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医生在登记处详尽收集数据意愿的决定因素:巴马科社区卫生中心的一项探索性研究。

Determinants of Physicians' Intention to Collect Data Exhaustively in Registries: an Exploratory Study in Bamako's Community Health Centres.

作者信息

Ly B A, Gagnon M-P, Légaré F, Rousseau M, Simonyan D

机构信息

Program of Population Health, University of Ottawa, Ottawa, Ontario, Canada.

CHUQ Research Centre, Laval University, Quebec, Quebec, Canada ; Faculty of Nursing, Laval University, Quebec, Quebec, Canada.

出版信息

Ghana Med J. 2015 Jun;49(2):90-6. doi: 10.4314/gmj.v49i2.5.

DOI:10.4314/gmj.v49i2.5
PMID:26339092
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4549828/
Abstract

BACKGROUND

The incomplete collection of health data is a prevalent problem in healthcare systems around the world, especially in developing countries. Missing data hinders progress in population health and perpetuates inefficiencies in healthcare systems.

OBJECTIVE

This study aims to identify the factors that predict the intention of physicians practicing in community health centres of Bamako, Mali, to collect data exhaustively in medical registries.

DESIGN

A cross sectional study.

METHOD

In January and February 2011, we conducted a study with a random sample of thirty two physicians practicing in community health centres of Bamako, using a questionnaire. Data was analyzed by using descriptive statistics, correlations and linear regression.

MAIN OUTCOMES MEASURES

Trained investigators administered a questionnaire measuring physicians' sociodemographic and professional characteristics as well as constructs from the Theory of Planned Behaviour.

RESULTS

Our results showed that physicians' intention to collect data exhaustively is influenced by subjective norms and by the physician's number of years in practice.

CONCLUSIONS

the results of this study could be used as a guide for health workers and decision makers to improve the quality of health information collected in community health centers.

摘要

背景

健康数据收集不完整是全球医疗系统中普遍存在的问题,在发展中国家尤为如此。缺失的数据阻碍了人群健康方面的进展,并使医疗系统的低效率长期存在。

目的

本研究旨在确定预测在马里巴马科社区卫生中心执业的医生在医疗登记中详尽收集数据意愿的因素。

设计

横断面研究。

方法

2011年1月和2月,我们使用问卷对在巴马科社区卫生中心执业的32名医生进行了随机抽样研究。通过描述性统计、相关性分析和线性回归对数据进行分析。

主要结局指标

经过培训的调查人员发放了一份问卷,用以测量医生的社会人口统计学和专业特征以及计划行为理论中的相关概念。

结果

我们的结果表明,医生详尽收集数据的意愿受主观规范和医生执业年限的影响。

结论

本研究结果可为卫生工作者和决策者提高社区卫生中心收集的健康信息质量提供指导。

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Determinants of Physicians' Intention to Collect Data Exhaustively in Registries: an Exploratory Study in Bamako's Community Health Centres.医生在登记处详尽收集数据意愿的决定因素:巴马科社区卫生中心的一项探索性研究。
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本文引用的文献

1
Missing clinical information in NHS hospital outpatient clinics: prevalence, causes and effects on patient care.NHS 医院门诊中缺失的临床信息:发生率、原因及其对患者护理的影响。
BMC Health Serv Res. 2011 May 23;11:114. doi: 10.1186/1472-6963-11-114.
2
Intentions and statins prescribing: can the theory of planned behaviour explain physician behaviour in following guideline recommendations?意向与他汀类药物处方:计划行为理论能否解释医生遵循指南建议的行为?
J Eval Clin Pract. 2011 Aug;17(4):749-57. doi: 10.1111/j.1365-2753.2011.01690.x. Epub 2011 May 5.
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Healthcare professionals' intentions to use clinical guidelines: a survey using the theory of planned behaviour.医护人员使用临床指南的意向:一项基于计划行为理论的调查。
Implement Sci. 2010 Jun 29;5:51. doi: 10.1186/1748-5908-5-51.
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Using psychological theory to understand the clinical management of type 2 diabetes in Primary Care: a comparison across two European countries.运用心理学理论理解初级保健中2型糖尿病的临床管理:两个欧洲国家的比较
BMC Health Serv Res. 2009 Aug 5;9:140. doi: 10.1186/1472-6963-9-140.
5
Using the theory of reasoned action to determine physicians' intention to measure body mass index in children and adolescents.运用理性行动理论来确定医生测量儿童和青少年体重指数的意向。
Res Social Adm Pharm. 2009 Jun;5(2):170-81. doi: 10.1016/j.sapharm.2008.06.006. Epub 2009 Jan 21.
6
Motivation and retention of health workers in developing countries: a systematic review.发展中国家卫生工作者的积极性与留用情况:一项系统综述
BMC Health Serv Res. 2008 Dec 4;8:247. doi: 10.1186/1472-6963-8-247.
7
Incentives for retaining and motivating health workers in Pacific and Asian countries.激励措施以留住和激励太平洋和亚洲国家的卫生工作者。
Hum Resour Health. 2008 Sep 15;6:18. doi: 10.1186/1478-4491-6-18.
8
Healthcare professionals' intentions and behaviours: a systematic review of studies based on social cognitive theories.医护专业人员的意图和行为:基于社会认知理论的研究系统综述。
Implement Sci. 2008 Jul 16;3:36. doi: 10.1186/1748-5908-3-36.
9
Testing the technology acceptance model for evaluating healthcare professionals' intention to use an adverse event reporting system.测试用于评估医疗保健专业人员使用不良事件报告系统意愿的技术接受模型。
Int J Qual Health Care. 2008 Apr;20(2):123-9. doi: 10.1093/intqhc/mzm074. Epub 2008 Jan 25.
10
Out of sight, not out of mind: strategies for handling missing data.眼不见,心不念:处理缺失数据的策略。
Am J Health Behav. 2008 Jan-Feb;32(1):83-92. doi: 10.5555/ajhb.2008.32.1.83.