Background

The application of digital technology to improve health service delivery is increasing rapidly in Low- and Middle- Income Countries (LMICs). Digital tools such as electronic health (e-health) have been shown to improve healthcare quality, efficiency and patient satisfaction. However, evidence on health workers’ experiences using e-health services is limited in LMICs. This study examined the relationship between e-health usage and health workers’ motivation and job satisfaction.

Methods

This was a cross-sectional survey design involving health workers across public and private hospitals in the Accra Metropolitan Assembly (AMA). A structured questionnaire was designed and self-administered to 305 respondents. Partial Least Square-Structural Equation Modelling (PLS-SEM) was employed to analyse the data.

Results

Findings showed a significant positive association of job satisfaction with e-health (p < 0.01) and type of hospital (p < 0.01) but not motivation (p = 0.42). Although type of hospital significantly influenced job satisfaction (p < 0.01), it had no significant mediating effect on the relationship between e-health and job satisfaction. Finally, type of hospital interacted with e-health to moderate the association between e-health usage and job satisfaction.

Conclusion

The findings suggest that e-health systems can catalyse health workers job satisfaction. Thus, measures to strengthen e-health structures to improve on their efficiency and effectiveness is crucial.

中文翻译：

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加纳的电子卫生使用率和卫生工作者的动力和工作满意度。

背景

在中低收入国家（LMIC）中，数字技术在改善医疗服务提供方面的应用正在迅速增加。电子健康（e-health）等数字工具已被证明可以改善医疗质量，效率和患者满意度。但是，在中低收入国家中，有关卫生工作者使用电子卫生服务经验的证据有限。这项研究检查了电子卫生保健的使用与卫生工作者的动机和工作满意度之间的关系。

方法

这是一项横断面调查设计，涉及阿克拉大都市议会（AMA）中公立和私立医院的医务人员。设计了一份结构化问卷，并自行管理了305名受访者。采用偏最小二乘结构方程模型（PLS-SEM）进行数据分析。

结果

调查结果显示，工作满意度的显著正相关与电子健康（p <0.01）和医院的类型（p <0.01），但没有积极性（P = 0.42）。尽管医院类型显着影响工作满意度（p <0.01），但对电子医疗与工作满意度之间的关系没有显着中介作用。最后，医院类型与电子医疗相互作用，以缓和电子医疗使用与工作满意度之间的关联。

结论

研究结果表明，电子卫生系统可以促进卫生工作者的工作满意度。因此，采取措施加强电子医疗结构以提高其效率和有效性至关重要。