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Influence of Institutional Factors on Community Level Technology Implementation for Enhanced Data Utilization in Malawi's Health Management Information System 制度因素对马拉维卫生管理信息系统加强数据利用的社区级技术实施的影响
IF 1.1 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2025-02-26 DOI: 10.1002/isd2.70007
Auxilia Nyaukaya Kaunda, Tiwonge Manda, Jens Kaasbøll

The paper details how influences of institutional factors on the implementation of technology and tools at the community level are addressing data use challenges in the Malawi health sector. Particularly, the paper interrogates how the demands, expectations, and practices of organizations operating within the health sector can shape data use. This interpretive qualitative study, conducted in four selected districts across Malawi, applied the lens of institutional pressures. The study used semi-structured interviews, participant observations, documents, and artifact review data collection methods. The findings demonstrate that the Ministry of Health, through demands from partner organizations, implemented technology and tools aimed at improving data use, including the Integrated Community Health Information System, which is enhancing the DHIS2 functionality at the community level; the paper-based Integrated Community Health Register; and the National Community Health Strategy that guides community activities. This study posits that the Ministry of Health's mandate in developing nations, such as Malawi, includes enforcement of a regulatory framework that ensures the legitimacy of all organizations operating within the health sector to a standardized approach for integrated processes of data utilization. The study contributes to the literature on the Information and Communication Technology for Development field by providing empirically grounded perspectives of institutional pressures.

该文件详细介绍了体制因素对社区一级技术和工具实施的影响如何解决马拉维卫生部门数据使用方面的挑战。特别是,本文询问了在卫生部门内运作的组织的需求、期望和做法如何影响数据的使用。这项解释性质的研究在马拉维选定的四个地区进行,采用了体制压力的视角。该研究使用了半结构化访谈、参与者观察、文档和工件审查数据收集方法。调查结果表明,卫生部根据伙伴组织的要求,实施了旨在改进数据使用的技术和工具,包括正在加强社区卫生信息系统2在社区一级的功能的综合社区卫生信息系统;以纸张为基础的综合社区健康登记册;以及指导社区活动的国家社区卫生战略。本研究认为,卫生部在马拉维等发展中国家的任务包括执行一项监管框架,确保在卫生部门内运作的所有组织在数据利用综合过程中采用标准化方法的合法性。该研究通过提供基于经验的制度压力视角,为信息和通信技术促进发展领域的文献做出了贡献。
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引用次数: 0
Towards a Framework for the Adoption and Use of Information and Communication Technology for Empowering Women Entrepreneurs: Case of Egypt 建立采用和使用信息和通信技术以增强女企业家权能的框架:埃及案例
IF 1.1 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2025-02-25 DOI: 10.1002/isd2.70006
Nahed Azab, Mohamed Elsherif

This study investigates the role of Information and Communication Technology (ICT) in empowering women entrepreneurs, with a focus on the Egyptian context. The study draws upon the Unified Theory of Acceptance and Use of Technology (UTAUT), to identify five chief factors that affect ICT adoption: Perceived Usefulness (PU), Perceived Ease Of Use (PEOU), Social Expectancy (SE), Facilitating Conditions (FC), and Personal Traits (PT). These factors were also confirmed by five Heads of NGOs supporting women entrepreneurs in Egypt. This paper presents the first stage of our research which involves gathering qualitative data through semi-structured interviews with six Egyptian women entrepreneurs from Cairo, Giza, and Alexandria Egyptian governorates. This research aimed to empirically explore the existence of the five factors that affect ICT adoption leading to the development of a conceptual framework. Our qualitative study allowed us also to obtain rich information regarding the interviewees' experience with ICT adoption and usage and the benefits reaped in terms of increasing all facets of Power and Social Capital. The study revealed that access to technology and education does not pose any barriers for the participants because they live in big cities with good Internet infrastructure. In addition, all participants are highly educated and have relatively high living standards. They are also exposed to several opportunities such as funding and training support from government entities and NGOs. However, they all expressed their need to acquire advanced training in different software applications. Furthermore, the study confirmed that ICT offers significant opportunities for women's empowerment and can reduce societal challenges such as age and male-dominant culture. Being considered among the middle class or above, the outcome of using ICT is not directed to financial reasons; it is primarily towards confidence and self-satisfaction.

本研究调查了信息和通信技术(ICT)在赋予女性企业家权力方面的作用,重点是埃及的情况。该研究借鉴了技术接受和使用统一理论(UTAUT),确定了影响ICT采用的五个主要因素:感知有用性(PU)、感知易用性(PEOU)、社会期望(SE)、促进条件(FC)和个人特征(PT)。支持埃及女企业家的五名非政府组织负责人也证实了这些因素。本文介绍了我们研究的第一阶段,其中包括通过对来自开罗,吉萨和亚历山大埃及省的六位埃及女企业家的半结构化访谈收集定性数据。本研究旨在实证探讨影响ICT采用的五个因素是否存在,从而形成概念框架。我们的定性研究还使我们获得了丰富的信息,包括受访者在采用和使用ICT方面的经验,以及在增加权力和社会资本的各个方面所获得的好处。研究显示,获得技术和教育对参与者来说没有任何障碍,因为他们生活在拥有良好互联网基础设施的大城市。此外,所有参与者都受过高等教育,生活水平相对较高。他们也有机会获得政府实体和非政府组织提供的资金和培训支持。然而,他们都表示需要在不同的软件应用程序中获得高级培训。此外,该研究证实,信息通信技术为妇女赋权提供了重要机会,并可以减少年龄和男性主导文化等社会挑战。被认为属于中产或以上阶层,使用资讯及通讯科技的结果与经济原因无关;它主要是为了自信和自我满足。
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引用次数: 0
Examining the Diffusion of Software-as-a-Service (SaaS)-Based Cloud Model Among Indian Firms: A Risk-Based Perspective 基于软件即服务(SaaS)的云模型在印度企业中的扩散:基于风险的视角
IF 1.1 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2025-02-23 DOI: 10.1002/isd2.70003
Shubhendu Dutta

The study aims to identify the specific perceived risks that dissuade organizations from continuing the use of SaaS. Along with the inhibiting factors, the study also examines the role of IT governance in post adoption of SaaS. Based on the premise of prospect theory and resource based view, a mixed method study (quantitative study followed by a semi structured interview) was conducted with the IT leaders of SaaS consuming organizations to understand the phenomenon in the context. From our study, we found that among the various risks, financial risks and security and privacy risks have a greater influence on perceived risk and consequently on the intention to continuance use of SaaS. The study also reveals that the organizations are skeptical about increasing their usage level of SaaS, and they would do so on specific cases, which have less asset specificity. Further, it also indicates that regulated organizations are less inclined to increase their SaaS usage. To the best of our knowledge, this study is the first one on post adoption use of SaaS among Indian firms using the risk perspective.

该研究旨在确定阻止组织继续使用SaaS的特定可感知风险。除了抑制因素外,该研究还考察了IT治理在采用SaaS后的作用。基于前景理论和资源基础观点的前提下,对SaaS消费组织的IT领导者进行了混合方法研究(定量研究后进行半结构化访谈),以了解这一现象。从我们的研究中,我们发现在各种风险中,财务风险和安全隐私风险对感知风险的影响更大,从而对继续使用SaaS的意愿的影响更大。该研究还表明,组织对提高SaaS的使用水平持怀疑态度,并且他们会在特定的情况下这样做,这些情况具有较少的资产专用性。此外,它还表明受监管的组织不太倾向于增加SaaS的使用。据我们所知,这项研究是印度公司采用SaaS后使用风险视角的第一项研究。
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引用次数: 0
Tailoring Digital Content to Address Occupational Injustice: Improving Accessibility and Equity for Marginalized Groups 定制数字内容以解决职业不公正:改善边缘化群体的可及性和公平性
IF 1.1 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2025-02-10 DOI: 10.1002/isd2.70004
Jessica Eise, Ulf Thoene

Creating equity in access to digital content and tools in the face of global chronic stressors can improve inclusivity and reduce an exacerbation of marginalization. The socio-political aspects of life are inherent in occupation and may reveal internal and external barriers that block meaningful digital engagement and inhibit a community's ability to thrive. In this article, the concept of occupational injustice is the lens through which we examine digital environments, content, and tools so that we may improve the marginalization and inequity experienced by certain groups. Based on 57 in-depth interviews with coffee stakeholders in Colombia, this study is a qualitative assessment of how occupation influences digital use. Data are gathered through participants' use of a tailored climate change adaptation website, www.climaycafe.com, and the users' reported experience. The data reveal that occupation influences digital usage through (1) how a user engages based on an occupation's social status, (2) what a user values based on occupational demands, (3) what is perceived as reliable and trustworthy based on occupational influence, and (4) feature preferences based on occupational exposure to technology. The findings demonstrate that digital content and tools can be tailored to reduce occupational injustice through an audience-centric focus that enhances accessibility, usability, and digital equity.

面对全球性的慢性压力源,在获取数字内容和工具方面创造公平,可以提高包容性,减少边缘化的加剧。生活的社会政治方面是职业所固有的,可能会暴露出阻碍有意义的数字参与和抑制社区繁荣能力的内部和外部障碍。在本文中,职业不公正的概念是我们审视数字环境、内容和工具的镜头,以便我们可以改善某些群体所经历的边缘化和不平等。基于对哥伦比亚咖啡利益相关者的57次深度访谈,本研究是对职业如何影响数字使用的定性评估。通过参与者使用量身定制的气候变化适应网站www.climaycafe.com和用户报告的经验收集数据。数据显示,职业通过(1)基于职业社会地位的用户参与度,(2)基于职业需求的用户价值观,(3)基于职业影响的可信赖性和可信赖性,以及(4)基于职业接触技术的特征偏好来影响数字使用。研究结果表明,数字内容和工具可以通过以受众为中心,提高可访问性、可用性和数字公平来减少职业不公正。
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引用次数: 0
The Impact of Computerized School Selection and Placement Systems on Effective Service Delivery: A Post Implementation Assessment of Students' Placements Into Second-Cycle Institutions in Ghana 计算机化学校选择和安置系统对有效服务提供的影响:加纳第二周期机构学生安置的实施后评估
IF 1.1 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2025-02-10 DOI: 10.1002/isd2.70005
Joshua Nii Akai Nettey, Acheampong Owusu

The manual placement of students into second-cycle institutions in Ghana was inefficient and prone to errors, prompting the introduction of the Computerized School Selection and Placement System (CSSPS) to ensure effective and equitable placements. This study evaluates the CSSPS's effectiveness through the Task-Technology Fit (TTF) theory, which assesses the alignment between task requirements and technology capabilities. Using a qualitative approach, 12 participants, including school heads and CSSPS administrators, were interviewed. The findings reveal that CSSPS has significantly improved transparency, fairness, and efficiency in student placements, addressing biases and delays associated with the manual system. However, challenges remain, including technical issues and stakeholder dissatisfaction with placement outcomes. The study highlights that while CSSPS is well-suited for its intended purpose, increased stakeholder engagement and technical improvements are essential for long-term success. The research contributes to understanding ICT4D applications in education, emphasizing the need for continuous system upgrades and policy adjustments to enhance educational access and socio-economic development in Ghana. Recommendations include expanding training for stakeholders and improving system infrastructure to better meet user expectations and optimize the placement process.

在加纳,手工安排学生进入第二周期的机构效率低下,而且容易出错,因此采用了计算机化择校和安排系统(CSSPS),以确保有效和公平的安排。本研究通过任务-技术契合度(TTF)理论来评估CSSPS的有效性,该理论评估了任务需求与技术能力之间的一致性。采用定性方法,对包括学校校长和CSSPS管理人员在内的12名参与者进行了访谈。研究结果表明,CSSPS显著提高了学生安置的透明度、公平性和效率,解决了与人工系统相关的偏见和延迟。然而,挑战依然存在,包括技术问题和利益相关者对安置结果的不满。该研究强调,虽然CSSPS非常适合其预期目的,但增加利益相关者的参与和技术改进对于长期成功至关重要。该研究有助于理解ict技术在教育中的应用,强调需要不断进行系统升级和政策调整,以提高加纳的教育机会和社会经济发展。建议包括扩大对利益相关者的培训和改进系统基础设施,以更好地满足用户期望并优化安置过程。
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引用次数: 0
Using Digital Integrated Community Case Management to Strengthen Protocol Adherence Over the Sick Child Recording Form for Under-Five Children Referrals From Community to Higher Level Facilities in Malawi: Affordance Perspective 利用数字综合社区病例管理加强马拉维五岁以下儿童从社区转介到更高级别设施的病童记录表的协议遵守:可提供性视角
IF 1.1 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2025-02-02 DOI: 10.1002/isd2.70000
Florence Matewere, Jens Johan Kaasbøll

An effective referral system at the community level of healthcare for under-five children manages health needs by fostering relationships across all levels of healthcare, enabling patients to receive the best possible care and, in the process, saving lives. However, identifying those who need urgent referral mostly depends on community health workers (CHWs) commitment, which some studies have found inadequate due to nonadherence to the integrated Community Case Management (iCCM) Protocol, a protocol aimed at reducing child mortality and morbidity. Studies have shown that employing mobile Health (mHealth) may circumvent some of the limitations of paper-based iCCM protocol for patient referrals, which include assessment and treatment of under-five children. Despite the known benefits of mHealth in supporting CHWs, studies analyzing how the affordance of digital iCCM may strengthen protocol adherence over paper-based iCCM are lacking. Therefore, the purpose of this study is to analyze how the actualization of digital iCCM may strengthen protocol adherence over the SCRF, consequently, improving referrals from the community to the higher-level facilities for specialized treatment. The data captured from interviews, focus groups, informal chats, observation and document analysis were transcribed and analyzed using thematic analysis. We found that the Sick Child Recording Form faces challenges due to nonadherence to set guidelines, resulting in misclassification, incorrect drug prescriptions, and consequently, delays in referring patients with acute symptoms to health facilities for specialized treatment. As a contribution, this paper offers a new perspective on the technological affordances of digital iCCM that strengthen protocol adherence in patients' referrals from the community to the higher-level facilities that include assessment and treatment.

社区五岁以下儿童保健一级的有效转诊系统通过促进各级保健之间的关系来管理保健需求,使患者能够得到尽可能最好的护理,并在此过程中挽救生命。然而,确定那些需要紧急转诊的人主要取决于社区卫生工作者(chw)的承诺,一些研究发现,由于不遵守旨在降低儿童死亡率和发病率的综合社区病例管理(iCCM)议定书,社区卫生工作者(chw)的承诺不足。研究表明,采用移动医疗(mHealth)可以规避纸质iCCM协议在病人转诊方面的一些限制,其中包括对五岁以下儿童的评估和治疗。尽管移动医疗在支持卫生保健方面有众所周知的好处,但分析数字iCCM的可用性如何比基于纸张的iCCM加强协议遵守的研究还缺乏。因此,本研究的目的是分析数字iCCM的实现如何加强SCRF的协议遵守,从而改善从社区到更高级别机构进行专门治疗的转诊。从访谈、焦点小组、非正式谈话、观察和文件分析中获得的数据被转录并使用专题分析进行分析。我们发现,由于不遵守既定的指导方针,病童记录表面临挑战,导致错误分类,不正确的药物处方,从而导致将急性症状的患者转介到医疗机构进行专门治疗的延误。作为一项贡献,本文为数字iCCM的技术优势提供了一个新的视角,该技术优势可以加强患者从社区转介到包括评估和治疗在内的更高级别设施的协议依从性。
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引用次数: 0
The Influence of Self-Efficacy, Trust, Perceived Costs and Healthcare-Environment on Compliance With the Data Protection and Privacy Act by Health Workers in Uganda 自我效能、信任、感知成本和医疗保健环境对乌干达卫生工作者遵守数据保护和隐私法的影响
IF 1.1 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2025-02-02 DOI: 10.1002/isd2.70002
Barbara N. Kayondo, Michael Kyobe

Despite existing regulations, compliance with Uganda's Data Protection and Privacy Act (DPPA) remains challenging, as studies focus only on technical and organizational aspects, neglecting behavioral and contextual factors. Furthermore, the limited number of health workers, low awareness of the DPPA, high costs of compliance, and a lack of trust within hospitals exacerbate these challenges. This study investigates the influence of self-efficacy, trust, perceived costs, and the healthcare-environment on DPPA compliance among healthcare workers in Uganda. It also explores the moderating effects of gender and work experience on the relationship between self-efficacy and compliance. Using quantitative methods, data were collected from 309 healthcare workers across three hospitals through a self-administered questionnaire. Regression analysis revealed that perceived costs (β = 0.240, p < 0.0001) were the strongest predictor of compliance, followed by trust (β = 0.193, p < 0.0001), healthcare environment (β = 0.178, p < 0.0001) and self-efficacy (β = 0.121, p = 0.022) was positively associated with compliance. Gender (β = 0.119, p = 0.024) significantly moderated the self-efficacy-compliance relationship, with women exhibiting higher adherence to protocols, while work experience did not exhibit a significant moderating effect. The findings suggest that healthcare institutions in Uganda should invest in gender-specific training programs to enhance self-efficacy, build organizational trust, and reduce perceived compliance costs. Establishing supportive healthcare environments with clear policies and dedicated privacy officers is critical for promoting DPPA compliance. This study is among the first quantitative and empirical study to assess self-efficacy, trust, costs of compliance and healthcare-environment on DPPA compliance in Ugandan health context using social cognitive theory, theory of planned behavior, rational choice theory and institutional theory, a multi-theoretical approach offering valuable insights for healthcare policy and management in resource-constrained settings.

尽管有现行法规,但乌干达的《数据保护和隐私法》(DPPA)仍然具有挑战性,因为研究只关注技术和组织方面,而忽略了行为和环境因素。此外,卫生工作者数量有限、对DPPA认识不高、遵守成本高以及医院内部缺乏信任加剧了这些挑战。本研究调查了乌干达医护人员的自我效能、信任、感知成本和医疗环境对DPPA依从性的影响。研究还探讨了性别和工作经验对自我效能感与依从性关系的调节作用。采用定量方法,通过自我管理的问卷从三家医院的309名医护人员中收集数据。回归分析显示,感知成本(β = 0.240, p < 0.0001)是依从性的最强预测因子,其次是信任(β = 0.193, p < 0.0001)、医疗环境(β = 0.178, p < 0.0001)和自我效能感(β = 0.121, p = 0.022)与依从性呈正相关。性别(β = 0.119, p = 0.024)显著调节自我效能-依从性关系,女性表现出更高的协议依从性,而工作经验不表现出显著的调节作用。研究结果表明,乌干达的医疗保健机构应该投资于针对性别的培训项目,以提高自我效能感,建立组织信任,并降低感知的合规成本。建立具有明确政策和专门隐私官员的支持性医疗保健环境对于促进DPPA合规性至关重要。本研究是首次运用社会认知理论、计划行为理论、理性选择理论和制度理论,对乌干达健康背景下DPPA依从性的自我效能感、信任、依从性成本和医疗环境进行定量和实证研究,为资源受限环境下的医疗政策和管理提供了有价值的见解。
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引用次数: 0
Digital Platforms Boundary Resource: A Third-Party Developers Strategy for Digital Start-Ups and Market Penetration in Nigeria 数字平台边界资源:尼日利亚数字初创企业和市场渗透的第三方开发者战略
IF 1.1 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2025-01-29 DOI: 10.1002/isd2.70001
Emmanuel Okoro Ajah

Third-party application developers are increasingly using platform-based business models to enter new markets and create economic value. While prior research has mostly examined the design and architecture of digital platforms, less attention has been given to digital platform boundary resources as an entrepreneurship strategy. The boundary resources of a digital platform significantly impact third-party developers' motivation to engage in digital entrepreneurship. Consequently, scholars need to carefully investigate the affordances of the boundary resources that influence third-party developers to create complementary applications as products for entrepreneurial endeavors. To address this gap, the researcher formulated two research questions and conducted an inductive case study to explore the perspectives and views of third-party application developers in technology hubs within Nigeria's digital start-up ecosystem. Nigeria has a large youth population with a strong digital potential (i.e., tech-savvy) and is confronted with uncertainties, limited resources, and complexities. Furthermore, the study is grounded in the technological affordance theory, which guides the researcher's interpretation. The study's findings uncovered the digital platform's boundary resource affordances that play a strategic role in influencing third-party developers' participation in digital entrepreneurship.

第三方应用程序开发人员越来越多地使用基于平台的商业模式进入新市场并创造经济价值。以往的研究主要关注数字平台的设计和架构,而很少关注数字平台边界资源作为一种创业策略。数字平台的边界资源显著影响第三方开发者从事数字创业的动机。因此,学者们需要仔细研究影响第三方开发者为创业努力创造互补应用产品的边界资源的可承受性。为了解决这一差距,研究人员制定了两个研究问题,并进行了归纳案例研究,以探索尼日利亚数字创业生态系统中技术中心的第三方应用程序开发人员的观点和观点。尼日利亚拥有庞大的青年人口,具有强大的数字潜力(即精通技术),但面临着不确定性、有限的资源和复杂性。此外,本研究以技术提供理论为基础,指导研究者的解释。研究发现,数字平台的边界资源支持在影响第三方开发者参与数字创业方面发挥着战略作用。
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引用次数: 0
Independent or Freelance Mobile Application Development in Ghana: Unraveling Opportunities and Challenges 加纳独立或自由移动应用开发:揭示机遇和挑战
IF 1.1 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2024-12-12 DOI: 10.1002/isd2.12353
Eric Ansong, Nii Barnor Jonathan Barnor, Sheena Lovia Boateng

The purpose of this study was to unravel the opportunities and challenges encountered by independent or freelance mobile application (App) developers in Ghana. The study employed a qualitative approach by organizing a focus group discussion among eight freelance mobile application developers and engaging them individually when needed. The analysis was done by drawing themes from the tape-recorded interviews. After the data analysis, it was discovered that the mobile application space in Ghana is male-dominated. Factors influencing independent mobile application development are monetary and intrinsic rewards, increasing demand for smartphones, gamification through mobile App development contests, access to free online resources, and government initiatives leveraging mobile applications to enhance governance and fight corruption. Comparatively, the challenges unearthed are the unregulated mobile App industry, the unpredictable nature of advancements in application development languages, and the global competitiveness of the application development space. This study outlines the research implications and recommendations for stakeholders. The originality of this study stems from the fact that it is one of the first studies on mobile application development from the freelance developers' perspective, which emanates from a developing economy context.

本研究的目的是揭示加纳独立或自由移动应用程序(App)开发人员遇到的机遇和挑战。该研究采用了定性方法,组织了8名自由手机应用开发者的焦点小组讨论,并在必要时让他们单独参与。分析是通过从录音采访中提取主题来完成的。经过数据分析,我们发现加纳的移动应用领域是男性主导的。影响独立移动应用程序开发的因素包括货币和内在奖励、智能手机需求的增长、通过移动应用程序开发竞赛实现的游戏化、免费在线资源的获取以及政府利用移动应用程序加强治理和打击腐败的举措。相比之下,面临的挑战是不受监管的移动应用程序行业,应用程序开发语言进步的不可预测性,以及应用程序开发空间的全球竞争力。本研究概述了研究的意义和对利益相关者的建议。这项研究的独创性源于这样一个事实,即它是从自由开发者的角度对移动应用程序开发进行的首批研究之一,这源于发展中的经济背景。
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引用次数: 0
An enterprise technical architecture for the implementation of the South African National Health Insurance 实施南非国民健康保险的企业技术架构
IF 1.1 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2024-11-11 DOI: 10.1002/isd2.12352
Tiko Iyamu, Farirai Chitsa

The South African National Health Insurance (NHI) faces challenges due to a lack of an enterprise technical architecture (ETA) solution, for the implementation. This study aims to propose an ETA, to enable and support the implementation of the South African ETA. The qualitative method was employed in the data collection. Actor-network theory (ANT) was applied as a lens to examine the data. The findings reveal several critical influencing factors, including readiness assessment, geographical locations of stakeholders; diversity of healthcare facilities; flexibility of technology solutions; and synchronization of processes and patients' data. The study highlights the need to provide governance for the technologies that influence the implementation of NHI. Based on the influencing factors, a framework was developed. The framework is intended to provide architectural governance (principles, standards, and policies), to efficiently and effectively, facilitate, support, and enable the implementation of the South African NHI.

由于缺乏用于实施的企业技术架构(ETA)解决方案,南非国民健康保险(NHI)面临挑战。本研究旨在提出一个ETA,以支持南非ETA的实施。资料收集采用定性方法。运用行动者网络理论(ANT)对数据进行分析。调查结果揭示了几个关键的影响因素,包括准备程度评估、利益相关者的地理位置;保健设施的多样性;技术解决方案的灵活性;以及过程和患者数据的同步。该研究强调了对影响全民健康保险实施的技术进行治理的必要性。基于影响因素,提出了一个框架。该框架旨在提供体系结构治理(原则、标准和策略),以高效和有效地促进、支持和启用南非NHI的实现。
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引用次数: 0
期刊
Electronic Journal of Information Systems in Developing Countries
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