太平洋岛国和地区的国家电子健康记录覆盖范围:环境扫描扫描
E Emily Porrello1,2, Amy Peden1,3, Michael Nunan2
1School of Population Health, Faculty of Medicine & Health, UNSW Sydney, Sydney, Australia.
Journal of medical Internet research
|October 3, 2025
概括
太平洋岛屿国家和地区 (PICTs) 正在实施电子健康记录 (EHR),其中86%的电子健康记录有某种程度的覆盖. 然而,成功的采用和可扩展性仍然不清楚,需要专注于适合目的的系统.
科学领域:
- 数字健康数字健康
- 医疗信息学 医疗信息学
- 加强卫生系统 加强卫生系统
背景情况:
- 太平洋岛屿国家和领土 (PICTs) 在医疗保健提供和数字卫生系统维护方面面临重大障碍,包括分散的人口,劳动力短缺和基础设施不足.
- 国家电子健康记录 (EHR) 对护理的连续性至关重要,但在全球不到一半的国家存在,其在PICTs中的地位以前没有记录.
研究的目的:
- 在世卫组织西太平洋地区的14个小岛屿发展中国家 (SIDS) 绘制国家EHR景观.
- 评估EHR软件,国家和设施层面的覆盖范围,以及数字健康战略的存在.
- 将PICT EHR覆盖率与全球率进行比较,并分析EHR采用率与国家收入之间的关系.
主要方法:
- 由于在PICTs中对EHR进行同行评审的研究很少,因此使用了灰色文献的环境扫描.
- 在三个阶段进行了对政府,双边,多边和慈善组织的公开网站的系统搜索.
- 搜索的重点是详细介绍14个选定 PICT 内的国家 EHR 实施状态的文件.
主要成果:
- 在14个评估的PICT中,86%的EHR被实施,57%的PICT拥有跨多个设施的单一国家系统,超过了全球平均水平的47%.
- 尽管覆盖率明显较高,但平均电子健康记录使用率为39% (中位数为16%),在各种设施类型的实施中存在显著差异:在三级 (46%) 和二级 (38%) 护理中高,但在初级护理中非常低 (1.5%).
- 在EHR覆盖范围和国家收入之间观察到积极的相关性,确定了Tamanu,Medtech和Vesalius等特定的EHR软件.
结论:
- 在PICTs中正在实施EHR,其中一些实现了显著的规模,这标志着该地区的新发现.
- 电子健康记录实施和卫生工作者采用的实际成功需要进一步调查,因为据报道,一些系统正在失败或无法在全国范围内扩展.
- 建议在PICTs中优先考虑适合目的,开源和可扩展的EHR解决方案,以实现可持续的国家EHR系统,以及未来关于采用成功和影响的研究.
关键词:
库克群岛 库克群岛密克罗尼西亚联邦州 密克罗尼西亚联邦州斐济 - 斐济 - 斐济 - 斐济基里巴斯 - 基里巴斯是一个国家.马绍尔群岛是什么意思 马绍尔群岛是什么意思纳乌鲁是纳乌鲁的一个国家.尼乌埃 (Niue) 是一个国家.太平洋岛屿 太平洋岛屿 太平洋岛屿帕劳是一个小岛屿.巴布亚新几内亚 巴布亚新几内亚萨摩亚 萨摩亚 萨摩亚 萨摩亚 萨摩亚所罗门群岛所罗门群岛是什么意思加 加 加 加图卢瓦尔图卢瓦尔图卢瓦尔图卢瓦尔图卢瓦尔图卢瓦尔图卢瓦尔瓦努阿图 瓦努阿图 瓦努阿图 瓦努阿图数字健康数字健康电子健康 电子健康电子健康记录 电子健康记录电子医疗记录 电子医疗记录卫生信息系统 卫生信息系统相关概念视频
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