吉尔吉斯共和国电子结核病登记数据质量与纸质记录相比
Daniil Shauer1, Ofelya Petrosyan2, Manik Gemilyan2,3
1National Center for Tuberculosis, Ministry of Health, Bishkek 720000, Kyrgyzstan.
Tropical medicine and infectious disease
|August 25, 2023
概括
吉尔吉斯斯坦的电子结核病 (TB) 管理系统显示数据准确度高. 虽然诊断时间表相似,但电子系统改善了当天治疗的开始,并减少了未记录的结果.
科学领域:
- 公共卫生 公共卫生
- 传染病管理 传染病管理
- 医疗信息学 医疗信息学
背景情况:
- 对药物敏感性肺结核 (TB) 的有效管理依赖于准确的记录.
- 从纸质系统向电子系统的过渡对于改善健康数据质量和患者结果至关重要.
- 吉尔吉斯共和国试图评估电子结核病登记系统的性能.
研究的目的:
- 与传统的纸质系统相比,评估电子结核病管理系统的有效性.
- 评估电子结核病登记册中数据的完整性和一致性.
- 确定电子系统对患者诊断,治疗启动和结果记录的影响.
主要方法:
- 一项使用吉尔吉斯共和国程序数据的队列研究.
- 包括2019年在纸质系统注册的个人和在纸质和电子系统注册的个人 (2021年6月至2022年5月).
- 分析数据的完整性,记录一致性,诊断和治疗的时间以及治疗结果.
主要成果:
- 对于大多数变量,电子和纸质记录的完整性 (85.3-93.0%) 和一致性高.
- 对于非强制性字段,如药物的副作用,最不完整的完整性.
- 从症状发作到诊断和治疗开始的时间没有显著差异.
- 电子系统显示,同日开始治疗的人数显著增加 (80.3%与57.1%相比).
- 电子系统显著减少了未记录或未评估的结果 (4.8%vs14.3%).
结论:
- 电子结核病登记系统在改善治疗启动和结果记录方面具有显著的优势.
- 虽然一般准确,但需要注意非强制性数据字段.
- 实施电子健康记录可以提高结核病管理效率和数据完整性.
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