在肯尼亚,利用电子医疗记录进行艾滋病毒检测,护理和治疗计划-国家数据仓库项目
Margaret Ndisha1, Amin S Hassan2, Faith Ngari3
1Division for Global HIV & TB (DGHT), Centres for Global Health, US Centres for Disease Control and Prevention (CDC), P. O. Box 606, Nairobi, 00621, Kenya. odi2@cdc.gov.
BMC medical informatics and decision making
|September 15, 2023
概括
肯尼亚 肯尼亚 肯尼亚 肯尼亚
科学领域:
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
- 流行病学 流行病学
背景情况:
- 传统的HIV数据系统在实时监测和长期结果跟踪方面存在局限性.
- 电子医疗记录 (EMR) 提供了克服这些局限性的潜力.
- 集中式数据存储库对于数据驱动的公共卫生决策至关重要.
研究的目的:
- 描述肯尼亚国家数据仓库 (NDW) 的演变和发展.
- 评估NDW数据的分布和代表性.
- 探索NDW在肯尼亚艾滋病毒监测方面的潜力.
主要方法:
- 该研究描述了肯尼亚医疗信息系统向基于网络的EMR的演变.
- 详细介绍了国家数据仓库 (NDW) 架构,包括其四个层.
- 分析了来自1,516个医疗机构和1,928,458名接受抗逆转录病毒治疗 (ART) 的人员的数据.
主要成果:
- NDW成功地整合了来自越来越多设施的个体级数据 (2016年为666个,2020年为1516个).
- 到2020年底,NDW拥有超过190万个人的纵向ART数据.
- 与汇总的KHIS数据相比,NDW ART数据显示77%的覆盖率,县级分布一致,表明代表性.
结论:
- NDW提供了对实时艾滋病毒监测和监测至关重要的纵向数据.
- NDW数据显示了高覆盖率和人口层面的概括性,与KHIS相当.
- 据了解,NDW是加强数据驱动决策的宝贵资源,以控制肯尼亚的艾滋病毒流行.
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