e-Health Implementation in Lebanese Teaching Hospitals: What Can We Learn from Their Successes and Imminent Challenges

Badr, Nabil Georges; Chami, Elissar; Asmar, Michèle Kosremelli

doi:10.5220/0010192503040311

Cited by 3 publications

(5 citation statements)

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“…Some preliminary evidence shows that digital technologies could be used to facilitate access to a heavily privatized public health infrastructure. 63–65 Lebanon has recently become constrained by multiple economic, financial, sociopolitical, and health crises hindering livelihoods 66 and making it difficult to manage the COVID-19 outbreak that started in February 2020. 67 In this context, heavily characterized by high levels of COVID-19-related misinformation on social media, 68–70 factors such as education, literacy, and social norms play a crucial role in respecting COVID-19 guidelines.…”

Section: Introductionmentioning

confidence: 99%

Assessing eHealth literacy among internet users in Lebanon: A cross-sectional study

et al. 2022

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Objective Assessing the level of eHealth literacy in a population is essential to designing appropriate public health interventions. This study aimed to assess eHealth literacy among adult internet users in Lebanon, recruited through social media and printed materials. The study examined the relationship between internet use, perceived eHealth literacy, and sociodemographic characteristics. Methods A cross-sectional study based on a web-based questionnaire was conducted between January and May 2020. The survey assessed internet use and eHealth literacy using the homonymous scale (eHEALS) in English and Arabic. Cronbach's alpha and factor analyses were used to evaluate eHEALS’ psychometric properties. A generalized linear model was used to identify factors predicting the eHEALS. Results A total of 2715 respondents were recruited mostly through Facebook (78%) and printed materials (17%). Most respondents completed the survey in English (82%), were aged 30 ± 11 years, female (60%), Lebanese (84%), unmarried (62%), employed (54%), and with a graduate-level education (53%). Those who completed the eHEALS questionnaire ( n = 2336) had a moderate eHealth literacy ( M = 28.7, SD = 5.5). eHEALS was significantly higher among older females with a high education level, recruited from Facebook, Instagram, or ResearchGate, and perceived the Internet as a useful and important source of information. Conclusions Future internet-delivered public health campaigns in Lebanon should account for moderate-to-low levels of eHealth literacy and find ways to engage older males with low education levels representing neglected segments (e.g. Syrians). To be more inclusive, campaigns should reach neglected population segments through non-digital, community-based outreach activities.

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Section: Introductionmentioning

confidence: 99%

Assessing eHealth literacy among internet users in Lebanon: A cross-sectional study

et al. 2022

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“…These barriers encompass several operational aspects of personnel and capacity, such as lack of motivation, insufficient training in quality improvement processes, inadequate ICT, and time for implementing quality mechanisms in hospitals. [2] Additionally, staff motivation challenges include poor working conditions, unsatisfactory employee compensation, inadequate infrastructure, and inferior data management systems in hospitals.…”

Section: Literature Reviewmentioning

confidence: 99%

“…In addition, language and cultural obstacles occur in healthcare organizations where personnel lack appropriate quality vocabulary and have not integrated quality culture in system operations. [2] Other underlying obstacles to quality in healthcare facilities are workload intensification against inadequate staff and a mismatch in communication between patients and healthcare providers. Study findings have shown how untrained and overloaded staff contribute to low-quality services.…”

Section: Literature Reviewmentioning

confidence: 99%

“…Previous studies have indicated obstacles and challenges hindering quality implementation in Tripoli city's hospitals as: budgetary constraints, inadequate staff compensation and motivation, inadequate skilled personnel, and inefficient management (insufficient authority delegation). [2] These obstacles and challenges to implementing QMS require appropriate remedies for hospitals to attain effective functioning and offer improved quality services.…”

Section: Introductionmentioning

confidence: 99%

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The barriers and challenges that hinder the quality implementation in Tripoli – Lebanon hospitals

Kamaleddine

Soubjaki²,

Masri³

2022

IJH

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Quality in healthcare is achievable through quality management systems and enhances service quality, operations, and management. Health organizations that realize quality implementation have high staff satisfaction, client satisfaction, employee cooperation, and commitment from managerial to subordinate levels. However, health systems must address barriers and challenges to attaining desired quality. This study explores Tripoli hospitals’ challenges and obstacles affecting the implementation of quality management systems. It used a quantitative methodology with a semi-structured questionnaire for data collection to interview respondents comprising managerial, directorial, and administrative personnel. The hospital’s management staff consisted of nursing medical quality and general directors. Results from the semi-structured interview indicated that hospital directors in Tripoli city’s healthcare systems face barriers and challenges related to human resource management and organization structure to achieving quality using quality management systems. A total of 189 participants drawn from directorial capacities in Tripoli city’s hospitals participated in the study. Most participants (I = 115) asserted that lack of staff involvement and motivation were primary barriers to hospital quality implementation. Hypotheses 1 and 3 were proved using correlation analysis, but hypothesis 2 was statistically insignificant. The findings recommended that human resource management practices such as staff motivation, fair compensation, and involvement in decision-making are necessary for quality improvement. Furthermore, managerial professionalism and specialty are crucial for spearheading quality implementation, while robust quality policies, protocols, and systems are necessary for quality implementation in Tripoli hospitals. Despite these funds, further research was necessary to align findings with previous studies (achieve generalizability), which attributed that time is the primary barrier to quality implementation in hospitals situated in the region.

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“…This allows having a specific focus on the main H-SES guidelines and final goals, like well-known quadruple aims evidenced in terms of improvement of patient experience, improved population health, reduction of cost of care, and a better work life of health care providers, including clinicians and staff [9].…”

Section: Introductionmentioning

confidence: 99%

How to Reach the Goal of Quadruple Aim Today in Healthcare Service Ecosystem: Nudges from the A4A Approach

2022

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The pandemic has uncovered hidden, latent or unknown misalignments in healthcare worldwide. Difficulties, friction, disturbances, misunderstandings, underestimations, carelessness and other issues have ensued quickly, upsetting the ecosystem value creation mechanisms and influencing all actor’s behavior within every country’s Healthcare Service Ecosystems (H-SES). The expected health system impacts are those demarcated by the quadruple aims that include all the actors in the health ecosystem. Such aims address improving patient and caregiver experience; improving the health of populations; reducing per capita cost; and improving the work life of providers. This warranted a search for deeper understanding of the on-going dynamics and relative insights to foster actor engagement, provide a good global service in Healthcare, and fully reach the well-known quadruple aim. By referring to the cyclical model of the actor for actor model (A4A), we consider and review their shared intentionality and finality alignment, to investigate how resource integration work here and what happen in case of contingences (as in the case of a pandemic). It is a theoretical work, but entails many practical issues in Healthcare in terms of patient empowerment, improving population health, lowering cost of care, and maintaining the wellbeing of the care team.

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e-Health Implementation in Lebanese Teaching Hospitals: What Can We Learn from Their Successes and Imminent Challenges

Cited by 3 publications

References 0 publications

Assessing eHealth literacy among internet users in Lebanon: A cross-sectional study

Assessing eHealth literacy among internet users in Lebanon: A cross-sectional study

The barriers and challenges that hinder the quality implementation in Tripoli – Lebanon hospitals

How to Reach the Goal of Quadruple Aim Today in Healthcare Service Ecosystem: Nudges from the A4A Approach

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