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首页> 外文期刊>The HIM journal >Information support for health information management in regional Sri Lanka: health managers' perspectives.
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Information support for health information management in regional Sri Lanka: health managers' perspectives.

机译：斯里兰卡区域卫生信息管理的信息支持：卫生经理的观点。

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摘要

Good management, supported by accurate, timely and reliable health information, is vital for increasing the effectiveness of Health Information Systems (HIS). When it comes to managing the under-resourced health systems of developing countries, information-based decision making is particularly important. This paper reports findings of a self-report survey that investigated perceptions of local health managers (HMs) of their own regional HIS in Sri Lanka. Data were collected through a validated, pre-tested postal questionnaire, and distributed among a selected group of HMs to elicit their perceptions of the current HIS in relation to information generation, acquisition and use, required reforms to the information system and application of information and communication technology (ICT). Results based on descriptive statistics indicated that the regional HIS was poorly organised and in need of reform; that management support for the system was unsatisfactory in terms of relevance, accuracy, timeliness and accessibility; that political pressure and community and donor requests took precedence over vital health information when management decisions were made; and use of ICT was unsatisfactory. HIS strengths included user-friendly paper formats, a centralised planning system and an efficient disease notification system; weaknesses were lack of comprehensiveness, inaccuracy, and lack of a feedback system. Responses of participants indicated that HIS would be improved by adopting an internationally accepted framework and introducing ICT applications. Perceived barriers to such improvements were high initial cost of educating staff to improve computer literacy, introduction of ICTs, and HIS restructure. We concluded that the regional HIS of Central Province, Sri Lanka had failed to provide much-needed information support to HMs. These findings are consistent with similar research in other developing countries and reinforce the need for further research to verify causes of poor performance and to design strategic reforms to improve HIS in regional Sri Lanka.
机译：在准确，及时和可靠的健康信息的支持下，良好的管理对于提高健康信息系统（HIS）的有效性至关重要。在管理发展中国家资源不足的卫生系统时，基于信息的决策尤为重要。本文报告了一项自我报告调查的结果，该调查调查了当地卫生经理（HMs）对自己在斯里兰卡的区域HIS的看法。通过经过验证的，经过预先测试的邮政调查表收集数据，并将其分配给选定的一组HM，以征询他们对当前HIS在信息生成，获取和使用，信息系统所需的改革以及信息和应用方面的看法。通信技术（ICT）。基于描述性统计的结果表明，区域HIS的组织不健全，需要进行改革;在相关性，准确性，及时性和可访问性方面，对该系统的管理支持不令人满意;在做出管理决定时，政治压力以及社区和捐助者的要求优先于重要的卫生信息; ICT的使用并不令人满意。 HIS的优势包括用户友好的纸张格式，集中计划系统和高效的疾病通知系统;弱点是缺乏全面性，不准确性以及缺乏反馈系统。与会者的答复表明，通过采用国际公认的框架并引入ICT应用，将改善HIS。认识到此类改进的障碍包括：教育员工以提高计算机素养的高昂初始成本，引入ICT以及HIS重组。我们得出的结论是，斯里兰卡中央省的区域HIS无法为HM提供急需的信息支持。这些发现与其他发展中国家的类似研究一致，并加强了进一步研究的必要性，以查明业绩不佳的原因并设计战略改革以改善斯里兰卡区域性HIS。

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