加强瘤学数据系统,在亚太地区提供公平的护理:当前做法和未来方向
V Batumalai1, M Zhou2, M Chilkuri3
1The George Institute for Global Health, UNSW Sydney, NSW, Australia; The Collaboration for Cancer Outcomes, Research and Evaluation (CCORE), Ingham Institute, UNSW Sydney, NSW, Australia; School of Clinical Medicine, UNSW Sydney, NSW, Australia.
概括
瘤信息系统 (OIS) 在亚太地区的采用和数据质量显著差异,影响了癌症护理. 提高培训和标准化数据对于更好的质量和公平性至关重要.
科学领域:
- 医疗信息学 医疗信息学
- 在瘤学瘤学.
- 癌症护理管理 癌症护理管理
背景情况:
- 通过瘤信息系统 (OIS) 进行有效的瘤数据管理对于高质量的癌症护理至关重要.
- 在亚太 (APAC) 地区,OIS的采用和使用情况有很大差异.
研究的目的:
- 为了对整个亚太地区的OIS利用,数据采集和集成进行基准测试.
- 确定OIS实施中的差距,并为癌症护理的有针对性的改进提供信息.
主要方法:
- 一项区域调查分发给了19个亚太国家的放射治疗专业人员.
- 调查问卷评估了OIS的使用,数据采集,IT支持,培训和系统集成.
- 答案被描述性地分析,并按世界银行收入组 (L-MIC,U-MIC,HIC) 分层.
主要成果:
- 在中低收入国家 (L-MICs) 和中高收入国家 (U-MICs) 中,OIS的功能有限.
- 虽然基本的人口统计和放射治疗数据经常被捕获,但与公平相关的数据 (种族,弱势群体地位) 记录不佳.
- 在L-MIC和U-MIC中,依赖纸质记录仍然存在,数据捕获位置不同,OIS数据输入结构较低.
结论:
- 在整个亚太地区,OIS使用率和数据质量存在显著差异.
- 区域战略必须侧重于全面培训和标准化数据集.
- 这些改进对于提高整个亚太地区的癌症护理质量和公平性至关重要.
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