关于印度各地地区级卫生管理信息系统数据外部一致性的研究
Nandhakumar Nachimuthu1, R Uma Maheswari1, Damodaran Vasudevan1
1Institute of Community Medicine, Madras Medical College, Chennai, Tamil Nadu, India.
Journal of family medicine and primary care
|June 23, 2025
概括
这项研究将健康管理信息系统 (HMIS) 数据与印度国家家庭健康调查 (NFHS) 数据进行了比较. 调查结果显示,某些健康指标存在不一致,这表明需要提高HMIS数据质量.
科学领域:
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
- 数据质量评估数据质量评估
背景情况:
- 世界卫生组织 (WHO) 为审查健康管理信息系统 (HMIS) 数据质量提供了工具包.
- 覆盖率的外部一致性是HMIS数据质量审查的一个关键维度.
研究的目的:
- 评估HMIS数据与印度地区级国家家庭健康调查-5 (NFHS-5) 数据的外部一致性.
- 确定特定的健康指标,在这些指标上,HMIS数据质量可能需要改进.
主要方法:
- 利用来自HMIS和NFHS-5的二次数据用于印度各地的地区级卫生服务交付指标.
- 评估了7个指标的协议,包括产前访问,机构分娩,剖腹产,出生时的性别比例和孕妇贫血.
- 使用皮尔森相关系数,类内相关系数和Bland-Altman图表进行数据比较.
主要成果:
- 在HMIS和NFHS-5数据之间的机构分娩和剖腹产之间发现了强烈的相关性.
- 其他指标的相关性较弱至中等.
- 在出生时的性别比率和产前访问数据中发现了显著的不一致性和不良一致性.
结论:
- 对于几个关键健康指标,HMIS和NFHS数据之间差异很大.
- 为了提高特定指标的可靠性,需要对HMIS数据收集和质量保证进行有针对性的改进.
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