开发和以用户为导向的可视化医疗保健综合指标在地区层面:领土健康资料
Deborah Testa1, Anita Andreano1, Adele Zanfino1
1Epidemiology Unit, Agency for Health Protection of the Metropolitan City of Milan, Milan (Italy).
Epidemiologia e prevenzione
|December 5, 2024
概括
为了评估意大利伦巴第地区的医疗保健质量,开发了一种新的"健康档案"系统. 这些概况将复杂的数据综合合成易于理解的指标,以改善公共卫生决策.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 医疗信息学 医疗信息学
背景情况:
- 伦巴第地区卫生系统改革创建了新的地区,以提供领土护理.
- 需要可靠的数据来评估医疗保健质量,确定改进领域,以及平衡服务需求和供应.
研究的目的:
- 开发一个集成的区域和医院护理流程和结果的动态评估系统.
- 创建复合指标,称为"健康档案",用于可视化和向管理人员传达医疗保健复杂性.
主要方法:
- 一个可重复的过程,用于构建基于理论框架的复合指标,将指标映射到健康需求和质量维度.
- 指标是根据理想的属性和统计指标选择的,规范化,按质量维度和可靠性加权,并使用几何平均值汇总.
- "癌症概况"是作为一个案例研究而开发的,从最初的37个中选择了28个指标来计算和可视化区域单位的概况.
主要成果:
- 在2015-2022年期间,根据28个选定的指标计算和可视化了区域单位的"癌症概况".
- 开发了面向用户的信息图表,以传达健康状况,其指标以及随时间和地区的变化.
- 针对综合性领土指标 ("健康资料") 开发的方法适用于其他临床领域,包括慢性疾病.
结论:
- 已经建立并实施了一种可复制的方法来创建"健康档案".
- 这些健康档案可以应用于各种临床领域,支持区域医疗保健评估.
- 一个专门的网络平台增强了健康资料的沟通,帮助基于证据的公共卫生决策.
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