Health informatics has the potential to show improve-ments in security and quality of patient's care, but its spread has some differences between developed and de-veloping countries. Related to this, the objective of this study is to know which are the challenges and hurdles to improve eHealth in developing countries. We surveyed experts to evaluate their opinion about 5 general ques-tions: economic support by Government for eHealth, Government education or training projects in the field, issues related to cultural or educational problems for the implementation of eHealth, policies in terminology or messaging standards and eHealth status policies for long periods.
AN EHEALTH ADOPTION FRAMEWORK FOR DEVELOPING COUNTRIES: A SYSTEMATIC REVIEWhiij
There is growing interest in the rate of eHealth uptake resulting from the increased potential to advance
the quality of healthcare services in both the developed and developing countries. Although the
implementation of information and communication technology to support healthcare delivery would
greatly address the quality and accessibility challenges in healthcare as well as reduction in the cost of
healthcare delivery, the adoption of eHealth has not been fully realized. This study aimed at conducting a
systematic literature review to establish the factors associated with the adoption of eHealth and propose a
context-specific framework for successful adoption of eHealth technologies in developing countries such as
Uganda. The systematic literature review process was guided by the Systematic Review Protocol. The
review of 29 journals from the period 2009-2021 showed that, although the most widely used frameworks
in the developing countries were Technology Adoption Model (TAM), Unified Theory of Acceptance and
Use of Technology (UTAUT) framework and Technology Organization Environment (TOE) framework,
there were other salient factors reported by other researchers that contributed to the adoption of eHealth
in developing countries. A novel framework for adoption of eHealth in the local context with eight (8)
dimensions namely; Socio-demographic, Technology, Information, Socio-cultural, Organization,
Governance, Ethical and legal and Financial dimensions is derived and presented as result of the
research.
Applying Utaut and Innovation Diffusion Theory to Understand the Rapid Adopti...Editor IJCATR
M-PESA, the world-leading mobile money system has transformed lives and livelihoods in Kenya and beyond. Financial
inclusion for the marginalized in emerging markets is now feasible and achievable. Mobile money promises a more scalable and
cheaper alternative to the large unbanked populace than conventional banking. In the recent years, Sub-Saharan Africa has rolled out a
number of practical technology-driven innovative products leading to more and more cashless transactions. One such product is MPESA;
a mobile-based financial innovation that has achieved unprecedented growth since its inception in March 2007 by the mobile
network operator, Safaricom. In spite of its tantalizing potential, one major challenge is how to optimally capture the market. This
paper analyses the M-PESA ecosystem, by building theoretical linkages between two main theories; i) Innovation Diffusion Theory
and ii) Unified Theory of Acceptance and Use of Technology. The questions the author is addressing are: Which factors are
responsible for M-PESA’s rapid adoption? How does Safaricom maintain its strong grip as a Mobile Network Operator in the financial
sector?
Five Macro Trends Driving Healthcare Industry Investment in 2011 and BeyondCognizant
Here are five industry trends that will strongly influence where and how healthcare ecosystem participants will invest business development and technology dollars this year and into 2012.
AN EHEALTH ADOPTION FRAMEWORK FOR DEVELOPING COUNTRIES: A SYSTEMATIC REVIEWhiij
There is growing interest in the rate of eHealth uptake resulting from the increased potential to advance
the quality of healthcare services in both the developed and developing countries. Although the
implementation of information and communication technology to support healthcare delivery would
greatly address the quality and accessibility challenges in healthcare as well as reduction in the cost of
healthcare delivery, the adoption of eHealth has not been fully realized. This study aimed at conducting a
systematic literature review to establish the factors associated with the adoption of eHealth and propose a
context-specific framework for successful adoption of eHealth technologies in developing countries such as
Uganda. The systematic literature review process was guided by the Systematic Review Protocol. The
review of 29 journals from the period 2009-2021 showed that, although the most widely used frameworks
in the developing countries were Technology Adoption Model (TAM), Unified Theory of Acceptance and
Use of Technology (UTAUT) framework and Technology Organization Environment (TOE) framework,
there were other salient factors reported by other researchers that contributed to the adoption of eHealth
in developing countries. A novel framework for adoption of eHealth in the local context with eight (8)
dimensions namely; Socio-demographic, Technology, Information, Socio-cultural, Organization,
Governance, Ethical and legal and Financial dimensions is derived and presented as result of the
research.
Applying Utaut and Innovation Diffusion Theory to Understand the Rapid Adopti...Editor IJCATR
M-PESA, the world-leading mobile money system has transformed lives and livelihoods in Kenya and beyond. Financial
inclusion for the marginalized in emerging markets is now feasible and achievable. Mobile money promises a more scalable and
cheaper alternative to the large unbanked populace than conventional banking. In the recent years, Sub-Saharan Africa has rolled out a
number of practical technology-driven innovative products leading to more and more cashless transactions. One such product is MPESA;
a mobile-based financial innovation that has achieved unprecedented growth since its inception in March 2007 by the mobile
network operator, Safaricom. In spite of its tantalizing potential, one major challenge is how to optimally capture the market. This
paper analyses the M-PESA ecosystem, by building theoretical linkages between two main theories; i) Innovation Diffusion Theory
and ii) Unified Theory of Acceptance and Use of Technology. The questions the author is addressing are: Which factors are
responsible for M-PESA’s rapid adoption? How does Safaricom maintain its strong grip as a Mobile Network Operator in the financial
sector?
Five Macro Trends Driving Healthcare Industry Investment in 2011 and BeyondCognizant
Here are five industry trends that will strongly influence where and how healthcare ecosystem participants will invest business development and technology dollars this year and into 2012.
Measuring prevailing practices of healthcare professional on electronic healt...journalBEEI
Paper based approach to clinical documentation such as handwritten notes among health care providers are cause of errors in medical field. Therefore, health record system needs to be replaced with electronic health record (EHR). Many health professionals in developing countries specifically in Iraq refuse to use the systems implemented for their benefits due to many reasons. Thus, the use of electronic services is important for successful electronic health implementations. Therefore, this study is intended to identify the main factors affecting the intention of use of the electronic health record in Iraq. Health professional staff who work in the main hospital in Dhi-Qar is chosen because this province is the first local province that implemented many electronic projects. The present study examined use of user acceptance of technology, based on the technology acceptance model (TAM). Moreover, the quantitative method approach for data collection using survey from staff who work in the main hospital in Dhi-Qar. Data was analyzed using Structural Equation Modeling using AMOS. The results indicated significant relationship between Ease of Use, Usefulness, Usefulness, Attitude, and Intention of use of EHR. These finding have implementation for decision makers in Iraq government to improve future implementation of e-health services.
Researching Purchasing to achieve the promise of Universal Health Coverageresyst
This presentation was given by Professor Kara Hanson at the BMC Health Services Research Conference, in July 2014.
The presentation illustrates the important role that strategic purchasing can play in achieving effective health coverage, and how the topic is being studied by researchers. It highlights RESYST's multi-country study of purchasing arrangements that is currently taking place in Nigeria, Kenya, Tanzania, South Africa, India, Thailand and Vietnam.
This second edition of the health system review of Philippines shows the major changes that have occurred over the 7 years since the last review. Channelling of funds from sin tax to Health has shown unprecedented levels of finances are now available for UHC. PhilHealth has dramatically increased coverage of people as well as service providers that it works with from both government and non-government sectors. However major challenges remain; regional and socioeconomic disparities in the availability and accessibility of resources are prominent and there is a need to improve regulation of service providers. Philippines HiT reports on the current health system reforms undertaken including challenges of incorporating primary health care as in the overall health architecture of the country.
As the burden of NCDs increases, various countries have introduced new and innovative modes of managing them in primary healthcare setting. APO, in conjunction with Duke Kunshan University, China, conducted a 4-country study (Bangladesh, China, Nepal and Viet Nam) to understand the different approaches used in involving CHWs in preventing and managing NCDs. Access full publication here http://bit.ly/2XnWwcd
Japan has made numerous achievements in health most notably the world’s highest life-expectancy in the past two decades, since its founding Universal Health Insurance System in 1961. However, ageing population with low-fertility rates, stagnating economy, increasing burden of NCDs and growing use of expensive technologies pose the critical challenges in service delivery and financial stability in health. Japan HiT reports current health system reforms undertaken and also recent discussion on paradigm shift to the new system as proposed in Japan Vision: Health Care 2035.
CII report titled "Addressing India's 21st century health challenges: Fostering public-private collaborations" gives an overview of the various gaps that exist in Public Health Delivery and identified areas where the private sector can plug in such gaps through partnerships. These include - financing and investments in Primary healthcare, education and training facilities – medical and public health, availability of essential drugs to all, expansion of universal health coverage and addressing health beyond healthcare etc. The report identifies PPPs to be a game changer in Public Health Delivery.
HealthCursor Consulting Group India- Distribution and Marketing- Mobile network operators in Africa have identified the growing demand for financial services and micro insurance . Airtel Africa has partnered with MicroEnsure for Mobile Micro Insurance. The range of Airtel-branded insurance products includes life, accident, health, agriculture, and other forms of cover.
Connecting intermediaries, customers and surveyors- ICICI Lombard India's mobile initiative started simply enough, with a set of basic applications that gave customers a consolidated view of all their policies, a reminder service to renew a policy, and a way to track the status of a claim. But as they matured with the mobile platform, they re-visited the paradigm and devised new ways to provide customers with more value-added and user-friendly features. This is however restricted to Auto insurance only.
Encryption, Transactions and handling customer grievance- Public sector general insurance company United India Insurance launched a mobile-based real-time fund transfer facility for payment of premium. M-Power enables customers to renew their policies and also remit the premium for approved proposals. To use this facility, one has to get an MMID (an identification number called - mobile money identifier) from his/her bank and enable one’s mobile with the application given by the bank. However, there are only 10 banks on board with this platform. This initiative follows the launch of its Internet-based sales, customer grievance portal and information-cum-sales kiosks.
Sales, awareness and providing access- Bima, a young Swedish microinsurance company, is using mobile phones to sell as many as three billion new insurance policies to the global poor. Bima, that has begun to access this untapped market, is now one of the largest mobile insurance platforms in the world. In just three years, Bima has acquired 4 million clients in Africa and Asia and is adding 400,000 new subscribers per month. Bima has been tackling many of the obstacles—education, pricing, premium collection—that prevent poor people from obtaining such benefits. For instance, Bima products such as life, accident and health insurance cost "as little as $0.20 to $6.00 a month. Last month, Leapfrog invested $4.25 million in Bima, which will allow the company to expand even further within Africa and Asia as well as reach into new markets in Latin America.
The purpose of this presentation is to equip audiences with the ability to:
Define universal health coverage (UHC) and understand the basic tenets of UHC
Identify how UHC fits in USAID’s health and poverty reduction strategies
Effectively communicate to country stakeholders how USAID can support a country’s progress towards UHC
Identify relevant UHC resources within the Office of Health Systems and USAID
The presentation is part of the “UHC Toolkit” and accompanies Universal Health Coverage: An Annotated Bibliography, and Universal Health Coverage: Frequently Asked Questions.
Measuring prevailing practices of healthcare professional on electronic healt...journalBEEI
Paper based approach to clinical documentation such as handwritten notes among health care providers are cause of errors in medical field. Therefore, health record system needs to be replaced with electronic health record (EHR). Many health professionals in developing countries specifically in Iraq refuse to use the systems implemented for their benefits due to many reasons. Thus, the use of electronic services is important for successful electronic health implementations. Therefore, this study is intended to identify the main factors affecting the intention of use of the electronic health record in Iraq. Health professional staff who work in the main hospital in Dhi-Qar is chosen because this province is the first local province that implemented many electronic projects. The present study examined use of user acceptance of technology, based on the technology acceptance model (TAM). Moreover, the quantitative method approach for data collection using survey from staff who work in the main hospital in Dhi-Qar. Data was analyzed using Structural Equation Modeling using AMOS. The results indicated significant relationship between Ease of Use, Usefulness, Usefulness, Attitude, and Intention of use of EHR. These finding have implementation for decision makers in Iraq government to improve future implementation of e-health services.
Researching Purchasing to achieve the promise of Universal Health Coverageresyst
This presentation was given by Professor Kara Hanson at the BMC Health Services Research Conference, in July 2014.
The presentation illustrates the important role that strategic purchasing can play in achieving effective health coverage, and how the topic is being studied by researchers. It highlights RESYST's multi-country study of purchasing arrangements that is currently taking place in Nigeria, Kenya, Tanzania, South Africa, India, Thailand and Vietnam.
This second edition of the health system review of Philippines shows the major changes that have occurred over the 7 years since the last review. Channelling of funds from sin tax to Health has shown unprecedented levels of finances are now available for UHC. PhilHealth has dramatically increased coverage of people as well as service providers that it works with from both government and non-government sectors. However major challenges remain; regional and socioeconomic disparities in the availability and accessibility of resources are prominent and there is a need to improve regulation of service providers. Philippines HiT reports on the current health system reforms undertaken including challenges of incorporating primary health care as in the overall health architecture of the country.
As the burden of NCDs increases, various countries have introduced new and innovative modes of managing them in primary healthcare setting. APO, in conjunction with Duke Kunshan University, China, conducted a 4-country study (Bangladesh, China, Nepal and Viet Nam) to understand the different approaches used in involving CHWs in preventing and managing NCDs. Access full publication here http://bit.ly/2XnWwcd
Japan has made numerous achievements in health most notably the world’s highest life-expectancy in the past two decades, since its founding Universal Health Insurance System in 1961. However, ageing population with low-fertility rates, stagnating economy, increasing burden of NCDs and growing use of expensive technologies pose the critical challenges in service delivery and financial stability in health. Japan HiT reports current health system reforms undertaken and also recent discussion on paradigm shift to the new system as proposed in Japan Vision: Health Care 2035.
CII report titled "Addressing India's 21st century health challenges: Fostering public-private collaborations" gives an overview of the various gaps that exist in Public Health Delivery and identified areas where the private sector can plug in such gaps through partnerships. These include - financing and investments in Primary healthcare, education and training facilities – medical and public health, availability of essential drugs to all, expansion of universal health coverage and addressing health beyond healthcare etc. The report identifies PPPs to be a game changer in Public Health Delivery.
HealthCursor Consulting Group India- Distribution and Marketing- Mobile network operators in Africa have identified the growing demand for financial services and micro insurance . Airtel Africa has partnered with MicroEnsure for Mobile Micro Insurance. The range of Airtel-branded insurance products includes life, accident, health, agriculture, and other forms of cover.
Connecting intermediaries, customers and surveyors- ICICI Lombard India's mobile initiative started simply enough, with a set of basic applications that gave customers a consolidated view of all their policies, a reminder service to renew a policy, and a way to track the status of a claim. But as they matured with the mobile platform, they re-visited the paradigm and devised new ways to provide customers with more value-added and user-friendly features. This is however restricted to Auto insurance only.
Encryption, Transactions and handling customer grievance- Public sector general insurance company United India Insurance launched a mobile-based real-time fund transfer facility for payment of premium. M-Power enables customers to renew their policies and also remit the premium for approved proposals. To use this facility, one has to get an MMID (an identification number called - mobile money identifier) from his/her bank and enable one’s mobile with the application given by the bank. However, there are only 10 banks on board with this platform. This initiative follows the launch of its Internet-based sales, customer grievance portal and information-cum-sales kiosks.
Sales, awareness and providing access- Bima, a young Swedish microinsurance company, is using mobile phones to sell as many as three billion new insurance policies to the global poor. Bima, that has begun to access this untapped market, is now one of the largest mobile insurance platforms in the world. In just three years, Bima has acquired 4 million clients in Africa and Asia and is adding 400,000 new subscribers per month. Bima has been tackling many of the obstacles—education, pricing, premium collection—that prevent poor people from obtaining such benefits. For instance, Bima products such as life, accident and health insurance cost "as little as $0.20 to $6.00 a month. Last month, Leapfrog invested $4.25 million in Bima, which will allow the company to expand even further within Africa and Asia as well as reach into new markets in Latin America.
The purpose of this presentation is to equip audiences with the ability to:
Define universal health coverage (UHC) and understand the basic tenets of UHC
Identify how UHC fits in USAID’s health and poverty reduction strategies
Effectively communicate to country stakeholders how USAID can support a country’s progress towards UHC
Identify relevant UHC resources within the Office of Health Systems and USAID
The presentation is part of the “UHC Toolkit” and accompanies Universal Health Coverage: An Annotated Bibliography, and Universal Health Coverage: Frequently Asked Questions.
Challenges and hurdles to implement eHealth in developing countriesMandirola, Humberto
We don't have any doubt today about the importance of eHealth for health. eHealth improves the quality and generates cheaper costs for Health care. However, for various reasons, there are difficulties to implement them especially in developing countries. This research is about studying those difficulties in order to find a way to try to solve them.
The WHO identified the use of eHealth as a priórity.
Poor strategic planning and lack of implementation of international standards consume government budgets without reaching a good result.
We need skills, development of human resources in knowledge in medical informatics, standard terminology and messaging standards.
Presentación de David Novillo en el nternational Workshop RITMOS, celebrado el pasado 14 y 15 de octubre en Barcelona con el apoyo de la UOC y Mobile World Capital de Barcelona (MWBC)
The mission of the program is to sensitize the elderly about how they could get access to their medicine. The primary goal is to ensure that older adults are living well by getting access to their medicines when they want them depending on their condition
INFLUENCE OF HEALTH SERVICE PROVIDER COMPETENCY ON UTILIZATION OF UNIVERSAL H...Premier Publishers
Health workers competency is very critical in realization of quality health care which is a major pillar of Universal Health Coverage. This study assessed the influence of healthcare provider competency on Universal Health Coverage utilization in Seme Sub County, Kisumu County. The study targeted community households and health facility managers. The health facilities were stratified according to their tiers and randomly sampled. The catchment population was stratified by locations and a proportionate sampling technique applied in each stratum giving a computed sample of 377 participants. The descriptive statistics were summarized using tables and charts, while logistic regression was used to determine relationship between variables. The results revealed that quite a number of health service providers are not competent enough in their departments of operation and there is no periodic training on new guidelines. This study further revealed a statistical effect on competency of health service provider on UHC (OR=2.29, 95%CI=1.02-5.15, p<0.05). Healthcare service provider competency levels have direct significant influence on utilization of UHC services by community members.
Brief overview of group 2 final PowerPoint presentation pertaining to the affects of macro-trends on the U.S.Healthcare Systems and potential job growth/opportunities that will come from them.
Original PaperWho Uses Mobile Phone Health Apps and Does U.docxvannagoforth
Original Paper
Who Uses Mobile Phone Health Apps and Does Use Matter? A
Secondary Data Analytics Approach
Jennifer K Carroll1, MPH, MD; Anne Moorhead2, MSc, MA, MICR, CSci, FNutr (Public Health), PhD; Raymond
Bond3, PhD; William G LeBlanc1, PhD; Robert J Petrella4, MD, PhD, FCFP, FACSM; Kevin Fiscella5, MPH, MD
1Department of Family Medicine, University of Colorado, Aurora, CO, United States
2School of Communication, Ulster University, Newtownabbey, United Kingdom
3School of Computing & Maths, University of Ulster, Newtownabbey, United Kingdom
4Lawson Health Research Institute, Family Medicine, Kinesiology and Cardiology, Western University, London, ON, Canada
5Family Medicine, Public Health Sciences and Community Health, University of Rochester Medical Center, Rochester, NY, United States
Corresponding Author:
Jennifer K Carroll, MPH, MD
Department of Family Medicine
University of Colorado
Mail Stop F496
12631 E. 17th Ave
Aurora, CO, 80045
United States
Phone: 1 303 724 9232
Fax: 1 303 724 9747
Email: [email protected]
Abstract
Background: Mobile phone use and the adoption of healthy lifestyle software apps (“health apps”) are rapidly proliferating.
There is limited information on the users of health apps in terms of their social demographic and health characteristics, intentions
to change, and actual health behaviors.
Objective: The objectives of our study were to (1) to describe the sociodemographic characteristics associated with health app
use in a recent US nationally representative sample; (2) to assess the attitudinal and behavioral predictors of the use of health
apps for health promotion; and (3) to examine the association between the use of health-related apps and meeting the recommended
guidelines for fruit and vegetable intake and physical activity.
Methods: Data on users of mobile devices and health apps were analyzed from the National Cancer Institute’s 2015 Health
Information National Trends Survey (HINTS), which was designed to provide nationally representative estimates for health
information in the United States and is publicly available on the Internet. We used multivariable logistic regression models to
assess sociodemographic predictors of mobile device and health app use and examine the associations between app use, intentions
to change behavior, and actual behavioral change for fruit and vegetable consumption, physical activity, and weight loss.
Results: From the 3677 total HINTS respondents, older individuals (45-64 years, odds ratio, OR 0.56, 95% CI 0.47-68; 65+
years, OR 0.19, 95% CI 0.14-0.24), males (OR 0.80, 95% CI 0.66-0.94), and having degree (OR 2.83, 95% CI 2.18-3.70) or less
than high school education (OR 0.43, 95% CI 0.24-0.72) were all significantly associated with a reduced likelihood of having
adopted health apps. Similarly, both age and education were significant variables for predicting whether a person had adopted a
mobile device, especially if that person was a college graduate (OR 3.30). Ind ...
Original PaperWho Uses Mobile Phone Health Apps and Does U.docxhoney690131
Original Paper
Who Uses Mobile Phone Health Apps and Does Use Matter? A
Secondary Data Analytics Approach
Jennifer K Carroll1, MPH, MD; Anne Moorhead2, MSc, MA, MICR, CSci, FNutr (Public Health), PhD; Raymond
Bond3, PhD; William G LeBlanc1, PhD; Robert J Petrella4, MD, PhD, FCFP, FACSM; Kevin Fiscella5, MPH, MD
1Department of Family Medicine, University of Colorado, Aurora, CO, United States
2School of Communication, Ulster University, Newtownabbey, United Kingdom
3School of Computing & Maths, University of Ulster, Newtownabbey, United Kingdom
4Lawson Health Research Institute, Family Medicine, Kinesiology and Cardiology, Western University, London, ON, Canada
5Family Medicine, Public Health Sciences and Community Health, University of Rochester Medical Center, Rochester, NY, United States
Corresponding Author:
Jennifer K Carroll, MPH, MD
Department of Family Medicine
University of Colorado
Mail Stop F496
12631 E. 17th Ave
Aurora, CO, 80045
United States
Phone: 1 303 724 9232
Fax: 1 303 724 9747
Email: [email protected]
Abstract
Background: Mobile phone use and the adoption of healthy lifestyle software apps (“health apps”) are rapidly proliferating.
There is limited information on the users of health apps in terms of their social demographic and health characteristics, intentions
to change, and actual health behaviors.
Objective: The objectives of our study were to (1) to describe the sociodemographic characteristics associated with health app
use in a recent US nationally representative sample; (2) to assess the attitudinal and behavioral predictors of the use of health
apps for health promotion; and (3) to examine the association between the use of health-related apps and meeting the recommended
guidelines for fruit and vegetable intake and physical activity.
Methods: Data on users of mobile devices and health apps were analyzed from the National Cancer Institute’s 2015 Health
Information National Trends Survey (HINTS), which was designed to provide nationally representative estimates for health
information in the United States and is publicly available on the Internet. We used multivariable logistic regression models to
assess sociodemographic predictors of mobile device and health app use and examine the associations between app use, intentions
to change behavior, and actual behavioral change for fruit and vegetable consumption, physical activity, and weight loss.
Results: From the 3677 total HINTS respondents, older individuals (45-64 years, odds ratio, OR 0.56, 95% CI 0.47-68; 65+
years, OR 0.19, 95% CI 0.14-0.24), males (OR 0.80, 95% CI 0.66-0.94), and having degree (OR 2.83, 95% CI 2.18-3.70) or less
than high school education (OR 0.43, 95% CI 0.24-0.72) were all significantly associated with a reduced likelihood of having
adopted health apps. Similarly, both age and education were significant variables for predicting whether a person had adopted a
mobile device, especially if that person was a college graduate (OR 3.30). Ind.
The study had two main research questions. The first research question in this study was “How are health care funding and expenditure decisions made in secondary and tertiary care hospitals in Oman?” The second research question in this study was “What influences decision-making in secondary and tertiary care hospitals in Oman?”
1. Country is Egypt2. Review the grading rubric carefully prior TatianaMajor22
1. Country is Egypt
2. Review the grading rubric carefully prior to beginning to work, and frequently throughout the process.
3. Professional grammar, mechanics, and APA format and style are expected. Maintain a professional and academic tone.
4. Create a proposal for an evidence-based practice project that fully conforms to APA guidelines and uses the following level one headings (in the order provided and without the page numbers or clarifying information below). Additional headings are not permissible. A title page is required. The provided page limits must be adhered to. The total paper will be 8 pages not counting the title page or references. Identify an interprofessional healthcare disparity related to that country and develop an EBP project proposal to improve that disparity in the identified country. Do not create a research project--use appropriate EBP terminology.
5. Per APA guidelines, repeat the title of the paper on the first line of the first page of the body of the paper, followed by the introduction. (1/2 page)
6. Overview of Country (1/2-1 page). This sections provides an overview of/introduction to the country
7. Description of Healthcare System (1/2-1 page). This section provides a detailed description of the type of healthcare system, it's strengths and weaknesses, and pertinent additional information.
8. Identification of Healthcare Disparity (interprofessional) (1/2-1 page). This section identifies a healthcare disparity faced by this country. The disparity must be amenable to improvement through an evidence-based practice (EBP) project.
9. PICOT Question (1/2 page). This section states the PICOT question that will guide the evidence review for your EBP project. The PICOT must be in full PICOT format (the P before the I before the C, etc). State the PICOT in a single sentence and then provide operational definitions for each of the PICOT elements. Ensure the writing conforms to APA guidelines and flows well.
10. Evidence-Review (1-2 pages of at least 5 research studies). Provide a synthesis of the evidence review. This is not a study by study summary, but instead an integrative synthesis of the findings that seeks to answer the PICOT question. Provide the answer to the PICOT question in the final paragraph of this section.
11. Interprofessional Approach to Improve the Healthcare Disparity (1-2 pages). How will this EBP project focus on an interprofessional approach to improve the healthcare disparity to be improved? Be specific? Include at least three different healthcare disciplines that will be involved and state how the healthcare disparity benefits from each disciplines expertise.
12. Stakeholders & Overcoming Barriers (1 page). Who are the major stakeholders in this EBP project? How will their support be gained? What barriers must be overcome to make the project a reality?
13. Funding and Sustainability (1/2 page). What are the costs associated with this EBP project and how will funding be gained? How will ...
An EHealth Adoption Framework for Developing Countries: A Systematic Reviewhiij
There is growing interest in the rate of eHealth uptake resulting from the increased potential to advance the quality of healthcare services in both the developed and developing countries. Although the implementation of information and communication technology to support healthcare delivery would greatly address the quality and accessibility challenges in healthcare as well as reduction in the cost of healthcare delivery, the adoption of eHealth has not been fully realized. This study aimed at conducting a systematic literature review to establish the factors associated with the adoption of eHealth and propose a context-specific framework for successful adoption of eHealth technologies in developing countries such as Uganda. The systematic literature review process was guided by the Systematic Review Protocol. The review of 29 journals from the period 2009-2021 showed that, although the most widely used frameworks in the developing countries were Technology Adoption Model (TAM), Unified Theory of Acceptance and Use of Technology (UTAUT) framework and Technology Organization Environment (TOE) framework, there were other salient factors reported by other researchers that contributed to the adoption of eHealth in developing countries. A novel framework for adoption of eHealth in the local context with eight (8) dimensions namely; Sociodemographic, Technology, Information, Socio-cultural, Organization, Governance, Ethical and legal and Financial dimensions is derived and presented as result of the research.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
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Challenges and hurdles to implement e health in developing countries
1. Challenges and hurdles to implement eHealth in developing countries
Mandirola Brieux HF.a, Bhuiyan Masud JH. b, Kumar Meher S.c, Kumar V. c Portilla F. d, Indarte S.e,
Luna D.a, Otero C. a, Otero P.a, González Bernaldo de Quirós F.a
a
Hospital Italiano, Buenos Aires, Argentina
b
UNICEF, Bangladesh
c
All India Institute of Medical Sciences, Delhi, India
d
HL7 Colombia, Bogota, Colombia
e
SUEIIDISS, Montevideo, Uruguay
Abstract
Health informatics has the potential to show improve-
ments in security and quality of patient's care, but its
spread has some differences between developed and de-
veloping countries. Related to this, the objective of this
study is to know which are the challenges and hurdles to
improve eHealth in developing countries. We surveyed
experts to evaluate their opinion about 5 general ques-
tions: economic support by Government for eHealth,
Government education or training projects in the field,
issues related to cultural or educational problems for
the implementation of eHealth, policies in terminology
or messaging standards and eHealth status policies for
long periods. The respondents answered in affirmatively
in these proportions: 1.Economic support policies 58 %,
2.Training policies 25 %, 3. Cultural and educational
problems 95 %, 4.Standars policies, 38 %, 5.Policies for
long periods, 50 % Conclusion: Our survey has shown
that the important problems that need to be addressed in
order to implement e-Health in developing countries are
cultural and educational, in second term economic re-
sources and in third term Policies for long periods.
Keywords:
Computersystem, eHealth, Medical Informatics, Cultural,
Educational.
Introduction
E-health is the transfer of health resources and health
care by electronic means. It encompasses three main ar-
eas: The delivery of health information, for health pro-
fessionals and health consumers, through the Internet
and telecommunications. Using the power of IT and e-
commerce to improve public health services, e.g.
through the education and training of health workers. (1)
E-Health has a great importance in the management of
health care services; there is no doubt about the ad-
vantages of information technology applied to health. (2)
, but in most developing countries there are serious diffi-
culties for its effective implementation. (3) Information
technology may allow significant improvements in vari-
ous aspects and have the potential to benefit developed
and developing countries. The World Health Organiza-
tion (WHO) identified the use of eHealth as a priority
skill development of human resources in health (Human
resources in eHealth requires people with knowledge in
medical informatics, standard terminology ICD-10,
SNOMED and messaging HL7 standards.), furthermore,
is increasingly recognized as a crucial for improving
health systems to achieve the WHO Millennium Devel-
opment Goals.(4)
Poor strategic planning and lack of international stand-
ards consume government budgets without reaching
good result. (5). Begin developing systems without hav-
ing defined the framework to develop implementations
might fall into serious common mistakes. Without first
identifying standards policies, network connectivity and
Internet access, master files and unique identifiers it
could lead us to a waste of time and resources. Even ex-
perience and resources for early implementation projects
in developed countries are available, in many developing
countries there are barriers and difficulties to access to
these resources.
eHealth care is a challenge that all countries face today,
irrespectively if they are developed or developing na-
tions (4). Some aspects threaten systems implementation
in the health sector involve economic resources (6), in-
come disparities, exorbitant costs of usage fees, and
even excessively costs for rudimentary health infor-
mation system (7); human trained resources (8); lack of
governmental policies that address a well-defined health
system that incorporates eHealth (9); cultural aspects
(10) and some resistance to use computers for health
care process; also standards policies that have the poten-
tial to play a major role in the systems interoperability,
ensuring standards, generating guidelines and introduc-
ing essential policies based on effective and efficient
evidence could be necessary (11).
2. The aim of this work is to identify the main challenges
and hurdles for eHealth development in developing
countries in Asia and South- America.
Materials and Methods
In order to collect data about challenges and hurdles for
eHealth implementations, we conducted a survey. A
short semi structured survey and data was collected for
one physician trained in the field with special care to ask
respondents to answer about their spontaneous percep-
tion or personal knowledge. Respondents were keeping
confidential
Setting: Data collection were carried out among those
attending INFOLAC 2014 the Latin American Confer-
ence on Medical Informatics organized by the Uruguay-
an Society of Health Informatics in Montevideo Uru-
guay from 16th to17th October 2014 (12) and APAMI
2014, Asia Pacific Association for Medical Informatics
Conference organized by the Indian Association for
Medical Informatics (IAMI) in New Delhi, India from
30th Oct to 2nd November 2014 (13).
Design: The design of the study is a cross-sectional de-
scriptive study
Sampling strategies: Within the attendees, consecutive
convenience sample were performed to attendees until
complete 3 participants for each country participating in
the events.
The number proposed for this study was 60 surveys in
total.
Inclusion criteria:
Individuals carrying out activities in the field of medical
informatics in their country attending to INFOLAC 2014
and APAMI 2014.
Exclusion criteria:
Those who cannot answer more of two questions will be
excluded.
Attendees will be able to add comments and suggestions
which will be used in future studies.
To determine which are the obstacles to implement
Health in developing countries, we first identify the el-
ements necessary to develop eHealth according to other
studies, mainly in developing countries (14), these vari-
ables are: 1) Economic support by the government for
eHealth, 2) eHealth training, 3) Cultural or education-
al problems for implementation of eHealth, 4) Stand-
ards policy in terminology or messaging, 5) Polices in
eHealth.
Questions for INFOLAC 2014 were made in Spanish
and in English for APAMI 2014.
The questions of the anonymous survey we made in the
survey were:
1. Is there any economic support by Government
for eHealth?
2. Does Government organize eHealth courses or
training?
3. Do you consider that there are cultural or educa-
tional problems for the implementation of
eHealth?
4. Does your country have any standards policy in
terminology or messaging in eHealth?
5. Does your country have eHealth status policies
for long periods?
Results
All respondents agree to participate in the studied. Per-
sonal information was keep confidential. From the 60
proposed surveys, 27 from South America and 33 from
Asia. 4 surveys were excluded due to not fit the inclu-
sion criteria.
The result of the survey showed the following:
1. “Is there any economic support by Government for
eHealth?” Answer was yes in South America in the 33%
of the times (table 1 and figure 1) and in Asia 79% (table
2 and figure 2). The results for positive answer in all
countries were 58 % (table 3 and figure 3).
2. “Does Government organize eHealth courses or train-
ing?” Answers were yes in South America in the 15%
(table 1 and figure 1) and in Asia was 33% (table 2, fig-
ure 2). The results for yes in all countries were 25 % (ta-
ble 3 and figure 3).
3. For the question: “Do you consider that there are cul-
tural or educational problems for the implementation of
eHealth?” All the answer in South America was yes (ta-
ble 1 and figure 1) and 91%, in Asia (table 2 and figure
2). Considering all countries yes was 95 % (table 3 and
figure 3).
4. About if: “Does your country have any standards pol-
icy in terminology or messaging in eHealth?” Answer
yes in South America was 33% (table 1 and figure 1) In
Asia yes was 42 %, (table 2 and figure 2). The results for
positive answer in all countries were 38 % (table 3, fig-
ure 3).
5. “Does your country have eHealth status policies for
long periods?” Answer yes for this question in South
America was 41% (table 1, figure 1) and 58%, in Asia
(table 2 and figure 2). The results for all countries was
50 % (table 3, figure 3).
Table 1. South America respondents
3. Figure 1 South America respondents
Table 2 Asia respondents
Figure 2 Asia respondents
Table3 All respondents
Figure 3 all respondents
Table 4 All respondents. Comparison by region in %
Figure 4 All respondents. Comparison by region
Results shown in both regions were very similar about
the role of the states in relation to national policies for
long live projects, standards policies, cultural issues and
education for eHealth. The role of state-related to train-
ing and economic support in eHealth was perceived dif-
ferent in the analyzed regions, being more intense in
Asia than in South America. (Table 4 and Figure 4).
Discussion
This is a preliminary survey to get an overview of the
situation in our region and pave the way for more com-
plex studies.
Training of human resources in eHealth is critical, be-
cause we think it is one of the limiting steps of high im-
pact, not only from a technical standpoint, but as a
change management tool.
Is interesting to note that participants agree that eHealth
development will require more universal eHealth in-
teroperability standards, and strategies to overcome
technical infrastructure barriers and address privacy, se-
curity, and other legal requirements (15), we should take
advantage of the lessons learned in developed countries
in order to optimize the strategies to achieve this goals.
About regulatory legal and policy framework, is diffi-
cult, in most of our countries to find clear policies and
coordination between state or governmental agencies
and eHealth initiatives. This is a huge obstacle to im-
plement eHealth in developing countries.
Instability in politics issues make really difficult to find
policies governance for long-term projects. Govern-
ments want to centralized systems instead of dictating
long term policies that enable the local developers to
interoperoperate with other regional developments
through clear policies standards. In many of our coun-
tries there are no state policies, they often change the
4. government and projects fall and are changed by others.
Developing policies eHealth requires long-term political
times exceeding consensus and projects.(16)
One of the limitations of this study is the sample. We
Collected the data in only two events in South America
during INFOLAC 2014 conference and during APAMI
2014, it could be necessary extend the coverage of the
sample for next studies. Even so, our results are con-
sistent with the work of Lacroix A and Col that report
that one of the main problem has to do with the educa-
tional training.(17).
Conclusion
E-health is the promising hope for achieve better health
for all. The present study suggested a huge gap in cultur-
al and educational issues regarding to eHealth. We also
must take measure for long-term eHealth projects ac-
cording with our results. It is very important to consider
interoperability and standards in eHealth as well. We
have to work hard to solve these obstacles presented for
its use to achieve health for all, and don’t settle for noth-
ing less.
Acknowledgments
Rachel Leidi who helped in the translation and correc-
tion of this work.
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Address for correspondence
humberto.mandirola@hospitalitaliano.org.ar