{"title":"埃塞俄比亚医疗服务提供者的常规卫生信息使用情况：系统回顾与荟萃分析。","authors":"Maru Meseret Tadele, Tesfahun Melese Yilma, Zeleke Abebaw Mekonnen, Binyam Tilahun","doi":"10.1136/bmjhci-2022-100693","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Healthcare policy formulation, programme planning, monitoring and evaluation, and healthcare service delivery as a whole are dependent on routinely generated health information in a healthcare setting. Several individual research articles on the utilisation of routine health information exist in Ethiopia; however, each of them revealed inconsistent findings.</p><p><strong>Objective: </strong>The main aim of this review was to combine the magnitude of routine health information use and its determinants among healthcare providers in Ethiopia.</p><p><strong>Methods: </strong>Databases and repositories such as PubMed, Global Health, Scopus, Embase, African journal online, Advanced Google Search and Google Scholar were searched from 20 to 26 August 2022.</p><p><strong>Result: </strong>A total of 890 articles were searched but only 23 articles were included. A total of 8662 (96.3%) participants were included in the studies. The pooled prevalence of routine health information use was found to be 53.7% with 95% CI (47.45% to 59.95%). Training (adjusted OR (AOR)=1.56, 95% CI (1.12 to 2.18)), competency related to data management (AOR=1.94, 95% CI (1.35 to 2.8)), availability of standard guideline (AOR=1.66, 95% CI (1.38 to 1.99)), supportive supervision (AOR=2.07, 95% CI (1.55 to 2.76)) and feedback (AOR=2.20, 95% CI (1.30 to 3.71)) were significantly associated with routine health information use among healthcare providers at p value≤0.05 with 95% CI.</p><p><strong>Conclusion: </strong>The use of routinely generated health information for evidence-based decision-making remains one of the most difficult problems in the health information system. 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Several individual research articles on the utilisation of routine health information exist in Ethiopia; however, each of them revealed inconsistent findings.</p><p><strong>Objective: </strong>The main aim of this review was to combine the magnitude of routine health information use and its determinants among healthcare providers in Ethiopia.</p><p><strong>Methods: </strong>Databases and repositories such as PubMed, Global Health, Scopus, Embase, African journal online, Advanced Google Search and Google Scholar were searched from 20 to 26 August 2022.</p><p><strong>Result: </strong>A total of 890 articles were searched but only 23 articles were included. A total of 8662 (96.3%) participants were included in the studies. The pooled prevalence of routine health information use was found to be 53.7% with 95% CI (47.45% to 59.95%). Training (adjusted OR (AOR)=1.56, 95% CI (1.12 to 2.18)), competency related to data management (AOR=1.94, 95% CI (1.35 to 2.8)), availability of standard guideline (AOR=1.66, 95% CI (1.38 to 1.99)), supportive supervision (AOR=2.07, 95% CI (1.55 to 2.76)) and feedback (AOR=2.20, 95% CI (1.30 to 3.71)) were significantly associated with routine health information use among healthcare providers at p value≤0.05 with 95% CI.</p><p><strong>Conclusion: </strong>The use of routinely generated health information for evidence-based decision-making remains one of the most difficult problems in the health information system. 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引用次数: 0
摘要
导言：医疗保健政策的制定、项目规划、监测和评估以及医疗保健服务的提供作为一个整体，都有赖于医疗保健环境中例行生成的健康信息。埃塞俄比亚有多篇关于常规医疗信息使用情况的研究文章，但每篇文章的研究结果都不一致：本综述的主要目的是综合埃塞俄比亚医疗服务提供者对常规健康信息的使用程度及其决定因素：方法：从 2022 年 8 月 20 日至 26 日对 PubMed、Global Health、Scopus、Embase、African journal online、Advanced Google Search 和 Google Scholar 等数据库和资料库进行了检索：结果：共搜索到 890 篇文章，但只有 23 篇被收录。共有 8662 名（96.3%）参与者被纳入研究。研究发现，常规健康信息使用率为 53.7%，95% CI 为 47.45% 至 59.95%。培训（调整后 OR (AOR)=1.56, 95% CI (1.12 to 2.18)）、与数据管理相关的能力（AOR=1.94, 95% CI (1.35 to 2.8)）、标准指南的可用性（AOR=1.66, 95% CI (1.38 to 1.99)）、支持性监督（AOR=2.07, 95% CI (1.55 to 2.76)) 和反馈（AOR=2.20, 95% CI (1.30 to 3.71)）与医疗服务提供者常规健康信息的使用显著相关，P 值≤0.05，95% CI：结论：在循证决策中使用常规健康信息仍是健康信息系统中最棘手的问题之一。该研究的评审专家建议埃塞俄比亚的相关卫生部门投资于提高使用常规生成的卫生信息的技能：CRD42022352647。
Routine health information use among healthcare providers in Ethiopia: a systematic review and meta-analysis.
Introduction: Healthcare policy formulation, programme planning, monitoring and evaluation, and healthcare service delivery as a whole are dependent on routinely generated health information in a healthcare setting. Several individual research articles on the utilisation of routine health information exist in Ethiopia; however, each of them revealed inconsistent findings.
Objective: The main aim of this review was to combine the magnitude of routine health information use and its determinants among healthcare providers in Ethiopia.
Methods: Databases and repositories such as PubMed, Global Health, Scopus, Embase, African journal online, Advanced Google Search and Google Scholar were searched from 20 to 26 August 2022.
Result: A total of 890 articles were searched but only 23 articles were included. A total of 8662 (96.3%) participants were included in the studies. The pooled prevalence of routine health information use was found to be 53.7% with 95% CI (47.45% to 59.95%). Training (adjusted OR (AOR)=1.56, 95% CI (1.12 to 2.18)), competency related to data management (AOR=1.94, 95% CI (1.35 to 2.8)), availability of standard guideline (AOR=1.66, 95% CI (1.38 to 1.99)), supportive supervision (AOR=2.07, 95% CI (1.55 to 2.76)) and feedback (AOR=2.20, 95% CI (1.30 to 3.71)) were significantly associated with routine health information use among healthcare providers at p value≤0.05 with 95% CI.
Conclusion: The use of routinely generated health information for evidence-based decision-making remains one of the most difficult problems in the health information system. The study's reviewers suggested that the appropriate health authorities in Ethiopia invest in enhancing the skills in using routinely generated health information.
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