Afzali Mina, Etemad Korosh, Kazemi Alireza, Rabiei Reza
Department of Health Information Technology and Management, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences School of Paramedical Sciences, Tehran, Iran.
Department of Epidemiology, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences School of Public Health, Tehran, Iran.
BMJ Health Care Inform. 2019 Dec;26(1). doi: 10.1136/bmjhci-2019-100055.
Long-term complications and high costs of cerebral palsy (CP) as well as inconsistency in data related to this disease reveal the need for extensive planning to obtain accurate and complete data for the effective management of patients.
The present study reviews the information architecture of CP information system.
The relevant articles published from early 1988 to 31 July 2018 were extracted through searching PubMed, Scopus, Cochran, Web of Science and Embase databases conducted independently by two researchers.
A total of 39 articles on CP information system were reviewed. Hospitals, rehabilitation centres and outpatient clinics were found to be the main organisations in charge of generating CP data. Each CP database used several data sources, with hospitals serving as the most important sources of information and the main generators of data. The main CP datasets were categorised into four groups of demographic data, diagnosis, motor function and visual impairment. The majority of data standards were related to the use of the International Classification of Functioning, Disability and Health and the Gross Motor Function Classification System. Finally, accuracy, completeness and consistency were the criteria employed in data quality control.
Developing a robust CP information system requires deploying the principles of information architecture when developing the system, as these can improve data structure and content of CP system, as well as data quality and data sharing.
脑瘫(CP)的长期并发症、高昂成本以及与该疾病相关数据的不一致性表明,需要进行广泛规划以获取准确和完整的数据,以便对患者进行有效管理。
本研究回顾脑瘫信息系统的信息架构。
两名研究人员独立检索PubMed、Scopus、Cochran、Web of Science和Embase数据库,提取1988年初至2018年7月31日发表的相关文章。
共回顾了39篇关于脑瘫信息系统的文章。医院、康复中心和门诊诊所是负责生成脑瘫数据的主要机构。每个脑瘫数据库使用多个数据源,其中医院是最重要的信息来源和主要数据生成者。主要的脑瘫数据集分为人口统计学数据、诊断、运动功能和视力障碍四类。大多数数据标准与《国际功能、残疾和健康分类》及《粗大运动功能分类系统》的使用有关。最后,准确性、完整性和一致性是数据质量控制所采用的标准。
开发一个强大的脑瘫信息系统需要在系统开发时运用信息架构原则,因为这些原则可以改善脑瘫系统的数据结构和内容,以及数据质量和数据共享。