引入基层医疗服务新模式框架下区域医院信息系统实施评估

A. A. Kurmangulov, Aleksey A. Kononykhin, N. S. Brynza
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引用次数: 0

摘要

背景:根据俄罗斯联邦卫生部的命令草案,它应该创建符合新模式的三个级别,其中信息系统的标准是实现第一级的强制性标准。在这方面,卫生官员感兴趣的是不同地区医疗组织可视化系统评估方法的理论和临床验证,在RF卫生部的系统建议中描述。目的:研究中心地区医院基层医疗结构单元医疗信息系统的可视化特点。材料与方法:以中心区医院某成人综合诊所的信息系统为研究对象,对信息系统进行评估,并填写“医疗机构信息系统实施情况”标准目标值实现情况检查表。研究的主题是信息系统的基本特征:个别要素的数量、放置方法、合理性、相关性和可得性。结果:按照医疗机构信息系统评价清单,信息存在率为33%,不符合“医疗机构信息系统实施情况”标准。此外,在审计期间,发现信息系统的17个要素与分析标准的18点中的任何一点都没有关系。这些要素合并在“旨在确保在医疗机构安全停留的信息”一项中,提议补充“在医疗机构实施信息系统”标准的现有各节。结论:要达到医疗机构提供初级卫生保健新模式的第一级符合性,必须满足“医疗机构信息系统实施”标准的要求。在“医疗机构信息系统的实施”标准中,考虑包括旨在确保医疗机构访客和工作人员安全的信息系统元素的可能性是可取的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessment of Implementation of Information System in a Regional Hospital in the Framework of Introduction of a New Model of Provision of Primary Medical Care
BACKGROUND: In accordance with the draft order of Ministry of Health of Russian Federation, it is supposed to create three levels of compliance with the new model in which the criterion of the information system is obligatory for achievement of the first level. In this regard, of interest for health officials is theoretical and clinical validation of the methods of evaluation of the system of visualization in medical organizations in different territories, described in methodical recommendations of the Healthcare Ministry of RF. AIM: To study the features of visualization of a medical information system in a structural unit of a central regional hospital providing primary medical care. MATERIALS AND METHODS: The object of the study was the information system of an adult polyclinic of the central district hospital, where the information system was evaluated, with the subsequent filling out of a checklist of achievement of the target value of the criterion “Implementation of an information system in a medical organization”. The subject of the study was the basic characteristics of the information system: the amount, method of placement, reasonability, relevance and availability of individual elements. RESULTS: In accordance with the checklist for evaluating the information system in a medical organization, the percentage of the presence of information was 33%, which led to non-compliance with the criterion “Implementation of an information system in a medical organization”. In addition, during the audit, 17 elements of the information system were identified not related to any of 18 points of the analyzed criterion. These elements were combined in the block “Information aimed at ensuring a safe stay in a medical organization”, which is proposed to supplement the existing sections of the criterion “Implementation of an information system in a medical organization”. CONCLUSION: To achieve the first level of compliance with the new model of a medical organization providing primary health care, it is necessary to meet the requirements of the criterion “Implementation of an information system in a medical organization”. It is advisable to consider the possibility of including elements of an information system aimed at ensuring the safety of visitors and staff staying in a medical organization, in the criterion “Implementation of an information system in a medical organization”.
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