增强能力发展干预 (ACDI) 在常规健康信息系统 (RHIS) 中提高了数据质量性能:一个集群随机试验
Bedilu Kucho Doka1,2, Abebaw Gebeyehu Worku3, Keneni Gutema Negeri1
1School of Public Health, College of Medicine and Health Sciences, Hawassa University, Sidama, Ethiopia.
概括
增强能力发展干预 (ACDI) 显著改善了埃塞俄比亚常规健康信息系统的数据质量. 这些干预措施,包括培训和支持性监督,建议广泛采用以提高卫生服务成果.
科学领域:
- 公共卫生 公共卫生
- 卫生信息系统 卫生信息系统
- 医疗保健服务研究 医疗服务研究
背景情况:
- 常规健康信息系统对于监测医疗服务结果至关重要.
- 埃塞俄比亚现有的数据质量改善干预措施取得了有限的成功.
- 需要评估新的方法来加强健康数据质量.
研究的目的:
- 评估增强能力发展干预措施 (ACDI) 对埃塞俄比亚常规卫生信息系统数据质量的影响.
- 确定ACDI的关键组件,有助于提高数据质量.
主要方法:
- 进行了一项集群随机对照试验,涉及72个卫生机构集群和304名卫生工作者.
- 干预措施包括培训,支持性监督,指导和认可.
- 一般线性混合模型用于数据分析.
主要成果:
- 数据质量感知得分从基线的2.32显著增加到终端的3.13 (P < .001).
- ACDI的实施导致了数据质量实践的显著改善 (β = .17,P = .007),数据管理的方便 (β = .14,P < .001) 和信息使用 (β = .15,P < .001).
- 鼓励和培训的结合是数据质量改善的强有力的预测因素 (β = .44,P < .001).
结论:
- 增强能力发展干预 (ACDI) 有效地提高了日常健康信息系统中的数据质量.
- 提高数据质量的关键驱动因素包括鼓励系统,简化数据管理,明确的指导方针,支持性监督和全面的培训.
- 该研究建议调整和扩大ACDI包,以改善健康数据质量和结果.
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