Verbeke Frank, Karara Gustave, Nyssen Marc
BISI: Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel, Brussels, Belgium.
Stud Health Technol Inform. 2013;192:520-3.
This research explores to what extent Information and Communication Technology (ICT)-based information management methods can help to improve efficiency and effectiveness of health services in sub-Saharan hospitals and how clinical information can be made available for secondary use enabling non-redundant reporting of health- and care performance indicators. In the course of a 6 years research effort between 2006 and 2012, it was demonstrated that patient identification, financial management and structured reporting improved dramatically after implementation of well adapted ICT-tools in a set of 19 African health facilities. Real-time financial management metrics helped hospitals to quickly identify fraudulent practices and defective invoicing procedures. Out-patient case load significantly increased compared to the national average, average length of stay has been shortened in 15 of 19 health facilities and global hospital mortality decreased. Hospital workforce-evaluated impact of hospital information system implementation on local working conditions and quality of care was very positive. It was demonstrated that local sub-Saharan health professionals strongly believe in the importance of health information systems.
本研究探讨基于信息通信技术（ICT）的信息管理方法在多大程度上有助于提高撒哈拉以南地区医院的医疗服务效率和效果，以及如何使临床信息可供二次使用，从而实现健康和护理绩效指标的非冗余报告。在2006年至2012年为期6年的研究过程中，结果表明，在19家非洲医疗机构中实施适配良好的ICT工具后，患者识别、财务管理和结构化报告有了显著改善。实时财务管理指标帮助医院迅速识别欺诈行为和有缺陷的开票程序。与全国平均水平相比，门诊病例量显著增加，19家医疗机构中有15家的平均住院时间缩短，医院总体死亡率下降。医院工作人员评估医院信息系统实施对当地工作条件和护理质量的影响非常积极。结果表明，撒哈拉以南地区的当地卫生专业人员坚信健康信息系统的重要性。
