Continuing Medical Education Network, Identification of Technical, Organizational, and Human Barriers.
DOI:
https://doi.org/10.12856/JHIA-2015-v3-i2-132Abstract
Background and Purpose: The aim of this research is to find out if by putting in place a new platform accordingly to local conditions of the developing countries and by eliminating the technical obstacles could uncover other organizational and human.
Methods: This study is being done for the RAFT project and involves users of the distance learning systems. It focusses on two distinct series of questions.
Results: The findings have clearly shown that the network can have a great and positive impact on the African healthcare system by creating an access to a continuous medical training and virtually networking medical centers that are otherwise geographically isolated and difficult to access.
Conclusions: At the end of this study the human and organizational barriers often considered as technical issues by the users have been identified as the main reasons of the under-usage of the network.
Further research would be needed to evaluate the new system and solve the issues discovered in this studyDownloads
References
Bagayoko CO, Gagnon MP, Traoré D, Anne A, Traoré AK, Geissbuhler A. E-health, another mechanism to recruit and retain healthcar professionals in remote areas: lessons learned from EQUI-ResHuS project in Mali. BMC Medical Informatics and Decision Making, 2014; 14: 120.
Bagayoko C O, Perrin C, Gagnon MP, Geissbuhler A. Continuing Distance Education : A capacity-Building Tool for De-isolation of Care Professionals and Researchers. J G Inter Med, 2013; 28: 666-670, DOI : 10.1007/s11606-13-2511-1
Bediang G, Perrin C, Ruiz R et l. The RAFT telemedicine network : lessons learnt and perspectives from a decade of educatioal and clinical services in low -and middle-incomes countries. Frontiers in Public Health, (2014) 2 : 180 ; doi : 10.3389/fpubh.2014.00180.
Kaplan B, Shaw NT. People Organizational and Social Issues: Evaluation as an exemplar. Yearbook of medical informatics, 2002; pp.91-102.
Lorenzi N M, Riley R T, Blyth AJC, Southon G, Dixon BJ. Antecedents of the people and Organizational Informatics: Review of the Literature. JAMIA, 1997; 4 (2): 79-93.
Lorenzi NM, Riley RT, Dewan NA. Barriers and Resistance to Informatics in Behavioral Health. IMIA, 2001; 1302- 1304.
Carriere M F, Harvey D. Etat de la formation médicale continue à distance en Amérique du nord. Revue du conseil Québécois de la formation à distance, 2003 ; 51-72.
http://www.cnfmc.fr/index.php, dernière visite, 05 février 2016
La formation médicale continue a-t-elle une influence sur la pratique médicale? Psychiatrie Française. Thurin JM, 2000 ; 1 : 117-132.
Traore ST, Anne A, Bosomprah S et al. Social Network and Health Researchers and Professionals Mobility in Africa: Lessons Learned from Africa Build Project. Stud Health Technol, 2015; 216:1018.
http://www.vteducation.org/fr, dernière visite, 05 février 2016
http://www.unfm.org/unfm, dernière visite, 06 février 2016
Kemp LJ. Learning about Teamwork in an online study environment. MERLOT, Journal of Online Learning and Teaching, 2006; 2 (1): 30 – 41.
http://www.moodle.org/, dernière visite, 6 février 2016
http://www.dokeos.com/, dernière visite, 6 février 2016
Brauchli K, O’Mahony D, Banach L, Oberhozer M. iPath – a Telemedicine Platform to Support Health Providers in Low resource Settings. The journal of information Technology in Healthcare, 2005; 3 (4): 227-235.
http://ressources.algora.org, dernière visite, 6 février 2016
Medelez O. E, Burgun A, Lessard I, Le Beux P. Virtu@l Consult@tion: Un Environnment Collaboratif pour la Simulation des Séances d’Apprentissage du Raisonnement Clinique Multimédia à Distance. JFIM, 2003.
http://www.cidmef.u-bordeaux2.fr/, dernière visite, 6 février 2016
http://www.chu-rouen.fr/cismef/, dernière visite, 7 février 2016
http://www.e-lfh.org.uk/home/, dernière visite, 7 février 2016
http://www.hoise.com/vmw/99/articles/vmw/LV-VM-05-99-12.html, dernière visite, 7 février 2016
Moore BM, Hartman JT. Information technology for rural outreach in west Texas. Bull Med Libr Assoc, 1992; 80 (1): 44 – 46
kienzle BM, Curry D, Galvin J, Hoffman E, Holtum E, Shope L, Torner J, wakefield D. Iowa’s national laboratory for the study of rural telemedicine: a description of the work in progress. Bull Med Libr Assoc, 1995; 83 (1): 37-41.
Zollo SA, Kienzle MG, Henshaw Z, Crist LG, Wakefield DS. Tele –education a telemedicine environment: implications for rural health care and academic medical centers. Journal of Medical Systems, 1999; 23: 107 – 122
Enseignement à distance, Bureau régional du Pacifique occidental,OMS, WPR/RC52/8. Darussalam B, septembre 2001.
Vovides Y, Chale SB, Gadhula R et al. A systems approach to implementation of eLearning in medical education : five MEPI school's journeys. Acad Med. 2014 Aug, 89 (8 Suppl):S102-6. doi: 10.1097/1CM.000000000000347
http://siteresources.worldbank.org/INTAFRREGTOPEDUCATION/Resources/444659-1210786813450/ED_Ameliorer_apprentissage_fr.pdf , 7 février 2016
Bagayoko CO, Mueller H, Geissbuhler A. Assesment of Internet-based Telemedicine in Africa (The RAFT Project). Elsevier, Commputerized Medical Imaging and Graphics; 2006; 30 (6-7): 407-16.
Rosser JC, Bell RL, Harnett B, Rodas E, Murayama M, Merrell R. Use of Mobile Low-Bandwith Telemedical Techniques for Extreme Telemedicine Applications. American College of Surgeons, 1999; 397- 404.
Bagayoko CO, Niang M, Traoré ST, Naef JM, Geissbuhler A. Deploying portable ultrasonography with remote assistance for isolated physicians in Africa : lessons from a pilot study in Mali. Stud Health Technol Inform. 2010; 160: 554-8.
Childs S, Blenkinsopp E, Hallt A, Walton G. Effective e-learning for health professionals and students - barriers and their solutions. A systematic review of the literature – findings form the HeXL project. Health Information and Libraries Journal, 2005; 22 (Suppl.2): 20-32.
Despont-Gros C, Muller H, Lovis C, Evaluating user interactions with clinical information systems: A model based on human computer interaction models. Journal of biomedical informatics, 2005; 38: 244-255
Lorenzi NM, Riley RT, Managing Change: An Overview. JAMIA, 2000; 7: 116-124.
http://www.uml.org/, dernière visite, 7 février 2016
http://www.java.com/fr:download/faq/java_webstart.xml, dernière visite, 7 février 2016
http://www.speex.org/, dernière visite, 7 février 2016
Gagné C, Godin G. Les Théorie Sociales Cognitives: Guide pour la mesure des variables et le développement de questionnaire, Université Laval, 1999; ISBN2-9804226-4-9.
Altman DG. Practical Statistics for Medical Research. British library cataloguing in Publication Data, First edition, 1991. pp 277-293
Brunetaud JM, Leroy N, Pelayo S, Wascat C, Renard JM, Prin L, Beuscart MC. Comparative evaluation of two applications for delivering a multimedia medical course in the French-speaking Virtual medical University (UMVF). International journal of medical informatics, 2005; 74: 209-212. devient 40
Sandoz G, Beuchot F. An Evaluation methodology for Computer mediated Teletraining Systems. Proceedings of Society for Information Technology and Teacher Education International Conference, 2000; 30-35.
Travailler ensembles pour la santé. Rapport OMS sur la santé du monde. Jong-wook L, 2006; p3
