Factors affecting the successful implementation of a digital intervention for health financing in a low-resource setting at scale: semistructured interview study with health care workers and management staff
Background: Digital interventions for health financing, if implemented at scale, have the potential to improve health system performance by reducing transaction costs and improving data-driven decision-making. However, many interventions never reach sustainability, and evidence on success factors fo...
Gespeichert in:
| Hauptverfasser: | , , , , , |
|---|---|
| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
6.1.2023
|
| In: |
Journal of medical internet research
Year: 2023, Jahrgang: 25, Heft: 1, Pages: 1-14 |
| ISSN: | 1438-8871 |
| DOI: | 10.2196/38818 |
| Online-Zugang: | Verlag, kostenfrei, Volltext: https://doi.org/10.2196/38818 Verlag, kostenfrei, Volltext: https://www.jmir.org/2023/1/e38818 
|
| Verfasserangaben: | Leon Schuetze, Siddharth Srivastava, Abdallah Mtiba Missenye, Elizeus Josephat Rwezaula, Manfred Stoermer, Manuela De Allegri |
MARC
| LEADER | 00000caa a2200000 c 4500 | ||
|---|---|---|---|
| 001 | 1851564772 | ||
| 003 | DE-627 | ||
| 005 | 20231103095324.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 230704s2023 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.2196/38818 |2 doi | |
| 035 | |a (DE-627)1851564772 | ||
| 035 | |a (DE-599)KXP1851564772 | ||
| 035 | |a (OCoLC)1389527724 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rda | ||
| 041 | |a eng | ||
| 084 | |a 33 |2 sdnb | ||
| 100 | 1 | |a Schütze, Leon |d 1994- |e VerfasserIn |0 (DE-588)1294894285 |0 (DE-627)1851565701 |4 aut | |
| 245 | 1 | 0 | |a Factors affecting the successful implementation of a digital intervention for health financing in a low-resource setting at scale |b semistructured interview study with health care workers and management staff |c Leon Schuetze, Siddharth Srivastava, Abdallah Mtiba Missenye, Elizeus Josephat Rwezaula, Manfred Stoermer, Manuela De Allegri |
| 264 | 1 | |c 6.1.2023 | |
| 300 | |a 14 | ||
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Zuerst veröffentlicht: 01. Mai 2022 | ||
| 500 | |a Gesehen am 04.07.2023 | ||
| 520 | |a Background: Digital interventions for health financing, if implemented at scale, have the potential to improve health system performance by reducing transaction costs and improving data-driven decision-making. However, many interventions never reach sustainability, and evidence on success factors for scale is scarce. The Insurance Management Information System (IMIS) is a digital intervention for health financing, designed to manage an insurance scheme and already implemented on a national scale in Tanzania. A previous study found that the IMIS claim function was poorly adopted by health care workers (HCWs), questioning its potential to enable strategic purchasing and succeed at scale. - Objective: This study aimed to understand why the adoption of the IMIS claim function by HCWs remained low in Tanzania and to assess implications for use at scale. - Methods: We conducted 21 semistructured interviews with HCWs and management staff in 4 districts where IMIS was first implemented. We sampled respondents by using a maximum variation strategy. We used the framework method for data analysis, applying a combination of inductive and deductive coding to organize codes in a socioecological model. Finally, we related emerging themes to a framework for digital health interventions for scale. - Results: Respondents appreciated IMIS’s intrinsic software characteristics and technical factors and acknowledged IMIS as a valuable tool to simplify claim management. Human factors, extrinsic ecosystem, and health care ecosystem were considered as barriers to widespread adoption. - Conclusions: Digital interventions for health financing, such as IMIS, may have the potential for scale if careful consideration is given to the environment in which they are placed. Without a sustainable health financing environment, sufficient infrastructure, and human capacity, they cannot unfold their full potential to improve health financing functions and ultimately contribute to universal health coverage. | ||
| 700 | 1 | |a Srivastava, Siddharth |e VerfasserIn |4 aut | |
| 700 | 1 | |a Missenye, Abdallah Mtiba |e VerfasserIn |4 aut | |
| 700 | 1 | |a Rwezaula, Elizeus Josephat |e VerfasserIn |4 aut | |
| 700 | 1 | |a Stoermer, Manfred |e VerfasserIn |4 aut | |
| 700 | 1 | |a De Allegri, Manuela |d 1975- |e VerfasserIn |0 (DE-588)131974904 |0 (DE-627)516328913 |0 (DE-576)298870975 |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Journal of medical internet research |d Richmond, Va. : Healthcare World, 1999 |g 25(2023), 1 vom: Jan., Artikel-ID e38818, Seite 1-14 |h Online-Ressource |w (DE-627)324614136 |w (DE-600)2028830-X |w (DE-576)281198233 |x 1438-8871 |7 nnas |a Factors affecting the successful implementation of a digital intervention for health financing in a low-resource setting at scale semistructured interview study with health care workers and management staff |
| 773 | 1 | 8 | |g volume:25 |g year:2023 |g number:1 |g month:01 |g elocationid:e38818 |g pages:1-14 |g extent:14 |a Factors affecting the successful implementation of a digital intervention for health financing in a low-resource setting at scale semistructured interview study with health care workers and management staff |
| 856 | 4 | 0 | |u https://doi.org/10.2196/38818 |x Verlag |x Resolving-System |z kostenfrei |3 Volltext |
| 856 | 4 | 0 | |u https://www.jmir.org/2023/1/e38818 |x Verlag |z kostenfrei |3 Volltext |
| 951 | |a AR | ||
| 992 | |a 20230704 | ||
| 993 | |a Article | ||
| 994 | |a 2023 | ||
| 998 | |g 131974904 |a De Allegri, Manuela |m 131974904:De Allegri, Manuela |d 910000 |d 912800 |d 50000 |e 910000PD131974904 |e 912800PD131974904 |e 50000PD131974904 |k 0/910000/ |k 1/910000/912800/ |k 0/50000/ |p 6 |y j | ||
| 998 | |g 1294894285 |a Schütze, Leon |m 1294894285:Schütze, Leon |d 50000 |e 50000PS1294894285 |k 0/50000/ |p 1 |x j | ||
| 999 | |a KXP-PPN1851564772 |e 4348268649 | ||
| BIB | |a Y | ||
| SER | |a journal | ||
| JSO | |a {"physDesc":[{"extent":"14 S."}],"relHost":[{"origin":[{"dateIssuedDisp":"1999-","publisher":"Healthcare World","dateIssuedKey":"1999","publisherPlace":"Richmond, Va."}],"id":{"issn":["1438-8871"],"eki":["324614136"],"zdb":["2028830-X"]},"physDesc":[{"extent":"Online-Ressource"}],"title":[{"title_sort":"Journal of medical internet research","title":"Journal of medical internet research","subtitle":"international scientific journal for medical research, information and communication on the internet ; JMIR"}],"disp":"Factors affecting the successful implementation of a digital intervention for health financing in a low-resource setting at scale semistructured interview study with health care workers and management staffJournal of medical internet research","type":{"media":"Online-Ressource","bibl":"periodical"},"language":["eng"],"recId":"324614136","pubHistory":["1.1999 -"],"part":{"volume":"25","text":"25(2023), 1 vom: Jan., Artikel-ID e38818, Seite 1-14","extent":"14","year":"2023","issue":"1","pages":"1-14"},"titleAlt":[{"title":"JMIR"}]}],"origin":[{"dateIssuedKey":"2023","dateIssuedDisp":"6.1.2023"}],"id":{"eki":["1851564772"],"doi":["10.2196/38818"]},"name":{"displayForm":["Leon Schuetze, Siddharth Srivastava, Abdallah Mtiba Missenye, Elizeus Josephat Rwezaula, Manfred Stoermer, Manuela De Allegri"]},"note":["Zuerst veröffentlicht: 01. Mai 2022","Gesehen am 04.07.2023"],"type":{"media":"Online-Ressource","bibl":"article-journal"},"language":["eng"],"recId":"1851564772","title":[{"title_sort":"Factors affecting the successful implementation of a digital intervention for health financing in a low-resource setting at scale","title":"Factors affecting the successful implementation of a digital intervention for health financing in a low-resource setting at scale","subtitle":"semistructured interview study with health care workers and management staff"}],"person":[{"given":"Leon","family":"Schütze","role":"aut","roleDisplay":"VerfasserIn","display":"Schütze, Leon"},{"role":"aut","roleDisplay":"VerfasserIn","display":"Srivastava, Siddharth","given":"Siddharth","family":"Srivastava"},{"given":"Abdallah Mtiba","family":"Missenye","role":"aut","roleDisplay":"VerfasserIn","display":"Missenye, Abdallah Mtiba"},{"family":"Rwezaula","given":"Elizeus Josephat","display":"Rwezaula, Elizeus Josephat","roleDisplay":"VerfasserIn","role":"aut"},{"roleDisplay":"VerfasserIn","display":"Stoermer, Manfred","role":"aut","family":"Stoermer","given":"Manfred"},{"given":"Manuela","family":"De Allegri","role":"aut","roleDisplay":"VerfasserIn","display":"De Allegri, Manuela"}]} | ||
| SRT | |a SCHUETZELEFACTORSAFF6120 | ||