越南从纸质免疫系统过渡到数字免疫系统的结果和成本:混合方法研究
Thi Thanh Huyen Dang1, Emily Carnahan2, Linh Nguyen3
1National Expanded Program on Immunization, National Institute of Hygiene and Epidemiology, Hanoi, Vietnam.
Journal of medical Internet research
|March 18, 2024
概括
越南 越南 越南 越南
科学领域:
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
- 卫生经济学 卫生经济学
背景情况:
- 电子国家免疫信息系统 (NIIS) 在2017年在越南全国范围内实施.
- 河内和孙拉省从2018年开始过渡到无纸化报告,得到数据准则,培训和加强监督的支持.
- 该研究评估了这种过渡对数据质量,计划成果和经济成本的影响.
研究的目的:
- 评估NIIS数据质量和利用情况的变化.
- 评估过渡后免疫计划结果的变化.
- 为了确定与纸质系统相比,与NIIS相关的经济成本.
主要方法:
- 在河内和孙拉省采用混合方法方法.
- 从NIIS,调查和采访中分析了干预前后的数据.
- 使用基于活动的成本计算方法,从卫生系统的角度评估财务影响.
主要成果:
- 在干预后,NIIS数据的及时性在两个省份都显著改善.
- 除了月度报告之外的数据使用量大幅增加,100%的设施使用NIIS数据.
- 虽然数据质量和使用情况有所改善,但免疫计划结果的直接改善并未始终观察到,可能是由于COVID-19大流行.
- 这一转型带来了前期成本,但由于减少了人力资源的时间,在社区卫生中心层面节省了成本.
结论:
- 河内和孙拉省成功采用无纸化报告,提高了NIIS数据的质量和使用.
- 数据质量的改善与免疫计划结果的改善没有直接相关,COVID-19大流行影响了结果.
- 过渡到NIIS涉及大量的前期金融投资,但提供了潜在的长期效率.
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