Developing a minimum dataset for smart aged care service platforms in China.

Tianchang Liu, Xiaoyu Zhang, Xiaokang Song, Qinghua Zhu
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Abstract

Background: While the smart aged care service platform in China significantly enhances aged care services in China by integrating resources, it struggles with "data silo" issues due to the absence of data standards, leading to poor data integration, limited data-sharing and fragmented system functions. Objective: The study aimed to develop a minimum dataset (MDS) for smart aged care service platforms that constitutes core data to support real-time demand analysis and cross-regional cooperation, as well as to provide a foundation for the construction of a smart aged care data resource framework. Method: The study was developed in three phases: (1) bidding documents, policies, standards and literature were collected; (2) by analysing the content of the documents, the study constructed the structure of the MDS and extracted data elements afterward; and (3) a two-round Delphi process with 26 specialists was subsequently performed to revise the draft, and 24 institution staff invited to review and determine the MDS prototype. Results: Smart aged care service platforms included three types of users: older adults and their families; aged care organisations and regulatory authorities. The final MDS contained 122 items (26 optional items) with 6 first-level categories and 17 second-level categories. The most recognised sub-categories were nursing diagnosis, demographics and medical history. The data of government regulatory agencies was also important. Conclusion: The developed MDS provides a standardised framework for data integration and sharing in smart aged-care service platforms. Implications for health information management: The MDS can enhance data quality, facilitate personalised care, support evidence-based decision-making and promote research and innovation in aged care.

开发中国智能养老服务平台的最小数据集。
背景:中国智慧养老服务平台通过整合资源,显著提升了中国养老服务水平,但由于缺乏数据标准,存在“数据孤岛”问题,导致数据集成度差,数据共享受限,系统功能碎片化。目的:开发智慧养老服务平台的最小数据集(MDS),构成支撑实时需求分析和跨区域合作的核心数据,为构建智慧养老数据资源框架提供基础。方法:研究分三个阶段展开:(1)收集招标文件、政策、标准和文献;(2)通过对文献内容的分析,构建MDS的结构,提取数据元素;(3)随后对26名专家进行了两轮德尔菲过程,以修改草案,并邀请24名机构工作人员审查和确定MDS原型。结果:智慧养老服务平台包含三类用户:老年人及其家庭;老年护理机构和监管机构。最终MDS包含122个项目(可选项目26个),其中一级类目6个,二级类目17个。最常见的分类是护理诊断、人口统计和病史。政府监管机构的数据也很重要。结论:开发的MDS为智能养老服务平台的数据集成与共享提供了一个标准化的框架。对卫生信息管理的影响:MDS可以提高数据质量,促进个性化护理,支持循证决策,促进老年护理的研究和创新。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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