人员、流程与技术：肯尼亚公共部门医疗机构确保电子病历系统可持续实施的策略
People, Process and Technology: Strategies for Assuring Sustainable Implementation of EMRs at Public-Sector Health Facilities in Kenya.
作者信息
Kang'a Samuel G, Muthee Veronica M, Liku Nzisa, Too Diana, Puttkammer Nancy
机构信息
International Training and Education Center for Health, University of Washington, Nairobi, Kenya.
International Training and Education Center for Health, University of Washington, Seattle, WA.
出版信息
AMIA Annu Symp Proc. 2017 Feb 10;2016:677-685. eCollection 2016.
The Ministry of Health (MoH) rollout of electronic medical record systems (EMRs) has continuously been embraced across health facilities in Kenya since 2012. This has been driven by a government led process supported by PEPFAR that recommended standardized systems for facilities. Various strategies were deployed to assure meaningful and sustainable EMRs implementation: sensitization of leadership; user training, formation of health facility-level multi-disciplinary teams; formation of county-level Technical Working Groups; data migration; routine data quality assessments; point of care adoption; successive release of software upgrades; and power provision. Successes recorded include goodwill and leadership from the county management (22 counties), growth in the number of EMR trained users (2561 health care workers), collaboration in among other things, data migration(90 health facilities completed) and establishment of county TWGs (13 TWGs). Sustenance of EMRs demand across facilities is possible through; county TWGs oversight, timely resolution of users' issues and provision of reliable power.
自2012年以来，肯尼亚卫生部在各医疗机构持续推行电子病历系统（EMR）。这一举措由政府主导，并得到了美国总统艾滋病紧急救援计划（PEPFAR）的支持，该计划为各医疗机构推荐了标准化系统。为确保电子病历系统得到有效且可持续的实施，采取了多种策略：提高领导层的认识；开展用户培训；组建医疗机构层面的多学科团队；成立县级技术工作组；进行数据迁移；开展常规数据质量评估；采用即时护理；陆续发布软件升级；以及提供电力。取得的成功包括：22个县的县级管理层展现出的善意和领导力；接受电子病历系统培训的用户数量增加（2561名医护人员）；在数据迁移等方面开展的合作（90家医疗机构完成数据迁移）以及成立县级技术工作组（13个技术工作组）。通过县级技术工作组的监督、及时解决用户问题以及提供可靠电力，可以维持各医疗机构对电子病历系统的需求。
Zotero 插件