How can this component be enhanced to ensure the achievement of the
eHealth vision?
How can this component be enhanced to ensure the achievement of the
eHealth vision?
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Your entry made me view eHealth application in a much broader perspective, so as to see how my view on governance has its interrelatedness with infrastructure and vice versa. Indeed, an effective eHealth system must be accessible and easily understood by the citizens for it to work and yield high utilization. With that, I also see where governance can play its pivotal role of ensuring that it is indeed accessible and easily understood by all and not simply just the majority. Great insights, Erika! I really commend your take on this one as it gave me a new angle of interpretation as to how eHealth can be achieved to its maximum purpose and potential.
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In any public health care related discussions, politics and governance always play the most crucial role as this can ultimately make or break the process and success of any plan or intervention. In the context of eHealth, it holds the responsibility to direct and coordinate the activities at all levels, encompassing the primary, secondary, and even tertiary level of health systems (DOH & DOST, 2013). Having a weak, unestablished government system would not make a good prerequisite for the proccurence of eHealth since it has its own set of difficulties that are in need of understanding, especially with the need for broader political factors that are necessary for its implementation, adoption, and eventual success (Kierkegaard, 2015). Furthermore, structural reforms, policies, and processes which maneuver the rapid dissemination of eHealth have a direct and powerful influence towards the progression of eHealth as to how it will pan out and be utilized by its directed beneficiaries. Its success of implementation would require good and competent dynamics of governance, specifically targeting the centralization and decentralization of power among its constituents and stakeholders involved in the eHealth systems. Which is why it is rightfully so that we first ensure the competency of our government system before we act out and implement any efforts to implement eHealth. Not only will that lead us to success but to a guarantee that efforts, resources, and time would not be wasted. More so, it is also imperative that we demand for a competent and self-sufficient government that would not just practice transparency and good governance but shall oversee efficient, effective, and high-yielding results on all significant principles of our society, being health and eHealth implementation as one of the urgent considerations.
REFERENCES:
Department of Health (DOH) & Department of Science and Technology (DOST) (2013). Philippine eHealth Strategic Framework and Plan (PeHSFP). https://cdn.who.int/media/docs/default-source/digital-health-documents/global-observatory-on-digital-health/philippines_ehealth2013_2017.pdf?sfvrsn=327c0c01_3
Kierkegaard, P. (2015). Governance structures impact on eHealth. Health Policy and Technology, 4(1), 39–46. https://doi.org/10.1016/j.hlpt.2014.10.016
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I'm with you on this, kuya Drix! The crucial role of politics and governance in eHealth applications is especially true, given that this component is in coherence with the social determinants of health. These legislators and policy makers affect the implementation of eHealth in the country, as they direct and coordinate all activities regarding it. With this, it is important for these government officials to always think of the greater good, that of which will benefit the greatest number of people in the country. Unfortunately, budget cuts for the healthcare sector has been happening, as politics have come into play.
I really hope to experience the time when the Philippines has transparent and reliable leaders who truly think of the welfare of its people.
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Given the challenges posed by the needed resources to integrate eHealth into the Philippines, proper resource management is crucial to successfully achieve the outcomes and vision of eHealth into our healthcare.
To start addressing the barriers/challenges identified, a strong commitment of organizations must be upheld to ensure that their visions are aligned with eHealth. This may be strengthened not only through DOH mandates (Evio & Bonito, 2024) but also through proper orientation and training of key implementers to prepare them socially and realistically. Furthermore, our approach toward eHealth must be based on our policies and existing and potential resources (Lewis et al., 2012).
With this, given the requirement of ICT equipment and infrastructure to support eHealth integration, provision of available and needed equipment, such as laptops, desktops, stable Internet connection, and power supply must be conducted. Evio and Bonito’s (2024) study highlighted the role of involvement of third parties and other key stakeholders in providing adequate financial and technical assistance for the execution of eHealth in the Philippines.
Additionally, to strengthen human resource management, facilitators must conduct ICT training and seminars to equip the healthcare staff with the needed skill for eHealth adoption among the constituents (Evio & Bonito, 2024).
Finally, a strong coordination between implementers, LGUs, healthcare team, and other key stakeholders must be established to avoid financial and logistical issues and fund the needed resources to fully implement eHealth across the country (Evio & Bonito, 2024).
Through this, we may be able to establish appropriate resource management suitable in the Philippines in adapting eHealth into our healthcare system.
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References:
Evio, B., & Bonito, S. (2024). Formative Evaluation of the Implementation of eHealth in the Philippines: A Qualitative study. Acta Medica Philippina, 58(12). https://doi.org/10.47895/amp.v58i12.9289
Lewis, T., Synowiec, C., Lagomarsino, G., & Schweitzer, J. (2012). E-health in low- and middle-income countries: findings from the Center for Health Market Innovations. Bulletin of the World Health Organization, 90(5), 332–340. https://doi.org/10.2471/blt.11.099820327 words
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Hello, Ky! This is a very comprehensive review of a component that needs to be enhanced to ensure the achievement of the eHealth vision. I very much agree with you that this would be enhanced not only by mandates but also through proper orientation and training in the implementation of eHealth throughout the country. You also mentioned the importance of a strong coordination between implementers, LGUs, healthcare team, and other key stakeholders. I believe that this is a vital aspect of eHealth success because this is not a one-man job, and people of different expertise should be able to work hand-in-hand to achieve the eHealth vision, further, ensuring its success.
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I agree with you, Therese, that centralization of communication medium is also a vital aspect of improving and enhancing eHealth outcomes. This will be possible, as you mentioned, through infrastructure building in order to make eHealth accessible and available on citizens especially those who have no means to do it. This factor, along with other improvements, all boils down to the power of the government to change or improve a system towards a healthy nation, where people have the power to their health on their own very hands.
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I really appreciate how you highlighted the need to expand network access, especially in rural areas, which is crucial for equitable healthcare delivery. I also agree with your point on the importance of investing in data security—it's a critical aspect of eHealth infrastructure that often gets overlooked.
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By fostering a culture of continuous learning, integrity, and a shared vision among leaders, the leadership and governance component can effectively guide the implementation of eHealth, ultimately improving healthcare outcomes for Filipinos.
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I wanted to highlight your third point, Collaboration! Indeed that enhancing the achievement of vision should be collaborative work with different sectors to make it feasible!
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Great point, Ashanti! I really appreciate how you highlighted the importance of Human Resource development, especially in relation to Nursing Informatics. Your suggestion to provide more up-to-date seminars and training is spot on, as empowering health workers with the necessary skills and knowledge will definitely enhance the effective use of eHealth systems.
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I truly agree with you, Vi! Not all part of our country has an accessible internet connectivity, with this, achieving eHealth vision will be difficult. I believe that the leaders should first look with the underlying cause before jumping into the main goal of enhancing the eHealth systems in our country.
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Hi Vi, I also think that public and private partnerships are important to successfully implement the framework. The tricky part in any systems, such as the eHealth initiative, is ensuring that existing resources are maximized and that we're able to make the most of the processes currently in place, before making decisions to change the system for the better.
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Right Jess! what are infrastructures, resources, training, etc. without proper implementation and support from those who govern, it is not achievable without it. Nice thoughts Jess!
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You're absolutely right, Nathalie! Good governance, especially in our country, is fundamental for a successful eHealth program. Strong leadership with a focus on public service and the ability to manage the multifaceted aspects of eHealth implementation is crucial for achieving the desired outcomes.
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I totally agree with your points, Draven. We really need to improve our digital infrastructure especially in rural or remote areas, given the vision and one of the goals of the eHealth framework is to make healthcare accessible to everyone. There’s no point having advanced eHealth tools if those people can’t even access the internet for instance, and therefore can’t access the health services they may need.
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The Human Resources (HR) component plays a vital role in the success of any eHealth initiative. To effectively enhance the HR component and achieve the eHealth vision, a multi-faceted approach is necessary. This includes conducting thorough skill gap analyses to identify and address the training needs of the healthcare workforce in areas such as data analysis, cybersecurity, and telehealth. Comprehensive upskilling and reskilling programs such as training should be implemented to equip professionals with the necessary digital literacy, telehealth skills, data management expertise, and cybersecurity awareness.
Furthermore, as highlighted in a study by Arain et al. (2019), online IT security training programs can significantly improve staff awareness of appropriate actions in response to spam emails. This finding underscores the importance of integrating online IT security training into the continuing education of healthcare staff to safeguard patient information.
Reference:
Arain MA, Tarraf R, Ahmad A. Assessing staff awareness and effectiveness of educational training on IT security and privacy in a large healthcare organization. J Multidiscip Healthc. 2019 Jan 9;12:73-81. doi: 10.2147/JMDH.S183275. PMID: 30666123; PMCID: PMC6331063.
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