng clinician alway therefor result reveal sever barrier facilit adopt mobil devic healthcar provid swaziland theme shorten tat technic support patientcent care mindset improv communic miss report workload workflow secur smart phone human error ownership sort facilit barriersconclus thus endus perspect prompt patient care reduc bounc patient technic support better communic will particip social influenc facilit adopt mhealth swazi healthcar

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