Introduction of Information and Communication Technologies in Havana Polyclinics: Phase One Evaluation

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1. Verfasser: Susana B. Llanusa Ruiz
Format: Artículo científico
Sprache:en
Veröffentlicht: Medical Education Cooperation with Cuba 2008
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author Susana B. Llanusa Ruiz
author_facet Susana B. Llanusa Ruiz
contents Introduction of Information and Communication Technologies in Havana Polyclinics: Phase One Evaluation Susana B. Llanusa Ruiz Nereida Rojo Pérez Magali Caraballoso Hernández Julia S. Pérez Piñero Medicina pri HIT ICTs plications informatics Introduction Information and communication technologies were intro-duced in community-based polyclinics as a result of a Cuban health sys-tem policy to make information more readily accessible to health profes-sionals and other health workers at the primary health care level.Objective Assess phase one of the Program to Introduce Informa-tion and Communication Technologies in Primary Health Care (PICT-PHC), as implemented in Havana, and in particular to determine the aspects of structure, process and outcomes with the greatest impact on this phase’s effectiveness. Methods From May to October 2003, an assessment was carried out in all Havana community-based polyclinics where phase one of the Program was underway. Study dimensions, criteria, and standards were established through consultation with experts and considering the level of performance expected by program directors, thus provid-ing timely analysis to the directors concerning problem areas in need of attention. This paper concentrates on the five dimensions which were thought to have the most bearing on effectiveness of information and communication technologies (ICTs) installed in the polyclinics’ li-braries: librarians’ competencies in IT skills, training received by librar-ians, training received by users, Program monitoring and follow-up, and exploitation of the technologies. Six data collection instruments were devised. Participants in the study included 41 librarians and 544 users. Data were processed to obtain indicators corresponding to study criteria. Each indicator was then compared with the estab-lished standard. Validity of results was established through analysis and comparison. Results Overall, the first phase of the PICT-PHC in Havana suc-ceeded in making online information resources more readily available to health professionals and technicians. Some librarians had insuf-ficient basic IT competencies, which had an impact on the quality of their work. Moreover, it was found that monitoring and follow-up ac-tivities were focused chiefly on implementation process rather than outcomes. There was consistency between the achievements and problems found for some criteria and dimensions, and their impact on related ones. Conclusion This study furnished evidence of the need for greater emphasis on human resources training (particularly of librarians) in the use of ICTs in the primary health care system. 2008 artículo científico 1555-7960 https://www.redalyc.org/articulo.oa?id=437542065006 en http://www.redalyc.org/revista.oa?id=4375 MEDICC Review application/pdf Medical Education Cooperation with Cuba MEDICC Review (Estados Unidos de América) Num.2 Vol.10
format Artículo científico
id redalyc_437542065006
institution Redalyc
language en
publishDate 2008
publisher Medical Education Cooperation with Cuba
spellingShingle Introduction of Information and Communication Technologies in Havana Polyclinics: Phase One Evaluation
Susana B. Llanusa Ruiz
Medicina
pri
HIT
ICTs
plications
informatics
Introduction of Information and Communication Technologies in Havana Polyclinics: Phase One Evaluation Susana B. Llanusa Ruiz Nereida Rojo Pérez Magali Caraballoso Hernández Julia S. Pérez Piñero Medicina pri HIT ICTs plications informatics Introduction Information and communication technologies were intro-duced in community-based polyclinics as a result of a Cuban health sys-tem policy to make information more readily accessible to health profes-sionals and other health workers at the primary health care level.Objective Assess phase one of the Program to Introduce Informa-tion and Communication Technologies in Primary Health Care (PICT-PHC), as implemented in Havana, and in particular to determine the aspects of structure, process and outcomes with the greatest impact on this phase’s effectiveness. Methods From May to October 2003, an assessment was carried out in all Havana community-based polyclinics where phase one of the Program was underway. Study dimensions, criteria, and standards were established through consultation with experts and considering the level of performance expected by program directors, thus provid-ing timely analysis to the directors concerning problem areas in need of attention. This paper concentrates on the five dimensions which were thought to have the most bearing on effectiveness of information and communication technologies (ICTs) installed in the polyclinics’ li-braries: librarians’ competencies in IT skills, training received by librar-ians, training received by users, Program monitoring and follow-up, and exploitation of the technologies. Six data collection instruments were devised. Participants in the study included 41 librarians and 544 users. Data were processed to obtain indicators corresponding to study criteria. Each indicator was then compared with the estab-lished standard. Validity of results was established through analysis and comparison. Results Overall, the first phase of the PICT-PHC in Havana suc-ceeded in making online information resources more readily available to health professionals and technicians. Some librarians had insuf-ficient basic IT competencies, which had an impact on the quality of their work. Moreover, it was found that monitoring and follow-up ac-tivities were focused chiefly on implementation process rather than outcomes. There was consistency between the achievements and problems found for some criteria and dimensions, and their impact on related ones. Conclusion This study furnished evidence of the need for greater emphasis on human resources training (particularly of librarians) in the use of ICTs in the primary health care system. 2008 artículo científico 1555-7960 https://www.redalyc.org/articulo.oa?id=437542065006 en http://www.redalyc.org/revista.oa?id=4375 MEDICC Review application/pdf Medical Education Cooperation with Cuba MEDICC Review (Estados Unidos de América) Num.2 Vol.10
title Introduction of Information and Communication Technologies in Havana Polyclinics: Phase One Evaluation
topic Medicina
pri
HIT
ICTs
plications
informatics
url https://www.redalyc.org/articulo.oa?id=437542065006