探索在南非引入电子死亡登记系统的潜力
Carmen Sant Fruchtman1,2, Natasha Kallis3, Sudarshan Govender3
1University of Basel, Basel, Switzerland.
Health research policy and systems
|December 31, 2024
概括
南非 南非 南非
科学领域:
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
- 生命统计数据 生命统计数据
背景情况:
- 南非的民政登记和生命统计系统 (CRVS) 面临着死亡数据质量和及时性方面的挑战.
- 现有系统在不完整的培训,污名化的疾病,糟糕的患者数据和机构外死亡等问题上扎.
研究的目的:
- 调查南非对死亡原因电子医疗认证 (eMCCD) 系统的看法.
- 评估eMCCD对死亡数据质量和及时性的可接受性和潜在影响.
主要方法:
- 探索性混合方法设计,包括14次关键信息员采访和对208名卫生工作者的调查.
- 一个参与式研讨会,超过500名卫生专业人员使用Mentimeter进行反.
- 分析涉及快速的定性分析和描述性统计,以及综合数据解释.
主要成果:
- 不足够的培训和耻辱导致死亡率数据质量差.
- 超过80%的卫生专业人员认为死亡率统计很重要,但近30%的人认为当前的质量很低.
- 对于及时性而言,eMCCD被认为是可以接受和有益的,但糟糕的互联网接入是一个重要的障碍.
结论:
- 在南非实施eMCCD系统有可能提高死亡原因信息的质量和及时性.
- 成功的eMCCD集成需要解决诸如互联网连接和确保系统兼容性的障碍.
- 该系统应设计具有补充功能,以提高其在现有CRVS框架内的有效性.
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