乌干达卫生系统中数字健康标准化的企业架构要求

IF 3.4 3区 医学 Q1 HEALTH POLICY & SERVICES
Joseph Wamema, Andrew Alunyu, Mercy Amiyo, Josephine Nabukenya
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引用次数: 0

摘要

本研究旨在开发和验证企业架构(EA)要求,以标准化乌干达卫生系统中的数字健康(DH)。这些要求是由早期的先决经验研究中确定的卫生挑战产生的,该研究旨在探索将现有的国际卫生标准结合起来以改善乌干达卫生系统数据使用的可行性。该研究采用了横断面研究设计,以艾滋病毒/艾滋病和结核病模型为案例研究。采用了一种演练方法,通过有目的地选择乌干达国家和国家以下各级医疗保健系统的参与者来验证派生的要求。问卷(google表格)收集验证性回复,定量数据使用MS Excel进行分析。结果表明,受访者同意卫生机构对乌干达卫生系统标准化的要求。结果代表了来自乌干达所有卫生保健利益相关者的65.67%的预期参与者的观点。虽然少数受访者(3.3%)不同意,但大多数(96.7%)同意现有的要求。因此,推导出的EA要求被认为适合于标准化和加强乌干达的卫生系统。预期适当执行环境评估的要求将为乌干达产生高效、具有成本效益、高质量和安全的数字保健举措。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Enterprise architecture requirements for standardising digital health in Uganda's health system

Objective

This research aimed to develop and validate enterprise architecture (EA) requirements to standardise digital health (DH) in Uganda's health system. These requirements were generated from DH challenges identified in an earlier prerequisite empirical study that was conducted to explore the feasibility of contextualising existing international DH standards to improve data use in Uganda's health system.

Methods

The study followed a cross-sectional research design, with the HIV/AIDS and TB disease model as a case study. A walkthrough approach was adopted to validate the derived requirements using purposively selected participants at national and sub-national levels of Uganda's healthcare system. Questionnaires (Google forms) were used to collect validation responses, while quantitative data was analysed using MS Excel.

Results

The results show that the respondents agreed with the DH EA requirements for standardising Uganda's health system. The results represent views from 65.67% of the expected participants drawn from all Uganda's DH stakeholders. Although a few respondents (3.3%) did not agree, most (96.7%) agreed with the requirements as-is. Therefore, the derived EA requirements are deemed suitable for standardising and strengthening Uganda's DH system.

Conclusion

Proper implementation of the EA requirements is expected to produce efficient, cost-effective, quality and safe digital health initiatives for Uganda.

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来源期刊
Health Policy and Technology
Health Policy and Technology Medicine-Health Policy
CiteScore
9.20
自引率
3.30%
发文量
78
审稿时长
88 days
期刊介绍: Health Policy and Technology (HPT), is the official journal of the Fellowship of Postgraduate Medicine (FPM), a cross-disciplinary journal, which focuses on past, present and future health policy and the role of technology in clinical and non-clinical national and international health environments. HPT provides a further excellent way for the FPM to continue to make important national and international contributions to development of policy and practice within medicine and related disciplines. The aim of HPT is to publish relevant, timely and accessible articles and commentaries to support policy-makers, health professionals, health technology providers, patient groups and academia interested in health policy and technology. Topics covered by HPT will include: - Health technology, including drug discovery, diagnostics, medicines, devices, therapeutic delivery and eHealth systems - Cross-national comparisons on health policy using evidence-based approaches - National studies on health policy to determine the outcomes of technology-driven initiatives - Cross-border eHealth including health tourism - The digital divide in mobility, access and affordability of healthcare - Health technology assessment (HTA) methods and tools for evaluating the effectiveness of clinical and non-clinical health technologies - Health and eHealth indicators and benchmarks (measure/metrics) for understanding the adoption and diffusion of health technologies - Health and eHealth models and frameworks to support policy-makers and other stakeholders in decision-making - Stakeholder engagement with health technologies (clinical and patient/citizen buy-in) - Regulation and health economics
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