在菲律宾试点实施基于社区的,支持电子健康的服务交付模式,用于新生儿听力查和干预
Abegail Jayne P Amoranto1,2, Philip B Fullante3, Talitha Karisse L Yarza3
1National Telehealth Center, National Institutes of Health, University of the Philippines Manila.
Acta medica Philippina
|November 1, 2024
概括
采用基于网络的新生儿听力查系统 (NHS) 的HeLe服务交付模式,在改善听力护理准入方面表现有前途. 这种电子健康方法促进了转诊和跟踪,解决了社区对听力损失的早期诊断和管理的需求.
科学领域:
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
- 听力学 听力学是指听力学.
背景情况:
- 基于社区的新生儿听力查 (NHS) 计划对于早期发现听力损失至关重要.
- 现有模式在推,跟踪和服务提供方面经常面临挑战.
- 电子健康解决方案有可能提高NHS计划的效率和覆盖范围.
研究的目的:
- 评估HeLe服务交付模型的有效性,这是一个支持电子健康的社区新生儿听力查计划.
- 评估该模型对提供听力护理服务的影响.
- 确定实施模型的促进因素和挑战.
主要方法:
- 使用记录审查和用户视角的前性观察研究.
- 收集系统使用日志和患者结果数据.
- 半结构面试和现场报告分析以获得定性见解.
主要成果:
- 692名婴儿进行了查;1.4%的结果为阳性,其中7人确诊有严重听力损失.
- 基于Web的推系统促进了跟踪,尽管注意到了系统可用性和连接性等挑战.
- 主要促进者包括冠军,立法和培训;主要障碍是成本和缺乏附近的诊断设施.
结论:
- 支持eHealth的HeLe模型显示了社区NHS的前景,改善了服务提供.
- 它建立了提供者网络,提供培训,并使用健康信息系统进行转诊和跟踪.
- 该模型具有大规模实施的潜力,以推进普遍的听力健康.
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