建立关于社区卫生信息系统的共同特征和互操作性用例的共识:Delphi研究
Isaac Holeman1, David Citrin2,3,4, Mohamed Albirair1
1Department of Global Health, University of Washington, Seattle, Washington, USA.
社区卫生信息系统 (CHIS) 如今已成为复杂的工具,支持各种用户和当地需求. 关键特征包括病例管理和护理协调,重点是互操作性,重点是报告和转诊.
科学领域:
- 全球健康 全球健康
- 医疗信息学 医疗信息学
- 数字健康数字健康
背景情况:
- 社区健康信息系统 (CHIS) 是低收入和中等收入国家的重要,广泛采用的健康信息系统.
- 在过去的十年中,这些系统已经发展成为更加复杂和基于证据的系统.
研究的目的:
- 在CHIS的基本特征上建立专家共识.
- 确定社区卫生信息系统的互操作性优先事项.
主要方法:
- 一项德尔菲研究,涉及系统地选择全球CHIS专家.
- 在五轮的反复调查和后续访谈中进行反复调查.
- 与10名社区卫生工作者 (CHW) 领导人聚焦小组讨论,以补充调查结果.
主要成果:
- 医疗卫生信息系统必须适应当地环境,并支持医疗卫生工作室以外的各种最终用户,包括患者和临床医生.
- 专家认为,世卫组织分类的30项数字卫生干预措施中有23项对CHIS (77%) 具有重要意义.
- 病例管理和护理协调 (38%) 是核心特征,首要的互操作优先级是CHIS对健康管理信息系统报告和CHIS对电子病历转介.
结论:
- 现代CHIS需要广泛的功能,支持多个用户角色,并且必须具有高度的适应性.
- 未来的互操作性旨在加强数据交换,并可衡量地加强社区卫生系统,以改善医疗服务.
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