提高卫生数据在卫生系统强化方面的使用。

Improving the use of health data for health system strengthening.

机构信息

MEASURE Evaluation, Futures Group, Chapel Hill, NC 27516, USA.

出版信息

Glob Health Action. 2013 Feb 13;6:20001. doi: 10.3402/gha.v6i0.20001.

Abstract

BACKGROUND

Good quality and timely data from health information systems are the foundation of all health systems. However, too often data sit in reports, on shelves or in databases and are not sufficiently utilised in policy and program development, improvement, strategic planning and advocacy. Without specific interventions aimed at improving the use of data produced by information systems, health systems will never fully be able to meet the needs of the populations they serve.

OBJECTIVE

To employ a logic model to describe a pathway of how specific activities and interventions can strengthen the use of health data in decision making to ultimately strengthen the health system.

DESIGN

A logic model was developed to provide a practical strategy for developing, monitoring and evaluating interventions to strengthen the use of data in decision making. The model draws on the collective strengths and similarities of previous work and adds to those previous works by making specific recommendations about interventions and activities that are most proximate to affect the use of data in decision making. The model provides an organizing framework for how interventions and activities work to strengthen the systematic demand, synthesis, review, and use of data.

RESULTS

The logic model and guidance are presented to facilitate its widespread use and to enable improved data-informed decision making in program review and planning, advocacy, policy development. Real world examples from the literature support the feasible application of the activities outlined in the model.

CONCLUSIONS

The logic model provides specific and comprehensive guidance to improve data demand and use. It can be used to design, monitor and evaluate interventions, and to improve demand for, and use of, data in decision making. As more interventions are implemented to improve use of health data, those efforts need to be evaluated.

摘要

背景

高质量且及时的数据是所有卫生系统的基础。然而,数据往往被搁置在报告、书架或数据库中,而没有在政策和项目开发、改进、战略规划和宣传中得到充分利用。如果没有旨在提高信息系统生成的数据利用的具体干预措施,卫生系统将永远无法完全满足其服务人群的需求。

目的

运用逻辑模型来描述具体活动和干预措施如何加强决策中对卫生数据的利用,从而最终加强卫生系统的路径。

设计

开发了一个逻辑模型,为制定、监测和评估干预措施提供了一个实用策略,以加强决策中对数据的利用。该模型借鉴了以往工作的集体优势和相似之处,并通过对最接近影响数据在决策中使用的干预措施和活动提出具体建议,对以往的工作进行了补充。该模型为干预措施和活动如何加强数据的系统需求、综合、审查和利用提供了一个组织框架。

结果

提出了逻辑模型和指导意见,以促进其广泛应用,并使方案审查和规划、宣传、政策制定中的数据驱动决策得到改善。文献中的实际例子支持了模型中概述的活动的可行应用。

结论

逻辑模型为改善数据需求和利用提供了具体而全面的指导。它可用于设计、监测和评估干预措施,以及改善决策中的数据需求和利用。随着更多旨在提高卫生数据利用的干预措施的实施,需要对这些努力进行评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44b3/3573178/46d624638bf1/GHA-6-20001-g001.jpg

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