灵活和创新的连接解决方案,以支持国家分散的传染病治疗点检测计划在初级卫生服务:描述性评估研究研究
Amit Saha1, Kelly Andrewartha2, Steven G Badman1
1Kirby Institute, University of New South Wales, Sydney, NSW, Australia.
Journal of medical Internet research
|September 1, 2023
概括
一个新的连接系统增强了澳大利亚传染病的分子点护理 (POC) 测试. 这一系统确保了对Chlamydia trachomatis (CT),Neisseria gonorrhoeae (NG),Trichomonas vaginalis (TV) 和SARS-CoV-2的及时结果,改善了获得医疗保健的机会.
科学领域:
- 传染病诊断 传染病诊断 传染病诊断
- 医疗信息学 医疗信息学
- 公共卫生监督 公共卫生监督
背景情况:
- 自2016年以来,澳大利亚的初级卫生服务提供了对Chlamydia trachomatis (CT),Neisseria gonorrhoeae (NG) 和Trichomonas vaginalis (TV) 的分子点护理 (POC) 测试.
- 2020年增加了SARS-CoV-2测试,强调需要一个强大的系统来管理POC测试结果.
- 现有的基础设施不足以捕获并向各种最终用户提供POC测试结果.
研究的目的:
- 设计,实施和优化用于分子POC测试的连接系统.
- 为了满足临床管理,分析质量管理和公共卫生监督的需求.
- 克服实施,整合和监测大型多管辖区的POC测试网络的障碍.
主要方法:
- 利用商业电子邮件技术并调整专有软件以集成GeneXpert POC平台.
- 将系统与最终用户数据库和量身定制的测试结果消息接口.
- 员工集中捕获了无标识数据,以评估结果交付时间和数据完整性.
主要成果:
- 该系统支持31个卫生服务 (2016-2020年) 的超过29000个CT/NG和TV测试.
- 针对SARS-CoV-2和STI测试 (2020-2022) 进行优化,在105个服务中处理超过88,000个测试.
- 实现了在4小时以下的中位数结果传输时间,在2022年人口数据完整度为99.5%,人口数据完整度为99.5%.
结论:
- 开发的连接系统是可持续的,灵活的,可扩展的,用于分散的POC测试.
- 它是澳大利亚首个同类系统,独立于传统的病理学提供者.
- 该系统促进公平获得快速诊断,并可适应未来的POC测试和平台.
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