Continuing Medical Education Network, Identification of Technical, Organizational, and Human Barriers.


  • Cheick Oumar Bagayoko Faculté de Médecine de Bamako Service Cybersanté et Télémédecine, HUG, Genève
  • Jean Marc Naef Service de Cybersanté et Télémédecine, Hôpitaux Universitaires de Genève, Suisse
  • Habyata Maiga Centre d'Expertise et de Recherche en Télémédecine et E-Santé, Bamako, Mali
  • Abdel Kader Traoré Faculté de Médecine et d'Odoto-Stomatologie, Bamako, Mali
  • Antoine Geissbuhler Service de Cybersanté et Télémédecine, Hôpitaux Universitaires de Genève, Suisse



Background and Purpose: The aim of this research is to find out if by putting in place a new platform accordingly to local conditions of the developing countries and by eliminating the technical obstacles could uncover other organizational and human.

Methods: This study is being done for the RAFT project and involves users of the distance learning systems. It focusses on two distinct series of questions.

Results: The findings have clearly shown that the network can have a great and positive impact on the African healthcare system by creating an access to a continuous medical training and virtually networking medical centers that are otherwise geographically isolated and difficult to access.

Conclusions: At the end of this study the human and organizational barriers often considered as technical issues by the users have been identified as the main reasons of the under-usage of the network.

Further research would be needed to evaluate the new system and solve the issues discovered in this study


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Bagayoko CO, Gagnon MP, Traoré D, Anne A, Traoré AK, Geissbuhler A. E-health, another mechanism to recruit and retain healthcar professionals in remote areas: lessons learned from EQUI-ResHuS project in Mali. BMC Medical Informatics and Decision Making, 2014; 14: 120.

Bagayoko C O, Perrin C, Gagnon MP, Geissbuhler A. Continuing Distance Education : A capacity-Building Tool for De-isolation of Care Professionals and Researchers. J G Inter Med, 2013; 28: 666-670, DOI : 10.1007/s11606-13-2511-1

Bediang G, Perrin C, Ruiz R et l. The RAFT telemedicine network : lessons learnt and perspectives from a decade of educatioal and clinical services in low -and middle-incomes countries. Frontiers in Public Health, (2014) 2 : 180 ; doi : 10.3389/fpubh.2014.00180.

Kaplan B, Shaw NT. People Organizational and Social Issues: Evaluation as an exemplar. Yearbook of medical informatics, 2002; pp.91-102.

Lorenzi N M, Riley R T, Blyth AJC, Southon G, Dixon BJ. Antecedents of the people and Organizational Informatics: Review of the Literature. JAMIA, 1997; 4 (2): 79-93.

Lorenzi NM, Riley RT, Dewan NA. Barriers and Resistance to Informatics in Behavioral Health. IMIA, 2001; 1302- 1304.

Carriere M F, Harvey D. Etat de la formation médicale continue à distance en Amérique du nord. Revue du conseil Québécois de la formation à distance, 2003 ; 51-72., dernière visite, 05 février 2016

La formation médicale continue a-t-elle une influence sur la pratique médicale? Psychiatrie Française. Thurin JM, 2000 ; 1 : 117-132.

Traore ST, Anne A, Bosomprah S et al. Social Network and Health Researchers and Professionals Mobility in Africa: Lessons Learned from Africa Build Project. Stud Health Technol, 2015; 216:1018., dernière visite, 05 février 2016, dernière visite, 06 février 2016

Kemp LJ. Learning about Teamwork in an online study environment. MERLOT, Journal of Online Learning and Teaching, 2006; 2 (1): 30 – 41., dernière visite, 6 février 2016, dernière visite, 6 février 2016

Brauchli K, O’Mahony D, Banach L, Oberhozer M. iPath – a Telemedicine Platform to Support Health Providers in Low resource Settings. The journal of information Technology in Healthcare, 2005; 3 (4): 227-235., dernière visite, 6 février 2016

Medelez O. E, Burgun A, Lessard I, Le Beux P. Virtu@l Consult@tion: Un Environnment Collaboratif pour la Simulation des Séances d’Apprentissage du Raisonnement Clinique Multimédia à Distance. JFIM, 2003., dernière visite, 6 février 2016, dernière visite, 7 février 2016, dernière visite, 7 février 2016, dernière visite, 7 février 2016

Moore BM, Hartman JT. Information technology for rural outreach in west Texas. Bull Med Libr Assoc, 1992; 80 (1): 44 – 46

kienzle BM, Curry D, Galvin J, Hoffman E, Holtum E, Shope L, Torner J, wakefield D. Iowa’s national laboratory for the study of rural telemedicine: a description of the work in progress. Bull Med Libr Assoc, 1995; 83 (1): 37-41.

Zollo SA, Kienzle MG, Henshaw Z, Crist LG, Wakefield DS. Tele –education a telemedicine environment: implications for rural health care and academic medical centers. Journal of Medical Systems, 1999; 23: 107 – 122

Enseignement à distance, Bureau régional du Pacifique occidental,OMS, WPR/RC52/8. Darussalam B, septembre 2001.

Vovides Y, Chale SB, Gadhula R et al. A systems approach to implementation of eLearning in medical education : five MEPI school's journeys. Acad Med. 2014 Aug, 89 (8 Suppl):S102-6. doi: 10.1097/1CM.000000000000347 , 7 février 2016

Bagayoko CO, Mueller H, Geissbuhler A. Assesment of Internet-based Telemedicine in Africa (The RAFT Project). Elsevier, Commputerized Medical Imaging and Graphics; 2006; 30 (6-7): 407-16.

Rosser JC, Bell RL, Harnett B, Rodas E, Murayama M, Merrell R. Use of Mobile Low-Bandwith Telemedical Techniques for Extreme Telemedicine Applications. American College of Surgeons, 1999; 397- 404.

Bagayoko CO, Niang M, Traoré ST, Naef JM, Geissbuhler A. Deploying portable ultrasonography with remote assistance for isolated physicians in Africa : lessons from a pilot study in Mali. Stud Health Technol Inform. 2010; 160: 554-8.

Childs S, Blenkinsopp E, Hallt A, Walton G. Effective e-learning for health professionals and students - barriers and their solutions. A systematic review of the literature – findings form the HeXL project. Health Information and Libraries Journal, 2005; 22 (Suppl.2): 20-32.

Despont-Gros C, Muller H, Lovis C, Evaluating user interactions with clinical information systems: A model based on human computer interaction models. Journal of biomedical informatics, 2005; 38: 244-255

Lorenzi NM, Riley RT, Managing Change: An Overview. JAMIA, 2000; 7: 116-124., dernière visite, 7 février 2016, dernière visite, 7 février 2016, dernière visite, 7 février 2016

Gagné C, Godin G. Les Théorie Sociales Cognitives: Guide pour la mesure des variables et le développement de questionnaire, Université Laval, 1999; ISBN2-9804226-4-9.

Altman DG. Practical Statistics for Medical Research. British library cataloguing in Publication Data, First edition, 1991. pp 277-293

Brunetaud JM, Leroy N, Pelayo S, Wascat C, Renard JM, Prin L, Beuscart MC. Comparative evaluation of two applications for delivering a multimedia medical course in the French-speaking Virtual medical University (UMVF). International journal of medical informatics, 2005; 74: 209-212. devient 40

Sandoz G, Beuchot F. An Evaluation methodology for Computer mediated Teletraining Systems. Proceedings of Society for Information Technology and Teacher Education International Conference, 2000; 30-35.

Travailler ensembles pour la santé. Rapport OMS sur la santé du monde. Jong-wook L, 2006; p3






Research Article

How to Cite

Continuing Medical Education Network, Identification of Technical, Organizational, and Human Barriers. (2016). Journal of Health Informatics in Africa, 3(2).