电子卫生系统对UNWRA卫生服务的影响:一项观察性研究
Ghada Ballout1, Najeeb Al-Shorbaji2, Wafaa Zeidan1
1Department of Health, UNRWA Headquarters Amman, Amman, Jordan.
Lancet (London, England)
|July 6, 2021
概括
联合国近东巴勒斯坦难民救济与工程署 (UNRWA) 的电子健康记录 (e-Health) 系统改善了难民的预防性护理. 糖尿病查,产前检查和儿童成长监测的关键指标在实施后显著改善.
科学领域:
- 公共卫生
- 卫生信息学
- 中东研究
背景情况:
- 联合国巴勒斯坦难民署为五个地区的500多万巴勒斯坦难民提供初级医疗服务.
- 实施了电子健康记录系统,以加强医疗服务的监测和提供.
- 截至2017年,电子卫生系统已部署在129个中心,管理300万病人的病历和800万次年访.
研究的目的:
- 评估UNRWA电子卫生系统对改善预防性医疗服务的影响.
- 评估与糖尿病查,母亲护理和儿童成长相关的关键绩效指标的变化.
主要方法:
- 分析2012年至2017年的UNRWA年度报告的观察研究.
- 关键绩效指标包括40岁以上成年人糖尿病查,产前检查 (至少4次),以及5岁以下儿童生长问题的患病率.
- 使用微软Excel进行了描述性分析;获得了UNRWA卫生部的道德批准.
主要成果:
- 由于电子健康警报,糖尿病查从2012年的13%大幅增加到2017年的21%.
- 产前检查的出席率从87% (2012) 增加到92% (2017年),这是由于改善后续记录和提醒的移动应用程序所促进的.
- 在5岁以下的儿童中诊断的体重不足,发育迟缓,衰减和超重/肥胖的增加归因于通过电子健康系统进行更好的检测.
结论:
- 电子卫生系统显然改善了巴勒斯坦难民的预防性医疗服务的检测,监测和可访问性.
- 这项研究的局限性包括观察性质和注册UNRWA诊所患者的重点.
- 强项包括使用中央集成的,全机构汇总的电子健康记录和与世卫组织一致的增长监测指标.
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