...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>BMC Health Services Research >An in-depth, exploratory assessment of the implementation of the National Health Information System at a district level hospital in Tanzania
【24h】

An in-depth, exploratory assessment of the implementation of the National Health Information System at a district level hospital in Tanzania

机译：对坦桑尼亚区级医院国家卫生信息系统实施的深入探索性评估

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background A well functioning Health Information System (HIS) is crucial for effective and efficient health service delivery. In Tanzania there is a national HIS called Mfumo wa Taarifa za Uendeshaji Huduma za Afya (MTUHA). It comprises a guideline/manual, a series of registers for primary data collection and secondary data books where information from the registers is totalled or used for calculations. Methods A mix of qualitative methods were used. These included key informant interviews; staff interviews; participant observations; and a retrospective analysis of the hospital’s 2010 MTUHA reporting documents and the hospital’s development plan. Results All staff members acknowledged data collection as part of their job responsibilities. However, all had concerns about the accuracy of MTUHA data. Access to training was limited, mathematical capabilities often low, dissemination of MTUHA knowledge within the hospital poor, and a broad understanding of the HIS’s full capabilities lacking. Whilst data collection for routine services functioned reasonably well, filling of the secondary data tools was unsatisfactory. Internal inconsistencies between the different types of data tools were found. These included duplications, and the collection of data that was not further used. Sixteen of the total 72 forms (22.2%) that make up one of the key secondary data books (Hospital data/MTUHA book 2) could not be completed with the information collected in the primary data books. Moreover, the hospital made no use of any of the secondary data. The hospital’s main planning document was its development plan. Only 3 of the 22 indicators in this plan were the same as indicators in MTUHA, the information for 9 more was collected by the MTUHA system but figures had to be extracted and recalculated to fit, while for the remaining 10 indicators no use could be made of MTUHA at all. Conclusion The HIS in Tanzania is very extensive and it could be advisable to simplify it to the core business of data collection for routine services. Alternatively, the more comprehensive, managerial aspects could be sharpened for each type of facility, with a focus upon the hospital level. In particular, hospital planning documents need to be more closely aligned with MTUHA indicators.
机译：背景技术良好运作的健康信息系统（他）对于有效和高效的健康服务交付至关重要。在坦桑尼亚，有一个国家他叫Mfumo Wa Taarifa Za Uendeshaji Huduma Za Afya（MTUHA）。它包括指南/手动，一系列寄存器用于主数据收集和辅助数据簿，其中寄存器的信息总计或用于计算。方法使用定性方法混合。这些包括关键的信息面试;员工采访;参与者观察;与医院MTUHA报告文件和医院发展计划的回顾性分析。结果所有工作人员都承认数据收集作为其工作职责的一部分。但是，所有人都涉及MTUHA数据的准确性。进入培训是有限的，数学能力往往很低，在医院内的MTUHA知识传播，以及对他的全部能力缺乏的广泛理解。虽然日常服务的数据收集合理运行，但辅助辅助数据工具尚不令人满意。找到了不同类型的数据工具之间的内部不一致。这些包括重复，以及未进一步使用的数据集合。在主要数据书中收集的信息无法完成组成一个关键二级数据簿（22.2％）的总数为72份（22.2％）。此外，医院没有使用任何次要数据。医院的主要规划文件是其发展计划。该计划中的22个指标中只有3个与MTUHA中的指标相同，MTUHA系统收集了9个以上的信息，但必须提取数字并重新计算以适应，而对于剩余的10个指标，可以进行任何可能进行MTUHA一点。结论他在坦桑尼亚非常广泛，可以建议将其简化到常规服务的数据收集核心业务。或者，对于每种机构，可以更加全面地，管理方面可以锐化，重点在医院水平上。特别是，医院计划文件需要与MTUHA指标更紧密地对齐。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号