背景:与许多低收入和中等收入国家相似,博茨瓦纳已将电子健康确定为改善保健服务提供和提供的一种手段。博茨瓦纳的国家疟疾计划(NMP)实施了地区卫生信息系统第2版(DHIS2),以支持其27个卫生区及时报告疟疾病例;但是,电子健康系统的实施从来都不是没有挑战的。在医疗保健环境中实施电子健康创新的障碍可能会在个人或组织层面出现。因此,评估用户对该技术的看法是可以为其可持续实施提供信息的重要步骤。DHIS2是在没有事先评估用户感知的情况下实施的;因此,博茨瓦纳卫生和卫生部不确定接受和使用该平台的可能性。
目的:我们旨在确定博茨瓦纳NMP对DHIS2平台的接受程度,以评估采用是否成功。
方法:本研究的设计是由技术接受模型的构建提供信息的。一项调查,使用7分的李克特量表评估项目,与来自27个卫生区的DHIS2核心用户和卫生和健康部的NMP人员进行了焦点小组讨论。这项基于网络的调查于2020年8月3日至2020年9月30日进行。
结果:调查参与者是核心用户(n=27)。焦点组参与者为NMP人员(n=5)。总的来说,参与者的调查答复(经常发生的7分)表明他们对DHIS2基于病例的疟疾监测平台充满信心;然而,与会者还注意到一些可能影响用户对DHIS2平台接受度的组织问题。
结论:参与者的答复表明他们接受DHIS2平台;然而,考虑与组织准备相关的因素可以进一步提高成功接受度,因此,博茨瓦纳疟疾计划成功采用了该平台。
BACKGROUND: Similar to many low- and middle-income countries, Botswana has identified eHealth as a means of improving health care service provision and delivery. The National Malaria Programme (NMP) in Botswana has implemented the District Health Information System version 2 (DHIS2) to support timely malaria
case reporting across its 27 health districts; however, the implementation of an eHealth system is never without challenges. Barriers to the implementation of eHealth innovations within health care settings may arise at the individual or organizational levels. As such, the evaluation of user perceptions of the technology is an important step that can inform its sustainable implementation. The DHIS2 was implemented without evaluating user perceptions beforehand; therefore, the Botswana Ministry of Health and Wellness was uncertain about the likelihood of acceptance and use of the platform.
OBJECTIVE: We aimed to determine the acceptance of the DHIS2 platform by the NMP in Botswana to gauge whether adoption would be successful.
METHODS: The study\'s design was informed by constructs of the technology acceptance model. A survey, with items assessed using a 7-point Likert scale, and focus group discussions were undertaken with DHIS2 core users from 27 health districts and NMP personnel at the Ministry of Health and Wellness. The web-based survey was administered from August 3, 2020 to September 30, 2020.
RESULTS: Survey participants were core users (n=27). Focus group participants were NMP personnel (n=5). Overall, participants\' survey responses (frequently occurring scores of 7) showed their confidence in the DHIS2 platform for
case-based surveillance of malaria; however, participants also noted some organizational issues that could compromise user acceptance of the DHIS2 platform.
CONCLUSIONS: Participants\' responses indicated their acceptance of the DHIS2 platform; however, the consideration of factors related to organizational readiness could further enhance successful acceptance, and consequently, successful adoption of the platform by the malaria program in Botswana.