Barriers and enablers for implementation of digital-linked diagnostics models at point-of-care in South Africa: stakeholder engagement

Abstract The integration of digital technologies holds significant promise in enhancing accessibility to disease diagnosis and treatment at point-of-care (POC) settings. Effective implementation of such interventions necessitates comprehensive stakeholder engagements. This study presents the outcome...

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Main Authors: Boitumelo Moetlhoa, Siphesihle R. Nxele, Kuhlula Maluleke, Evans Mathebula, Musa Marange, Maureen Chilufya, Tafadzwa Dzinamarira, Evans Duah, Matthias Dzobo, Mable Kekana, Ziningi Jaya, Lehana Thabane, Thobeka Dlangalala, Peter S. Nyasulu, Khumbulani Hlongwana, Thembelihle Dlungwane, Mankgopo Kgatle, Nobuhle Gxekea, Tivani Mashamba-Thompson
Format: Article
Language:English
Published: BMC 2024-02-01
Series:BMC Health Services Research
Online Access:https://doi.org/10.1186/s12913-024-10691-z
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author Boitumelo Moetlhoa
Siphesihle R. Nxele
Kuhlula Maluleke
Evans Mathebula
Musa Marange
Maureen Chilufya
Tafadzwa Dzinamarira
Evans Duah
Matthias Dzobo
Mable Kekana
Ziningi Jaya
Lehana Thabane
Thobeka Dlangalala
Peter S. Nyasulu
Khumbulani Hlongwana
Thembelihle Dlungwane
Mankgopo Kgatle
Nobuhle Gxekea
Tivani Mashamba-Thompson
author_facet Boitumelo Moetlhoa
Siphesihle R. Nxele
Kuhlula Maluleke
Evans Mathebula
Musa Marange
Maureen Chilufya
Tafadzwa Dzinamarira
Evans Duah
Matthias Dzobo
Mable Kekana
Ziningi Jaya
Lehana Thabane
Thobeka Dlangalala
Peter S. Nyasulu
Khumbulani Hlongwana
Thembelihle Dlungwane
Mankgopo Kgatle
Nobuhle Gxekea
Tivani Mashamba-Thompson
author_sort Boitumelo Moetlhoa
collection DOAJ
description Abstract The integration of digital technologies holds significant promise in enhancing accessibility to disease diagnosis and treatment at point-of-care (POC) settings. Effective implementation of such interventions necessitates comprehensive stakeholder engagements. This study presents the outcomes of a workshop conducted with key stakeholders, aiming to discern barriers and enablers in implementing digital-connected POC diagnostic models in South Africa. The workshop, a component of the 2022 REASSURED Diagnostics symposium, employed the nominal group technique (NGT) and comprised two phases: Phase 1 focused on identifying barriers, while Phase 2 centered on enablers for the implementation of digital-linked POC diagnostic models. Stakeholders identified limited connectivity, restricted offline functionality, and challenges related to load shedding or rolling electricity blackouts as primary barriers. Conversely, ease of use, subsidies provided by the National Health Insurance, and 24-h assistance emerged as crucial enablers for the implementation of digital-linked POC diagnostic models. The NGT workshop proved to be an effective platform for elucidating key barriers and enablers in implementing digital-linked POC diagnostic models. Subsequent research endeavors should concentrate on identifying optimal strategies for implementing these advanced diagnostic models in underserved populations.
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spelling doaj.art-18007c7d553142bb8bc06e3c872af03b2024-03-05T18:06:00ZengBMCBMC Health Services Research1472-69632024-02-012411710.1186/s12913-024-10691-zBarriers and enablers for implementation of digital-linked diagnostics models at point-of-care in South Africa: stakeholder engagementBoitumelo Moetlhoa0Siphesihle R. Nxele1Kuhlula Maluleke2Evans Mathebula3Musa Marange4Maureen Chilufya5Tafadzwa Dzinamarira6Evans Duah7Matthias Dzobo8Mable Kekana9Ziningi Jaya10Lehana Thabane11Thobeka Dlangalala12Peter S. Nyasulu13Khumbulani Hlongwana14Thembelihle Dlungwane15Mankgopo Kgatle16Nobuhle Gxekea17Tivani Mashamba-Thompson18School of Health Systems and Public Health, Faculty of Health Sciences, University of PretoriaSchool of Health Systems and Public Health, Faculty of Health Sciences, University of PretoriaSchool of Health Systems and Public Health, Faculty of Health Sciences, University of PretoriaSchool of Health Systems and Public Health, Faculty of Health Sciences, University of PretoriaMedical and Scientific Affairs, Infectious Diseases Emerging Markets, Rapid Diagnostics, Abbot Rapid Diagnostics (Pty) LtdSchool of Health Systems and Public Health, Faculty of Health Sciences, University of PretoriaSchool of Health Systems and Public Health, Faculty of Health Sciences, University of PretoriaSchool of Health Systems and Public Health, Faculty of Health Sciences, University of PretoriaSchool of Health Systems and Public Health, Faculty of Health Sciences, University of PretoriaDepartment of Radiography, Faculty of Health Sciences, University of PretoriaSchool of Health Systems and Public Health, Faculty of Health Sciences, University of PretoriaMedical and Scientific Affairs, Infectious Diseases Emerging Markets, Rapid Diagnostics, Abbot Rapid Diagnostics (Pty) LtdSchool of Health Systems and Public Health, Faculty of Health Sciences, University of PretoriaDepartment of Global Health, Stellenbosch UniversityDepartment of Public Health Medicine, University of KwaZulu-NatalSchool of Nursing and Public Health, University of KwaZulu-NatalNuclear Medicine Research Infrastructure, University of PretoriaNuclear Medicine Research Infrastructure, University of PretoriaSchool of Health Systems and Public Health, Faculty of Health Sciences, University of PretoriaAbstract The integration of digital technologies holds significant promise in enhancing accessibility to disease diagnosis and treatment at point-of-care (POC) settings. Effective implementation of such interventions necessitates comprehensive stakeholder engagements. This study presents the outcomes of a workshop conducted with key stakeholders, aiming to discern barriers and enablers in implementing digital-connected POC diagnostic models in South Africa. The workshop, a component of the 2022 REASSURED Diagnostics symposium, employed the nominal group technique (NGT) and comprised two phases: Phase 1 focused on identifying barriers, while Phase 2 centered on enablers for the implementation of digital-linked POC diagnostic models. Stakeholders identified limited connectivity, restricted offline functionality, and challenges related to load shedding or rolling electricity blackouts as primary barriers. Conversely, ease of use, subsidies provided by the National Health Insurance, and 24-h assistance emerged as crucial enablers for the implementation of digital-linked POC diagnostic models. The NGT workshop proved to be an effective platform for elucidating key barriers and enablers in implementing digital-linked POC diagnostic models. Subsequent research endeavors should concentrate on identifying optimal strategies for implementing these advanced diagnostic models in underserved populations.https://doi.org/10.1186/s12913-024-10691-z
spellingShingle Boitumelo Moetlhoa
Siphesihle R. Nxele
Kuhlula Maluleke
Evans Mathebula
Musa Marange
Maureen Chilufya
Tafadzwa Dzinamarira
Evans Duah
Matthias Dzobo
Mable Kekana
Ziningi Jaya
Lehana Thabane
Thobeka Dlangalala
Peter S. Nyasulu
Khumbulani Hlongwana
Thembelihle Dlungwane
Mankgopo Kgatle
Nobuhle Gxekea
Tivani Mashamba-Thompson
Barriers and enablers for implementation of digital-linked diagnostics models at point-of-care in South Africa: stakeholder engagement
BMC Health Services Research
title Barriers and enablers for implementation of digital-linked diagnostics models at point-of-care in South Africa: stakeholder engagement
title_full Barriers and enablers for implementation of digital-linked diagnostics models at point-of-care in South Africa: stakeholder engagement
title_fullStr Barriers and enablers for implementation of digital-linked diagnostics models at point-of-care in South Africa: stakeholder engagement
title_full_unstemmed Barriers and enablers for implementation of digital-linked diagnostics models at point-of-care in South Africa: stakeholder engagement
title_short Barriers and enablers for implementation of digital-linked diagnostics models at point-of-care in South Africa: stakeholder engagement
title_sort barriers and enablers for implementation of digital linked diagnostics models at point of care in south africa stakeholder engagement
url https://doi.org/10.1186/s12913-024-10691-z
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