加强尼日利亚拉各斯私立医院的例行数据报告
Kelechi Ohiri1, Olasunmbo Makinde1, Yewande Ogundeji1,2
1Health Strategy and Delivery Foundation, Plot 1980, Wikki Springs Street, Abuja, Nigeria.
Health policy and planning
|June 6, 2023
概括
有针对性的干预措施显著改善了尼日利亚私立医院的健康数据报告率和及时性. 这些改善在干预后的24个月内持续下去,提高了决策能力.
科学领域:
- 医疗信息学 医疗信息学
- 公共卫生 公共卫生
- 健康管理健康管理
背景情况:
- 常规健康信息对于有效的健康规划至关重要,特别是在资源有限的环境中.
- 尼日利亚的地区卫生信息系统 (DHIS) 旨在标准化健康数据的收集和分析.
- 拉各斯州私立医院的低DHIS报告率 (44%),尽管他们的贡献很大 (90%的设施),但突出了关键的数据差距.
研究的目的:
- 描述实施的有针对性的干预措施,以改善拉各斯州私立医院的DHIS数据报告.
- 评估这些干预措施对DHIS数据报告率和及时性的影响.
- 评估干预措施的持续有效性,在干预结束24个月后进行评估.
主要方法:
- 从2014年至2017年,对55家私立医院实施了五项干预策略.
- 干预措施包括利益相关者参与,培训,指导和提供数据工具.
- 一项受控的前后研究设计将干预医院与55家非干预医院的匹配队列进行了比较.
主要成果:
- 干预医院的报告率平均增加了65.28%,报告及时性增加了50.31% (P < 0.01).
- 干预后,在报告率 (平均差异 = -22.38,P < 0.01) 和及时性 (平均差异 = -18.81,P < 0.01) 方面观察到群体之间存在显著差异.
- 在干预停止24个月后,数据报告和及时性的持续改善显而易见.
结论:
- 有针对性的干预措施有效地加强了通过DHIS的例行健康数据报告.
- 改进数据报告和及时性有助于改善健康表现和明智决策.
- 该研究展示了一种可扩展的模型,用于在类似环境中增强健康信息系统.
相关概念视频
00:59Hospitals-II
813
Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in...
Nurses that work in...
813
01:24Data Reporting and Recording
4.8K
Reporting and recording are crucial in data documentation. The timely, thorough, and accurate documentation of facts is essential when recording patient data. Failure to record findings during an assessment or interpretation of a problem will result in loss of information and make the patient document unreliable. The reader is left with general impressions if the information is not specific. A recording is documenting data of the individual's health information in a traceable, secure, and...
4.8K
01:28Hospitals-I
887
Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...
887
01:11Secondary Healthcare System
1.5K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.5K
01:21Types of Reports II: Incident or Occurrence Report
895
An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
895
01:21Tertiary Healthcare System
1.8K
Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
1.8K