资源匮乏国家的电子卫生实施问题:卡塔尔世界杯8强波胆分析A Archer,Norman, A Lokker,Cynthia, A Ghasemaghaei,Maryam, A DiLiberto,Deborah +信息系统，麦克马斯特大学DeGroote商学院，1280 Main St. West, Hamilton, ON, L8S 4M4, Canada, 1905 525 9140 ext 23944，archer@mcmaster.ca %K eHealth %K低资源国家%K eHealth实施效果%K终端用户调查%K eHealth利用率%D 2021 %7 18.6.2021 %9原文% jj Med Internet Res %G英文%X在资源匮乏国家(lrc)实施电子卫生面临着资源和基础设施有限、缺乏对电子卫生议程的关注、道德和法律方面的考虑、缺乏共同的系统互操作性标准、电力不可靠以及缺乏训练有素的工作人员等挑战。目的:本研究的目的是从专业电子健康用户的角度描述和研究少数lrc的电子健康实施现状。方法:我们建立了一个结构方程模型，反映了在LRC医疗保健前线工作的专业电子健康用户的意见。我们从印度、埃及、尼日利亚和肯尼亚四个lrc招募了国家协调员来帮助招募调查参与者。通过一项基于网络的调查，我们调查了114名参与者，重点关注了电子健康实施的障碍。我们使用结构方程模型来分析信息，以确定模型中各结构之间的关系，包括因变量eHealth利用率。结果:虽然所有的模型构构对参与者都很重要，但一些构构，如用户特征、感知隐私和感知安全，在电子健康利用中没有显著作用。 However, the constructs related to technology infrastructure tended to reduce the impact of concerns and uncertainties (path coefficient=−0.32; P=.001), which had a negative impact on eHealth utilization (path coefficient=−0.24; P=.01). Constructs that were positively related to eHealth utilization were implementation effectiveness (path coefficient=0.45; P<.001), the countries where participants worked (path coefficient=0.29; P=.004), and whether they worked for privately or publicly funded institutions (path coefficient=0.18; P<.001). As exploratory research, the model had a moderately good fit for eHealth utilization (adjusted R2=0.42). Conclusions: eHealth success factors can be categorized into 5 groups; our study focused on frontline eHealth workers’ opinions concerning 2 of these groups: technology and its support infrastructure and user acceptance. We found significant disparities among the responses from different participant groups. Privately funded organizations tended to be further ahead with eHealth utilization than those that were publicly funded. Moreover, participant comments identified the need for more use of telemedicine in remote and rural regions in these countries. An understanding of these differences can help regions or countries that are lagging in the implementation and use of eHealth technologies. Our approach could also be applied to detailed studies of the other 3 categories of success factors: short- and long-term funding, organizational factors, and political or legislative aspects. %M 34142967 %R 10.2196/23715 %U //www.mybigtv.com/2021/6/e23715 %U https://doi.org/10.2196/23715 %U http://www.ncbi.nlm.nih.gov/pubmed/34142967