Evidence map›Paper›PMID 38365781›Full record

ArticleBMC health services research2024

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

Boitumelo Moetlhoa, Siphesihle R Nxele, Kuhlula Maluleke, Evans Mathebula, Musa Marange, Maureen Chilufya, Tafadzwa Dzinamarira, Evans Duah, Matthias Dzobo, Mable Kekana and 9 more

Abstract read
In one paragraph

Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

Boitumelo MoetlhoaSchool of Health Systems and Public Health, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa. u22029992@tuks.co.za.
Siphesihle R NxeleSchool of Health Systems and Public Health, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
Kuhlula MalulekeSchool of Health Systems and Public Health, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
Evans MathebulaSchool of Health Systems and Public Health, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
Musa MarangeMedical and Scientific Affairs, Infectious Diseases Emerging Markets, Rapid Diagnostics, Abbot Rapid Diagnostics (Pty) Ltd, Johannesburg, South Africa.
Maureen ChilufyaSchool of Health Systems and Public Health, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
Tafadzwa DzinamariraSchool of Health Systems and Public Health, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
Evans DuahSchool of Health Systems and Public Health, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
Matthias DzoboSchool of Health Systems and Public Health, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
Mable KekanaDepartment of Radiography, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
Ziningi JayaSchool of Health Systems and Public Health, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
Lehana ThabaneMedical and Scientific Affairs, Infectious Diseases Emerging Markets, Rapid Diagnostics, Abbot Rapid Diagnostics (Pty) Ltd, Johannesburg, South Africa.
Thobeka DlangalalaSchool of Health Systems and Public Health, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
Peter S NyasuluDepartment of Global Health, Stellenbosch University, Stellenbosch, South Africa.
Khumbulani HlongwanaDepartment of Public Health Medicine, University of KwaZulu-Natal, Durban, South Africa.
Thembelihle DlungwaneSchool of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa.
Mankgopo KgatleNuclear Medicine Research Infrastructure, University of Pretoria, Pretoria, South Africa.
Nobuhle GxekeaNuclear Medicine Research Infrastructure, University of Pretoria, Pretoria, South Africa.
Tivani Mashamba-ThompsonSchool of Health Systems and Public Health, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

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.

Indexed as

Point-of-Care SystemsStakeholder ParticipationHumansSouth Africa

Identifiers

PMID38365781
PMCPMC10873993

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.