影响科索沃卫生信息系统的技术因素
Ardita Baraku1, Naser Ramadani1,2, Roland Bal3
1National Institute of Public Health, Prishtina, Kosova.
概括
科索沃的健康信息系统 (HIS) 面临技术挑战,阻碍了数据的有效使用. 需要改进,以克服诸如手动表格和软件复杂性等障碍,以改善医疗保健决策.
科学领域:
- 医疗信息学 医疗信息学
- 加强卫生系统 加强卫生系统
- 信息管理 信息管理
背景情况:
- 卫生信息系统 (HIS) 对于加强低收入和中等收入国家 (LMIC) 的卫生系统至关重要.
- 对于影响HIS在LMIC环境中的有效性技术因素的理解有限.
研究的目的:
- 在科索沃实证地调查健康信息系统 (HIS) 的发展.
- 在科索沃的HIS中确定功能障碍的领域和改进的机会.
主要方法:
- 通过文档审查,使用PRISM框架分析技术因素.
- 与来自卫生部,国家公共卫生研究所和科索沃大学临床医院服务的15名利益相关者的半结构面试.
- 在理论框架的指导下,对转录的采访进行演性内容分析.
主要成果:
- 卫生部承认HIS开发的技术因素,但目前的系统执行的基本功能有限.
- 关键的技术障碍包括耗时的手动HIS表格,分析数据不足,软件和经济运营商的过渡困难以及整体系统的复杂性.
- 这些技术问题阻碍了科索沃的高效HIS功能.
结论:
- 科索沃的HIS继续面临技术障碍,影响效率和可持续性.
- 当前复杂的过程没有产生预期的结果,阻碍了基于证据的健康分析和决策.
- 建议对影响LMIC中HIS效率的组织和行为因素进行进一步研究.
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