User experience analysis of e-TB Manager, a nationwide electronic tuberculosis recording and reporting system in Ukraine - PubMed (original) (raw)

User experience analysis of e-TB Manager, a nationwide electronic tuberculosis recording and reporting system in Ukraine

Niranjan Konduri et al. ERJ Open Res. 2017.

Erratum in

Abstract

Ukraine has successfully implemented e-TB Manager nationwide as its mandatory national tuberculosis registry after first introducing it in 2009. Our objective was to perform an end-of-programme evaluation after formal handover of the registry administration to Ukraine's Centre for Disease Control in 2015. We conducted a nationwide, cross-sectional, anonymous, 18-point user experience survey, and stratified the registry's transaction statistics to demonstrate usability. Contrary to initial implementation experience, older users (aged >50 years), often with limited or no computer proficiency prior to using the registry, had significantly better user experience scores for at least six of the 12 measures compared to younger users (aged 18-29 years). Using the registry for >3 years was associated with significantly higher scores for having capacity, adequacy of training received and satisfaction with the registry. Of the 5.9 million transactions over a 4-year period, nine out of 24 oblasts (regions) and Kiev city accounted for 62.5% of all transactions, and corresponded to 59% of Ukraine's tuberculosis burden. There were 437 unique active users in 486 rayons (districts) of Ukraine, demonstrating extensive reach. Our key findings complement the World Health Organization and European Respiratory Society's agenda for action on digital health to help implement the End TB Strategy.

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Conflict of interest statement

Conflict of interest: Disclosures can be found alongside this article at openres.ersjournals.com

Figures

FIGURE 1

FIGURE 1

Most frequent words and phrases based on user comments about the registry. Word cloud representing the most frequent words based on 74 user comments about the registry. The font size represents how frequently the terms occur. Only stemmed words were utilised, with a minimum length of three words; the word “registry” was not included in this analysis.

FIGURE 2

FIGURE 2

Major themes from the user comments. Comments from 74 users were coded into 11 major themes. #: server or registry platform; ¶: paper-based reports and registry data fields; +: suggestions on registry structure.

FIGURE 3

FIGURE 3

Dendrogram: themes clustered by word similarity. Themes clustered by word similarity: the dendogram is the result of a cluster analysis of user comments that clustered selected themes together if they have many words in common. Similar items are clustered together on the same branch and different items are positioned further apart. #: server or registry platform; ¶: suggestions on registry structure; +: paper-based reports and registry data fields.

FIGURE 4

FIGURE 4

Usability statistics among active users of the national tuberculosis (TB) registry by TB burden. Each oblast (region) lists the number of active registry users in June 2016. Numbers in parentheses indicate average transactions per user in thousands (k). For example, the Kherson oblast with a medium TB burden has 50 active users with an average of 6000 transactions per user. Registry transactions are cumulative, from 2011 to June 2016 (online supplementary material). Nine out of 24 oblasts and Kiev accounted for 62.5% of cumulative transactions and 59% of the TB burden.

FIGURE 5

FIGURE 5

Usability statistics among top 10 tuberculosis (TB) units by transaction type for key data fields. This figure presents anonymous cumulative transaction statistics for selected data fields from the registry's case module from January 2012 to May 2016. The top 10 out of 647 active TB health units, accounting for nearly a third of the total cumulative transaction volume (5.9 million) are presented (online supplementary material). DST: drug susceptibility testing; LPA: line probe assay.

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