A Community Assets Infrastructure for the Secure Use of Mobile Computing Devices in the Rural Health Landscape

摘要

The ubiquity of mobile computing devices in the workplace has created a vast landscape of opportunity in rural communities centered on the increased population access owing to the improved mobility. Healthcare workers are able to reach previously disconnected communities and homesteads to deliver health related services through the use of custom mobile computing devices or applications that facilitate the viewing, recording and updating of patient records. Notably, the presence of electronic patient information presents privacy and confidentiality challenges that if not addressed, may affect the delivery of health services thereby negatively impacting on the overall health outcomes of the communities. Deficit based solutions target the needs and challenges of the communities in developing solutions and have been widely used; however, little emphasis has been placed on utilizing the existing asset resources that contribute positively to the overall health outcomes in the development of solutions. This paper leverages off an asset model developed by Morgan and Ziglio to identify existing community assets in a rural community through the use of a survey issued to community health workers and the supporting IT staff. The results point to assets in the cohesive social structures centered on the trust bond between the patients and the providers. Moreover, mentoring support structures and periodic training activities keep the health worker skills up to date. Furthermore, a positive appreciation of health information sensitivity and the need for patient privacy and confidentiality provide for productive interactions between health workers and patients.