世卫组织SMART指导方针 - - 数字适应套件在非洲的发达国家实施:过程和早期经验教训
Rosemary K Muliokela1, Kuwani Banda2, Abdulaziz Mohammed Hussen3,4,5
1Department of Sexual Reproductive Health and Research, World Health Organization, Avenue Appia 20, 1211, Geneva, Switzerland, 41 22 791 21 11.
JMIR medical informatics
|February 9, 2025
概括
本研究概述了在五个非洲国家适应世界卫生组织数字适应套件 (DAKs) 的结构化过程. 这种方法增强了数字卫生系统的整合和质量保证,以实现全民医疗覆盖.
科学领域:
- 数字健康数字健康
- 医疗信息学 医疗信息学
- 全球健康 全球健康
背景情况:
- 数字系统对于通过质量保证和标准采用实现全民健康覆盖至关重要.
- 世界卫生组织在SMART指南框架内开发了数字适应套件 (DAK),以促进标准融入数字卫生系统.
- 需要一个系统的过程,以有效地实施DAK,并测量其在不同国家的环境中的影响.
研究的目的:
- 详细介绍一个结构化的,逐步的方法来定制DAK,以满足非洲五个国家的国家背景:埃塞俄比亚,加纳,马拉维,赞比亚和津巴布韦.
- 评估准备数字化指南的准备情况,并确定这些国家数字化系统采用的机会.
- 利用现有的数字健康投资和系统来加强指南的实施.
主要方法:
- 开发和应用DAK评估工具,以评估特定国家的需求和机会.
- 建立多方利益相关者团队,审查和调整通用DAK内容与国家指南和协议.
- 进行一系列的利益相关者商,包括指导,内容审查,验证和软件更新会议.
主要成果:
- 各国的适应过程确定了国家语境化和DAK改进领域的具体要求.
- 内容审查和验证期间的质量保证措施确保与国家卫生协议保持一致.
- 适应过程促进了将DAKs方法纳入国家性和生殖健康指南和战略文件.
结论:
- 各国的经验表明,对数字化初级医疗保健服务的结构化方法有好处.
- 适应过程突出了数字健康倡议的持续改进和可持续性的潜力.
- 成功实施DAK可以提高国家一级的影响,并为实现全民健康覆盖目标做出贡献.
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