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跨机构信息共享:埃塞俄比亚公共卫生紧急情况期间的做法和障碍
Sileshi Demelash Sasie1, Pien Van Zuylen2, Getinet Ayano3
1Ethiopian Public Health Institute, Addis Ababa, Ethiopia; Department of Family Medicine, CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands.
在埃塞俄比亚,在紧急情况下有效的健康数据共享受到系统,财务和社会文化障碍的阻碍. 提高信息可访问性需要能力建设,基础设施投资和定制的沟通策略.
科学领域:
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
- 应急管理 应急管理
背景情况:
- 有效的应急准备和应对取决于快速的信息交换,但低收入和中等收入国家面临数据共享的挑战.
- 埃塞俄比亚的公共卫生应急管理计划与影响利益相关者之间健康信息共享的不清楚因素作斗争.
- 了解这些因素对于在紧急情况下基于证据的决策和资源分配至关重要.
研究的目的:
- 检查多部门利益相关者对埃塞俄比亚紧急情况期间健康数据共享的观点.
- 确定影响健康信息共享实践的机遇和挑战.
- 通过改进数据交换,加强埃塞俄比亚国家公共卫生应急响应系统.
主要方法:
- 一项混合方法研究于2023年6月至8月在埃塞俄比亚进行.
- 在公共卫生应急管理 (PHEM) 计划中调查了169个利益相关者.
- 与23位领导或咨询角色的关键信息人进行了深入采访,并使用描述性和专题分析进行了分析.
主要成果:
- 数据共享发生在紧急情况下,主要是医院数据 (64.5%),临床病例信息和实验室结果.
- 主要挑战包括数字医疗系统功能有限 (44%),数据格式不兼容 (34%),财务限制 (49%) 和社会文化障碍.
- 定性发现突出了风险沟通和包容性警报系统的主题,专家指出基础设施缺口和数字沟限制了社区参与.
结论:
- 系统性,金融和社会文化障碍阻碍了埃塞俄比亚紧急情况期间的协作健康信息交换.
- 需要有针对性的战略,包括能力建设,综合数据基础设施投资和创新的融资.
- 优化信息的可访问性,协调性,质量和公平性需要当地相关的沟通道和基于信任的关系.
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