了解印度尼西亚公共卫生中心的健康信息系统利用情况:跨部门研究
Dewi Nur Aisyah1,2,3, Agus Heri Setiawan2, Chyntia Aryanti Mayadewi2
1Department of Epidemiology and Public Health, Institue of Epidemiology and Health Care, University College London, 1-19 Torrington Place, London, United Kingdom, 44 207679200.
JMIR medical informatics
|September 3, 2025
概括
印度尼西亚的公共卫生中心使用许多健康信息系统 (HIS), 需要针对农村和城市地区量身定制的解决方案来改善数字卫生服务.
科学领域:
- 数字健康
- 医疗信息学
- 主要医疗保健系统
背景情况:
- 印度尼西亚的初级卫生保健依赖于10260个公共卫生中心 (Puskesmas).
- 卫生信息系统 (HIS) 对于社区健康监测和有效服务提供至关重要.
- 准确的健康数据记录和报告对于公共卫生管理至关重要.
研究的目的:
- 绘制印尼Puskesmas的HIS国家使用情况.
- 确定使用的HIS平台的数量及其来源.
- 评估影响HIS采用和实施的挑战和背景因素.
主要方法:
- 在2022年1月至2月期间,在34个印度尼西亚省份进行了横截面调查.
- 数据收集包括有关HIS使用,发展,实施挑战和基础设施的问卷.
- 对收集的数据进行了描述性和双变量统计分析.
主要成果:
- 每个中心平均有30个不同的HIS平台.
- 虽然大多数HIS (72.94%) 是由国家部委开发的,但存在重大操作障碍,包括过度的数据输入 (49%),频繁的停机时间 (33%) 和缺乏自动化分析 (29%).
- 基础设施和人力资源的挑战很突出:9.45%的人没有互联网接入,员工管理多个HIS,培训通常仅限于初始实施.
结论:
- 印度尼西亚的HIS环境是分散的, 基础设施,可用性和劳动力能力都存在差异.
- 环境特定的建议至关重要:农村地区的离线系统和城市中心的先进工具.
- 未来的研究应集中在HIS的互操作性,影响,成本效益和用户体验上,以指导数字健康转型.
相关概念视频
01:30Health Information Technology and Healthcare Information System
915
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
915
01:20Integrated Healthcare System
1.8K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
1.8K
01:11Secondary Healthcare System
1.6K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.6K
01:26Methods Of Healthcare Delivery System
3.5K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.5K
01:30Primary Healthcare Services
1.5K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.5K
01:27Nursing Clinical Information System
864
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
864