数字卫生干预措施的成本,以改善低收入和中等收入国家的免疫数据:多国混合方法研究
Carlo Federici1, Maria Verykiou1, Marianna Cavazza1
1Centre for Research on Health and Social Care Management (CERGAS), SDA Bocconi School of Management, Via Sarfatti 10, Milano, 20136, Italy.
Journal of medical Internet research
|August 18, 2025
概括
电子免疫注册表 (eIR) 和电子物流管理信息系统 (eLMIS) 等数字卫生工具在低收入和中等收入国家显示出不同的成本影响. 有效实施是实现潜在的成本节约和改善免疫数据管理的关键.
科学领域:
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
- 卫生经济学 卫生经济学
背景情况:
- 数字卫生干预措施,包括电子免疫注册表 (eIR) 和电子物流管理信息系统 (eLMIS),为低收入和中等收入国家 (LMICs) 的免疫数据管理和疫苗物流提供了潜在的改进.
- 尽管日益普及,但与传统的纸质方法相比,实施这些数字系统的财务和经济成本的综合数据仍然有限.
研究的目的:
- 量化与在LMICs实施eIR和eLMIS系统相关的财务和经济成本.
- 将这些成本与以前基于纸张的注册系统的费用进行比较.
主要方法:
- 在四个LMIC进行了比较成本分析:几内亚,洪都拉斯,卢旺达和坦桑尼亚.
- 数据收集涉及实施者和国家免疫计划办公室的回顾性成本数据,以及在275个设施使用基于活动的成本计算方法的初级调查数据.
- 报道了2023国际美元 (I$) 的成本,并分析了国家免疫预算中的国家一级影响和负担能力.
主要成果:
- 对于eIR/eLMIS的总实施成本在不同国家有很大的差异,从几内亚的220万美元到坦桑尼亚的4430万美元.
- 实施导致洪都拉斯和卢旺达的设施成本增加,坦桑尼亚的成本降低,几内亚没有显著差异.
- 通过电子系统管理数据的成本占全国免疫预算总额的0.7%至7.7%.
结论:
- 像eIR和eLMIS这样的数字健康工具有可能提高LMICs内的免疫计划的效率并降低成本.
- 实际的成本节约取决于数字系统的有效整合,取代纸质方法,并在设施层面的决策中使用它们.
- 战略规划和投资对于最大限度地提高LMIC数字卫生干预措施的经济效益至关重要.
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