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两个国家结核病报告系统的比较分析及其对乌干达结核病例报告的影响
Timothy Kiyemba1, Rita Makabayi-Mugabe1,2, Nicholas Sebuliba Kirirabwa1
1USAID/Defeat TB project, University Research Co., Kampala, Uganda.
与传统方法相比,集成的DHIS2系统显著改善了乌干达的结核病例报告. 这种基于网络的方法提高了结核病例的通知,帮助资源分配和医疗服务提供.
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:
- 在2018年之前,乌干达的并行结核病 (TB) 报告系统是资源密集型的.
- 努力的重复使得需要为国家结核病和麻风病计划 (NLTP) 选择一个更有效的结核病例通知系统.
研究的目的:
- 分析两个TB报告系统之间的报告率差异.
- 改进NLTP结核病例通知,物流和医疗服务规划.
主要方法:
- 一项比较研究评估了DHIS2和地区监督领导系统 (2016年1月至2017年12月) 之间的结核病例通知.
- 普森回归分析用于确定报告率的统计差异.
主要成果:
- 结核病例通知和报告系统类型之间的关联在统计上是显著的 (Prob > chi2 = 0.0000).
- 与地区监督领导的系统相比,支持网络的DHIS2系统显示事件率比率 (IRR) 为1.106625.
结论:
- 综合的基于网络的DHIS2系统在报告失踪的结核病例方面更有效.
- 在低收入环境中,DHIS2为改善资源规划和分配提供了机会.
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