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首页> 外文期刊>BMC Medical Informatics and Decision Making >Health information systems in developing countries: case of African countries
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Health information systems in developing countries: case of African countries

机译：发展中国家的健康信息系统：非洲国家的案例

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In developing countries, health information system (HIS) is experiencing more and more difficulties to produce quality data. The lack of reliable health related information makes it difficult to develop effective health policies. In order to understand the organization of HIS in African countries, we undertook a literature review. Our study was conducted using the PubMed and Scopus bibliographic search engines. The inclusion criteria were: (i) all articles published between 2005 and 2019, (ii) articles including in their title the keywords "health", "information", "systems", "system", "africa", "developing countries", "santé", "pays en développement", "Afrique", (iii) articles that are written in English or French, (iv) which deals with organizational and technical issues about HIS in African countries. Fourteen retrieved articles out of 2492 were included in the study, of which 13 (92.9%) were qualitative. All of them dealt with issues related to HIS in 12 African countries. All 12 countries (100.0%) had opted for a data warehouse approach to improve their HIS. This approach, supported by the DHIS2 system, has enabled providing reliable data. However, 11 out of the 12 countries (92.0%) frameworks were aligned with funding donors’ strategies and lacked any national strategy. This study suggests that the lack of a national health information management strategy will always be a threat to HIS performance in African countries. Ideally, rigorous upstream thinking to strengthen HIS governance should be undertaken by defining and proposing a coherent conceptual framework to analyze and guide the development and integration of digital applications into HIS over the long term.
机译：在发展中国家，健康信息系统（他）正在经历越来越多的困难来生产质量数据。缺乏可靠的健康相关信息使得难以制定有效的健康政策。为了了解他在非洲国家的组织，我们进行了文献审查。我们的研究是使用PubMed和Scopus参考书目搜索引擎进行的。纳入标准是：（i）2005年至2019年之间发表的所有文章（ii）条款，包括在他们的标题中，包括关键词“健康”，“信息”，“系统”，“系统”，“非洲”，“发展中国家” ，“桑特”，“支付en令人愤怒”，“Afrique”，（iii）用英语或法语，（四）的文章，这些文章涉及关于他在非洲国家的组织和技术问题。在研究中包含1492个中的十四个检索物品，其中13例（92.9％）是定性的。所有这些都处理与他在12个非洲国家相关的问题。所有12个国家（100.0％）选择了一种数据仓库方法来改善他的方法。该方法由DHIS2系统支持，已启用提供可靠的数据。然而，12个国家（92.0％）框架中有11个与资金捐助者的策略一致并缺乏任何国家战略。本研究表明，缺乏国家卫生信息管理战略将始终对非洲国家表现造成威胁。理想情况下，应通过定义和提出连贯的概念框架来进行加强治理的严格上游，以分析和指导数字应用的发展和整合到长期的发展和集成。

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