Enrico Checcucci, Stefano Puliatti, Alessio Pecoraro, Federico Piramide, Riccardo Campi, Diego M Carrion, Francesco Esperto, Luca Afferi, Domenico Veneziano, Bhaskar Somani, Juan Luis Vásquez, Cristian Fiori, Alex Mottrie, Marco Amato, James N'Dow, Francesco Porpiglia, Evangelos Liatsikos, Juan Gomez Rivas, Giovanni Enrico Cacciamani
ESRU-ESU-YAU_UROTECH Survey on Urology Residents Surgical Training: Are We Ready for Simulation and a Standardized Program?
European urology open science
digital technologies increasingly used deliver health care services promote public health mobile wireless technologies mobile health mhealth technologies particularly relevant owing ease use broad reach wide acceptance unlike developed countries subsaharan africa experiences challenges obstacles comes deploying using expanding mhealth systems addition barriers enabling factors could exploited design implementation scaling mhealth systems subsaharan africa may require tailored solutions address specific challenges facing region overall aim study identify barriers enablers using mhealth systems subsaharan africa perspectives patients physicians health care executives multilevel multiactor indepth semistructured interviews employed qualitatively explore barriers enablers use mhealth systems data collected patients physicians health care executives interviews audio recorded transcribed verbatim translated coded thematic analysis methodology adopted nvivo software used data analysis rigorous study total 137 determinants identified determinants 68 identified barriers 69 identified enablers perceived barriers patients included lack awareness mhealth systems language barriers perceived enablers patients included need automated tools health monitoring increasing literacy level society according physicians barriers included lack available digital health systems local context concern patients mhealth capabilities enablers included perceived usefulness reducing workload improving health care service quality well availability mobile devices internet perceived health care executives barriers included competing priorities alongside digitalization health sector lack interoperability complete digitalization implemented digital health systems enablers included perceived usefulness digitalization survival highly overloaded health care system abundance educated manpower specializing technology mhealth systems subsaharan africa hindered facilitated various factors common barriers enablers identified patients physicians health care executives promote uptake relevant stakeholders must actively mitigate barriers study identified promising outlook mhealth subsaharan africa despite present barriers opportunities exist successful integration health care systems usercentered design crucial maximum uptake