低收入和中等收入国家卫生工作者对数字卫生技术的采用:系统回顾和荟萃分析

IF 5.7 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Bulletin of the World Health Organization Pub Date : 2025-02-01 Epub Date: 2024-12-03 DOI:10.2471/BLT.24.292157
Minmin Wang, Kepei Huang, Xiangning Li, Xuetong Zhao, Laura Downey, Sondus Hassounah, Xiaoyun Liu, Yinzi Jin, Minghui Ren
{"title":"低收入和中等收入国家卫生工作者对数字卫生技术的采用:系统回顾和荟萃分析","authors":"Minmin Wang, Kepei Huang, Xiangning Li, Xuetong Zhao, Laura Downey, Sondus Hassounah, Xiaoyun Liu, Yinzi Jin, Minghui Ren","doi":"10.2471/BLT.24.292157","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To conduct a systematic review and meta-analysis of the facilitators of and barriers to the acceptance and use of digital health technology by health workers in low- and middle-income countries.</p><p><strong>Methods: </strong>We searched several databases for relevant articles published until 25 April 2024. We extracted data on four unified theories of acceptance and use of technology factors (performance expectancy, effort expectancy, social influence and facilitating conditions) and six additional factors (attitude, habit, incentive, risk, trust and self-efficacy); how these affected the outcomes of behavioural intention and actual use; and the strength of association if reported. We conducted a meta-analysis of the quantitative studies.</p><p><strong>Findings: </strong>We reviewed 36 publications, 20 of which were included in our meta-analysis. We observed that performance expectancy was the most frequently reported facilitator (in 21 studies; 58.3%) and that lack of facilitating conditions was the most cited barrier (10; 27.8%). From our meta-analysis, trust (<i>r</i> = 0.53; 95% confidence interval, CI: 0.18 to 0.76) and facilitating conditions (<i>r</i> = 0.42; 95% CI: 0.27 to 0.55) were the leading facilitators of behavioural intention and actual use, respectively. We identified concerns with performance expectancy (<i>r</i> = -0.14, 95% CI: -0.29 to 0.01) as the primary barrier to both outcomes.</p><p><strong>Conclusion: </strong>Our approach of clustering the facilitators of and barriers to the acceptance and use of digital health technology from the perspective of health workers highlighted the importance of creating an enabling ecosystem. Supportive infrastructure, tailored training programmes and incentive policies should be incorporated in the implementation of digital health programmes in low- and middle-income countries.</p>","PeriodicalId":9465,"journal":{"name":"Bulletin of the World Health Organization","volume":"103 2","pages":"126-135F"},"PeriodicalIF":5.7000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11774224/pdf/","citationCount":"0","resultStr":"{\"title\":\"Health workers' adoption of digital health technology in low- and middle-income countries: a systematic review and meta-analysis.\",\"authors\":\"Minmin Wang, Kepei Huang, Xiangning Li, Xuetong Zhao, Laura Downey, Sondus Hassounah, Xiaoyun Liu, Yinzi Jin, Minghui Ren\",\"doi\":\"10.2471/BLT.24.292157\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To conduct a systematic review and meta-analysis of the facilitators of and barriers to the acceptance and use of digital health technology by health workers in low- and middle-income countries.</p><p><strong>Methods: </strong>We searched several databases for relevant articles published until 25 April 2024. We extracted data on four unified theories of acceptance and use of technology factors (performance expectancy, effort expectancy, social influence and facilitating conditions) and six additional factors (attitude, habit, incentive, risk, trust and self-efficacy); how these affected the outcomes of behavioural intention and actual use; and the strength of association if reported. We conducted a meta-analysis of the quantitative studies.</p><p><strong>Findings: </strong>We reviewed 36 publications, 20 of which were included in our meta-analysis. We observed that performance expectancy was the most frequently reported facilitator (in 21 studies; 58.3%) and that lack of facilitating conditions was the most cited barrier (10; 27.8%). From our meta-analysis, trust (<i>r</i> = 0.53; 95% confidence interval, CI: 0.18 to 0.76) and facilitating conditions (<i>r</i> = 0.42; 95% CI: 0.27 to 0.55) were the leading facilitators of behavioural intention and actual use, respectively. We identified concerns with performance expectancy (<i>r</i> = -0.14, 95% CI: -0.29 to 0.01) as the primary barrier to both outcomes.</p><p><strong>Conclusion: </strong>Our approach of clustering the facilitators of and barriers to the acceptance and use of digital health technology from the perspective of health workers highlighted the importance of creating an enabling ecosystem. Supportive infrastructure, tailored training programmes and incentive policies should be incorporated in the implementation of digital health programmes in low- and middle-income countries.</p>\",\"PeriodicalId\":9465,\"journal\":{\"name\":\"Bulletin of the World Health Organization\",\"volume\":\"103 2\",\"pages\":\"126-135F\"},\"PeriodicalIF\":5.7000,\"publicationDate\":\"2025-02-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11774224/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Bulletin of the World Health Organization\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.2471/BLT.24.292157\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/12/3 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q1\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Bulletin of the World Health Organization","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2471/BLT.24.292157","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/12/3 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0

摘要

目的:对低收入和中等收入国家卫生工作者接受和使用数字卫生技术的促进因素和障碍进行系统回顾和荟萃分析。方法:检索到2024年4月25日之前发表的相关文献。我们提取了技术接受和使用的四个统一理论因素(绩效预期、努力预期、社会影响和促进条件)和六个附加因素(态度、习惯、激励、风险、信任和自我效能)的数据;这些因素如何影响行为意图和实际使用的结果;以及关联的强度。我们对定量研究进行了荟萃分析。研究结果:我们回顾了36篇出版物,其中20篇纳入我们的meta分析。我们观察到,绩效预期是最常被报道的促进因素(在21项研究中;58.3%),缺乏便利条件是被提及最多的障碍(10;27.8%)。从我们的荟萃分析来看,信任(r = 0.53;95%可信区间,CI: 0.18 ~ 0.76)和便利条件(r = 0.42;95% CI: 0.27 ~ 0.55)分别是行为意向和实际使用的主要促进者。我们确定了对表现预期的关注(r = -0.14, 95% CI: -0.29至0.01)是两种结果的主要障碍。结论:我们从卫生工作者的角度对接受和使用数字卫生技术的促进因素和障碍进行分类的方法突出了创建有利生态系统的重要性。应将支持性基础设施、量身定制的培训方案和奖励政策纳入低收入和中等收入国家数字卫生方案的实施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Health workers' adoption of digital health technology in low- and middle-income countries: a systematic review and meta-analysis.

Health workers' adoption of digital health technology in low- and middle-income countries: a systematic review and meta-analysis.

Health workers' adoption of digital health technology in low- and middle-income countries: a systematic review and meta-analysis.

Objective: To conduct a systematic review and meta-analysis of the facilitators of and barriers to the acceptance and use of digital health technology by health workers in low- and middle-income countries.

Methods: We searched several databases for relevant articles published until 25 April 2024. We extracted data on four unified theories of acceptance and use of technology factors (performance expectancy, effort expectancy, social influence and facilitating conditions) and six additional factors (attitude, habit, incentive, risk, trust and self-efficacy); how these affected the outcomes of behavioural intention and actual use; and the strength of association if reported. We conducted a meta-analysis of the quantitative studies.

Findings: We reviewed 36 publications, 20 of which were included in our meta-analysis. We observed that performance expectancy was the most frequently reported facilitator (in 21 studies; 58.3%) and that lack of facilitating conditions was the most cited barrier (10; 27.8%). From our meta-analysis, trust (r = 0.53; 95% confidence interval, CI: 0.18 to 0.76) and facilitating conditions (r = 0.42; 95% CI: 0.27 to 0.55) were the leading facilitators of behavioural intention and actual use, respectively. We identified concerns with performance expectancy (r = -0.14, 95% CI: -0.29 to 0.01) as the primary barrier to both outcomes.

Conclusion: Our approach of clustering the facilitators of and barriers to the acceptance and use of digital health technology from the perspective of health workers highlighted the importance of creating an enabling ecosystem. Supportive infrastructure, tailored training programmes and incentive policies should be incorporated in the implementation of digital health programmes in low- and middle-income countries.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Bulletin of the World Health Organization
Bulletin of the World Health Organization 医学-公共卫生、环境卫生与职业卫生
CiteScore
11.50
自引率
0.90%
发文量
317
审稿时长
3 months
期刊介绍: The Bulletin of the World Health Organization Journal Overview: Leading public health journal Peer-reviewed monthly journal Special focus on developing countries Global scope and authority Top public and environmental health journal Impact factor of 6.818 (2018), according to Web of Science ranking Audience: Essential reading for public health decision-makers and researchers Provides blend of research, well-informed opinion, and news
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信