電子医療システムの導入がUNWRAの保健サービスに与える影響:観察研究
Ghada Ballout1, Najeeb Al-Shorbaji2, Wafaa Zeidan1
1Department of Health, UNRWA Headquarters Amman, Amman, Jordan.
Lancet (London, England)
|July 6, 2021
まとめ
近東のパレスチナ難民支援事業機構 (UNRWA) の電子医療記録 (e-Health) システムは,難民に対する予防的ケアを改善しました. 糖尿病のスクリーニング,出産前訪問,子供の成長モニタリングの主要指標は,実施後の有意な改善を示した.
科学分野:
- 公衆衛生
- 医療情報学
- 中東研究
背景:
- UNRWAは 5つの地域で500万人以上のパレスチナ難民に 医療サービスを提供しています
- 医療サービスの監視と提供を強化するために,電子医療記録 (e-Health) システムが導入されました.
- 2017年までに129のセンターでe-ヘルスシステムが導入され,年間300万件の患者ファイルと800万件の訪問が管理されました.
研究 の 目的:
- 予防医療サービスの改善に対するUNRWA e-Healthシステムの影響を評価する.
- 糖尿病のスクリーニング,母親のケア,子供の成長に関連する主要なパフォーマンス指標の変化を評価する.
主な方法:
- 2012年から2017年のUNRWAの年次報告書を分析した観察研究.
- 主要なパフォーマンス指標には,40歳以上の成人の糖尿病検診,産前訪問 (少なくとも4回の訪問),および5歳未満の子供の成長障害の有病率が含まれていました.
- 記述的な分析はMicrosoft Excelを使用して行われ,倫理的な承認はUNRWA保健省から得られた.
主要な成果:
- 電子ヘルスの警告により,糖尿病のスクリーニングは13% (2012年) から21% (2017年) に大幅に増加しました.
- 産前診察の出席率は87% (2012) から92% (2017) に上昇し,フォローアップログの改善とリマインダーのためのモバイルアプリによって促進されました.
- 5歳未満の子どもで診断された体重不足,発育阻害,衰弱,肥満の増加は,電子医療システムによる検出の強化に起因しています.
結論:
- e-Healthシステムはパレスチナ難民の予防医療の検出,監視,アクセシビリティを明らかに改善しました.
- 研究の限界は,観察的な性質と,登録されたUNRWA診療所の患者に焦点を当てることです.
- 強みには,中央集権された,機関全体で集約された電子医療記録とWHOに準拠した成長監視指標の使用が含まれます.
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