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首頁> 外文學位 >How do healthcare information and communication technology (HICT) interventions affect access to public sector healthcare delivery in a developing country? A case study of professionals' perception in Saraburi Province, Thailand.
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How do healthcare information and communication technology (HICT) interventions affect access to public sector healthcare delivery in a developing country? A case study of professionals' perception in Saraburi Province, Thailand.

機譯：醫(yī)療保健信息和通信技術（HICT）干預措施如何影響發(fā)展中國家獲得公共部門醫(yī)療保健服務的機會？泰國沙拉武里府專業(yè)人士看法的案例研究。

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The goal of this study is to understand how Healthcare Information and Communication Technologies (HICTs) are applied to healthcare delivery to improve people's access to healthcare services in a developing country using Thailand as an example. The HICT, in this study, refers to the use of Information and Communication Technologies in clinical healthcare settings related to the delivery of healthcare services. Access in this current study is defined as the ability to obtain healthcare when needed, taking into consideration transportation to healthcare facilities, patients' waiting time, referrals, availability of medication, and access to medical and health reference information.; The study design is a qualitative approach using embedded case studies. The study aims at understanding the use of HICT-related interventions across stakeholders, across multiple levels of care, and across the defined five probes of Access, in Saraburi province of Thailand. Five probes of Access in this study are (1) Transportation to Healthcare Facilities, (2) Patients' Waiting Time, (3) Referrals, (4) Availability of Medication, and (5) Access to Medical and Health Reference Information. This study involves multiple levels of healthcare including tertiary care, secondary care, and primary care. A total of 31 healthcare professionals were interviewed across nine healthcare organizations.; HICT use has the potential to improve Access, for example, by providing improved patient appointment scheduling and electronic medical and health reference information for healthcare professionals. The study found that the tertiary care level (the medical center) and the secondary care level (the general hospital) have available resources available to support HICT use. However, healthcare professionals vary in their willingness to use HICT in practice. At the secondary care level (community hospitals) and the primary care level (health centers), resources to support continuing HICT use are limited. Evidence from this study supports the conclusion that HICT use at community hospitals and health centers has a limited impact on Access, because computer technical support and computer literacy training, as well as limited formal financial funding are limited. Eight policy recommendations are offered based on the study findings to improve Access and use of HICTs in the province studied.
機譯：這項研究的目的是以泰國為例，了解如何將醫(yī)療保健信息和通信技術（HICT）應用于醫(yī)療保健提供，以改善人們在發(fā)展中國家獲得醫(yī)療保健服務的機會。在這項研究中，HICT是指在與醫(yī)療服務提供有關的臨床醫(yī)療環(huán)境中使用信息和通信技術。本研究中的可及性被定義為在需要時獲得醫(yī)療保健的能力，并考慮到醫(yī)療機構的運輸，患者的等待時間，轉診，藥物的可獲得性以及對醫(yī)療和健康參考信息的獲取。研究設計是使用嵌入式案例研究的定性方法。該研究旨在了解泰國沙拉武里府各利益相關方，跨多個護理級別以及已定義的五個無障礙探查中與HICT相關的干預措施的使用。這項研究的五個獲取途徑是（1）運送至醫(yī)療機構，（2）患者的等待時間，（3）轉診，（4）藥物的可獲得性以及（5）獲取醫(yī)療和健康參考信息。這項研究涉及多個級別的醫(yī)療保健，包括三級保健，二級保健和初級保健。在9個醫(yī)療保健組織中，總共采訪了31名醫(yī)療保健專業(yè)人員。 HICT的使用具有改善訪問的潛力，例如，通過為醫(yī)療保健專業(yè)人員提供更好的患者約會安排以及電子醫(yī)療和健康參考信息。研究發(fā)現(xiàn)，三級護理級別（醫(yī)療中心）和二級護理級別（綜合醫(yī)院）有可用資源來支持HICT的使用。但是，醫(yī)療保健專業(yè)人員在實踐中使用HICT的意愿各不相同。在二級保健級別（社區(qū)醫(yī)院）和一級保健級別（衛(wèi)生中心），支持繼續(xù)使用HICT的資源是有限的。這項研究的證據(jù)支持以下結論：由于計算機技術支持和計算機素養(yǎng)培訓以及有限的正式資金有限，在社區(qū)醫(yī)院和衛(wèi)生中心使用HICT對訪問的影響有限。根據(jù)研究結果提供了八項政策建議，以改善所研究省份的HICT的獲取和使用。

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