■印度尼西亚迅速接受了数字健康,特别是在COVID-19大流行期间,每天有超过1500万健康应用程序用户。为了推进其数字健康愿景,政府正优先将健康数据和应用系统发展成一个综合的健康护理技术生态系统。这项倡议涉及各级医疗保健,从初级到三级,在所有省份。特别是,它旨在加强初级卫生保健服务(作为与普通民众的主要接口),并为印度尼西亚的数字卫生转型做出贡献。
■本研究评估了信息和通信技术(ICT)在印度尼西亚医疗保健服务中的成熟度,以推进数字健康计划。ICT成熟度评估工具,专为中等收入国家设计,用于评估印度尼西亚5个岛屿9个省的数字健康能力。
■2022年2月至3月在印度尼西亚的9个省进行了横断面调查,代表该国在其主要岛屿上的不同条件。受访者包括公共卫生中心(Puskesmas)的工作人员,初级保健诊所(KlinikPratama),和地区卫生办公室(DinasKesehatanKabupaten/Kota)。调查使用了适应的ICT成熟度评估问卷,涵盖人力资源,软件和系统,硬件,和基础设施。它以电子方式管理,涉及121个公共卫生中心,49个初级保健诊所,和67名来自地区卫生局的资讯科技员工。举行了焦点小组讨论,以更深入地研究评估结果并获得更多描述性见解。
■在这项研究中,237名参与者代表3个不同的类别:121个公共卫生中心,67个地区卫生局,和49个初级诊所。这些实例是从印度尼西亚34个省中的9个省的样本中选择的。从访谈和焦点小组讨论中收集的数据被转换为1至5分,其中1表示信通技术准备程度低,5表示信通技术准备程度高。平均而言,ICT成熟度分数的细分如下:人力资源在ICT使用和系统管理方面的能力为2.71,2.83用于软件和信息系统,2.59用于硬件,基础设施2.84,总体平均得分为2.74。根据ICT成熟度金字塔,印度尼西亚医疗保健提供者的ICT成熟度介于基本水平和良好水平之间。追求最佳做法的必要性也强烈出现。对ICT成熟度得分的进一步分析,当由省检查时,揭示了区域差异。
■ICT使用的成熟度受几个关键组成部分的影响。加强人力资源,确保基础设施,支持硬件的可用性,优化信息系统对于实现医疗保健服务中的ICT成熟度至关重要。在信通技术成熟度评估的背景下,在9个省的卫生保健水平上观察到显著的分数差异,强调信息和通信技术准备工作的多样性,以及需要采取区域定制的后续行动。
UNASSIGNED: Indonesia has rapidly embraced digital health, particularly during the COVID-19 pandemic, with over 15 million daily health application users. To advance its digital health vision, the government is prioritizing the development of health data and application systems into an integrated health care technology ecosystem. This initiative involves all levels of health care, from primary to tertiary, across all provinces. In particular, it aims to enhance primary health care services (as the main interface with the general population) and contribute to Indonesia\'s digital health transformation.
UNASSIGNED: This study assesses the information and communication technology (ICT) maturity in Indonesian health care services to advance digital health initiatives. ICT maturity assessment tools, specifically designed for middle-income countries, were used to evaluate digital health capabilities in 9 provinces across 5 Indonesian islands.
UNASSIGNED: A cross-sectional survey was conducted from February to March 2022, in 9 provinces across Indonesia, representing the country\'s diverse conditions on its major islands. Respondents included staff from public health centers (Puskesmas), primary care clinics (Klinik Pratama), and district health offices (Dinas Kesehatan Kabupaten/Kota). The survey used adapted ICT maturity assessment questionnaires, covering human resources, software and system, hardware, and infrastructure. It was administered electronically and involved 121 public health centers, 49 primary care clinics, and 67 IT staff from district health offices. Focus group discussions were held to delve deeper into the assessment results and gain more descriptive insights.
UNASSIGNED: In this study, 237 participants represented 3 distinct categories: 121 public health centers, 67 district health offices, and 49 primary clinics. These instances were selected from a sample of 9 of the 34 provinces in Indonesia. Collected data from interviews and focus group discussions were transformed into scores on a scale of 1 to 5, with 1 indicating low ICT readiness and 5 indicating high ICT readiness. On average, the breakdown of ICT maturity scores was as follows: 2.71 for human resources\' capability in ICT use and system management, 2.83 for software and information systems, 2.59 for hardware, and 2.84 for infrastructure, resulting in an overall average score of 2.74. According to the ICT maturity level pyramid, the ICT maturity of health care providers in Indonesia fell between the basic and good levels. The need to pursue best practices also emerged strongly. Further analysis of the ICT maturity scores, when examined by province, revealed regional variations.
UNASSIGNED: The maturity of ICT use is influenced by several critical components. Enhancing human resources, ensuring infrastructure, the availability of supportive hardware, and optimizing information systems are imperative to attain ICT maturity in health care services. In the context of ICT maturity assessment, significant score variations were observed across health care levels in the 9 provinces, underscoring the diversity in ICT readiness and the need for regionally customized follow-up actions.