Barriers and Facilitators Experienced During the Implementation of Web-Based Teleradiology System in Public Hospitals of the Northwest Ethiopia: An Interpretive Description Study.

IF 3.1 Q2 HEALTH CARE SCIENCES & SERVICES
International Journal of Telemedicine and Applications Pub Date : 2024-06-06 eCollection Date: 2024-01-01 DOI:10.1155/2024/5578056
Araya Mesfin Nigatu, Tesfahun Melese Yilma, Lemma Derseh Gezie, Yonathan Gebrewold, Monika Knudsen Gullslett, Shegaw Anagaw Mengiste, Binyam Tilahun
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引用次数: 0

Abstract

Introduction: Teleradiology allows distant facilities to electronically transmit images for interpretation, thereby bridging the radiology service gap between urban and rural areas. The technology improves healthcare quality, treatment options, and diagnostic accuracy. However, in low resource settings like Ethiopia, teleradiology services are limited, posing challenges for implementation. Therefore, this study is aimed at exploring the factors that facilitated or hindered the implementation of web-based teleradiology in the public hospitals of the South Gondar Zone, Northwest Ethiopia. Methods: In this study, a purposive sampling method was employed to select seventeen participants, including hospital managers, physicians, emergency surgeons, and radiologists, for an in-depth interview (IDI). The interviews were conducted from March to May 2023. A reflexive thematic analysis was conducted using an abductive coding technique at the semantic/explicit level. Data were collected through semistructured interviews conducted face-to-face and virtually, with audio recordings transcribed, translated, and analyzed using Open Code version 4.02 software. Trustworthiness was ensured through prolonged engagement, reflective journaling, and review by coauthors. Results: The study examined eight main themes, with barriers to sustainable teleradiology implementation falling into five categories: technological, organizational, environmental, individual, and workflow and communication. Conversely, identified facilitators included improved radiology service efficiency, system accessibility, collaboration opportunities, and user trust in the radiology ecosystem. Within each theme, factors with potential impacts on teleradiology system sustainability were identified, such as the lack of system handover mechanisms, absence of a central image consultation center, and inadequate staffing of full-time radiologists and technical personnel. Conclusions: The study highlights the positive user perception of a web-based teleradiology system's user-friendliness and efficiency. Overcoming challenges and leveraging facilitators are crucial for optimizing teleradiology and improving service delivery and patient outcomes. A centralized consultation center with dedicated radiologists and technical personnel is recommended for maximizing efficiency.

埃塞俄比亚西北部公立医院实施基于网络的远程放射学系统过程中遇到的障碍和促进因素:解释性描述研究》。
导言:远程放射学允许遥远的医疗机构以电子方式传输图像以供判读,从而缩小了城市和农村地区之间的放射学服务差距。这项技术提高了医疗质量、治疗方案和诊断准确性。然而,在埃塞俄比亚这样资源匮乏的环境中,远程放射学服务非常有限,给实施带来了挑战。因此,本研究旨在探讨促进或阻碍埃塞俄比亚西北部南贡达尔区公立医院实施基于网络的远程放射学的因素。研究方法本研究采用目的性抽样方法,选取了 17 名参与者进行深度访谈(IDI),其中包括医院管理人员、内科医生、急诊外科医生和放射科医生。访谈于 2023 年 3 月至 5 月进行。采用归纳编码技术在语义/显性层面进行了反思性主题分析。通过面对面和虚拟的半结构式访谈收集数据,并使用 Open Code 4.02 版软件对录音进行转录、翻译和分析。通过长时间的参与、反思日记和共同作者的审查,确保了数据的可信度。研究结果研究探讨了八个主题,可持续远程放射学实施的障碍分为五类:技术、组织、环境、个人以及工作流程和沟通。相反,已确定的促进因素包括提高放射学服务效率、系统可访问性、合作机会以及用户对放射学生态系统的信任。在每个主题中,还发现了对远程放射学系统可持续性有潜在影响的因素,如缺乏系统交接机制、没有中央图像会诊中心、全职放射医师和技术人员配置不足等。结论:这项研究强调了用户对网络远程放射学系统的用户友好性和效率的积极看法。克服挑战和利用促进因素对于优化远程放射学、改善服务提供和患者疗效至关重要。建议设立一个由专职放射科医生和技术人员组成的集中咨询中心,以最大限度地提高效率。
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来源期刊
CiteScore
6.90
自引率
2.30%
发文量
19
审稿时长
12 weeks
期刊介绍: The overall aim of the International Journal of Telemedicine and Applications is to bring together science and applications of medical practice and medical care at a distance as well as their supporting technologies such as, computing, communications, and networking technologies with emphasis on telemedicine techniques and telemedicine applications. It is directed at practicing engineers, academic researchers, as well as doctors, nurses, etc. Telemedicine is an information technology that enables doctors to perform medical consultations, diagnoses, and treatments, as well as medical education, away from patients. For example, doctors can remotely examine patients via remote viewing monitors and sound devices, and/or sampling physiological data using telecommunication. Telemedicine technology is applied to areas of emergency healthcare, videoconsulting, telecardiology, telepathology, teledermatology, teleophthalmology, teleoncology, telepsychiatry, teledentistry, etc. International Journal of Telemedicine and Applications will highlight the continued growth and new challenges in telemedicine, applications, and their supporting technologies, for both application development and basic research. Papers should emphasize original results or case studies relating to the theory and/or applications of telemedicine. Tutorial papers, especially those emphasizing multidisciplinary views of telemedicine, are also welcome. International Journal of Telemedicine and Applications employs a paperless, electronic submission and evaluation system to promote a rapid turnaround in the peer-review process.
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