インドネシアの公衆衛生センターにおける健康情報システムの利用を理解する:横断的な研究
Dewi Nur Aisyah1,2,3, Agus Heri Setiawan2, Chyntia Aryanti Mayadewi2
1Department of Epidemiology and Public Health, Institue of Epidemiology and Health Care, University College London, 1-19 Torrington Place, London, United Kingdom, 44 207679200.
JMIR medical informatics
|September 3, 2025
まとめ
インドネシアの公衆衛生センターは多くの健康情報システム (HIS) を利用していますが,過剰なデータ入力やインターネットへのアクセス不足などの課題に直面しています. デジタルヘルスケアサービスを改善するために 都市部と農村部に合わせた解決策が必要です
科学分野:
- デジタル・ヘルス
- 医療情報学
- 主要な医療制度
背景:
- インドネシアのプライマリヘルスケアは,10260の公衆衛生センター (Puskesmas) に依存しています.
- 健康情報システム (HIS) は,コミュニティの健康監視と効果的なサービス提供に不可欠です.
- 正確な健康データの記録と報告は公衆衛生の管理に不可欠です.
研究 の 目的:
- インドネシアの Puskesmas でのHISの国の利用をマッピングする.
- 使用されているHISプラットフォームの数とその起源を特定します.
- HISの採用と実施に影響を与える課題と文脈的要因を評価する.
主な方法:
- 2022年1月から2月まで,インドネシアの34の州で横断調査が行われました.
- データ収集には,HISの使用,開発,実装の課題,インフラに関するアンケートが含まれていました.
- 収集されたデータには記述的および二変数統計的分析が適用された.
主要な成果:
- 2606 Puskesmas が参加し,センターごとに平均30の異なるHISプラットフォームを報告しました.
- ほとんどのHIS (72.94%) は国務省によって開発されたが,過度のデータ入力 (49%),頻繁なダウンタイム (33%),自動化された分析の欠如 (29%) など,重要な運用上の障壁が存在する.
- 9.45%がインターネットにアクセスできず,スタッフが複数のHISを管理し,訓練は初期実施に限られている.
結論:
- インドネシアのHIS環境は,インフラ,使いやすさ,労働力の能力の格差がある.
- 地域特有の勧告が不可欠です 地方のオフラインシステムと都市の中心部の高度なツールです
- 将来の研究は,HISの相互運用性,影響,費用対効果,およびデジタルヘルスの変革を導くためにユーザー体験に焦点を当てるべきです.
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