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首页> 外文期刊>Records management journal >Medical record keeping systems in Malawi: Is there a case for hybrid systems and intermediate technologies?
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Medical record keeping systems in Malawi: Is there a case for hybrid systems and intermediate technologies?

机译：马拉维的医疗记录保存系统：是否存在混合系统和中间技术的案例？

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Purpose - The purpose of this research is to identify ways in which medical record keeping systems and health information systems might be integrated effectively and sustainably. The aims include minimising the workload of busy frontline health professionals and radically improving data quality. Design/methodology/approach - This is a qualitative research project, grounded in the theoretical stance that information systems are sociotechnical systems. The primary focus of this research is on real-life custom and practice. The study population consisted of participants in information systems. As is common in qualitative research, sampling was purposive rather than statistically representative. Findings - This research suggests one unconventional conclusion. New approaches that use intermediate and hybrid technologies may have a better prospect of delivering satisfactory, realistic and affordable medium- to long-term solutions than strategies predicated on the assumption that only systems that are wholly electronic are worth considering. Originality/value - This research is original in the sense that it investigated records rather than information technology systems. The findings are likely to be of applicability in other developing countries, especially those that share legacy systems with Malawi, such as Botswana, Tanzania, Zambia and Zimbabwe.
机译：目的-这项研究的目的是确定可以有效和可持续地整合医疗记录保存系统和健康信息系统的方式。目的包括最大程度地减少繁忙的一线医疗专业人员的工作量，并从根本上改善数据质量。设计/方法论/方法-这是一个定性研究项目，其依据是信息系统是社会技术系统。这项研究的主要重点是现实生活中的习惯和实践。研究人群包括信息系统的参与者。在定性研究中很普遍，抽样是有目的的，而不是统计学上具有代表性的。发现-这项研究提出了一个非常规的结论。与仅基于纯电子系统才值得考虑的假设所基于的策略相比，使用中间和混合技术的新方法可能具有更好的前景，可提供令人满意的，切合实际的和可负担的中长期解决方案。原创性/价值-这项研究具有原创性，因为它研究的是记录而不是信息技术系统。这一发现可能在其他发展中国家特别是博茨瓦纳，坦桑尼亚，赞比亚和津巴布韦等与马拉维共享旧系统的发展中国家也适用。

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