Ngugi Philomena N, Gesicho Milka B, Babic Ankica, Were Martin C
Department of Information Science and Media Studies, University of Bergen, Norway.
Institute of Biomedical Informatics, Moi University, Kenya.
Stud Health Technol Inform. 2020 Jun 26;272:167-170. doi: 10.3233/SHTI200520.
There is little evidence that implementations of Electronic Medical Record Systems (EMRs) are associated with better reporting completeness and timeliness of HIV routine data to the national aggregate system. We analyzed the reporting completeness and timeliness of HIV reports to Kenya's national aggregate reporting system from District Health Information Software 2 (DHIS2) for the period 2011 to 2018. On average, reporting completeness improved to 97% whilst timeliness increased to 83% in 2017 with similar performance for the facilities under study that implemented either KenyaEMR or IQCare. However, in 2018, the reporting rates dropped by 13% for completeness and 11% for timeliness most likely due to changed reporting procedures. This suggests that besides EMRs, there are other factors influencing reporting such as reporting routines, which need to be assessed separately. Nonetheless, the EMRs have facilitated the collection of HIV data for submission to the DHIS2, which in turn facilitates the reporting process for the data officers.
几乎没有证据表明电子病历系统（EMR）的实施与向国家汇总系统报告艾滋病毒常规数据的完整性和及时性提高有关。我们分析了2011年至2018年期间通过地区卫生信息软件2（DHIS2）向肯尼亚国家汇总报告系统报告艾滋病毒的完整性和及时性。平均而言，报告完整性提高到了97%，而及时性在2017年提高到了83%，采用肯尼亚电子病历（KenyaEMR）或IQCare的研究设施也有类似表现。然而，2018年，报告完整性下降了13%，及时性下降了11%，这很可能是由于报告程序的变化。这表明，除了电子病历系统外，还有其他因素影响报告，如报告惯例，需要分别进行评估。尽管如此，电子病历系统有助于收集艾滋病毒数据以提交给DHIS2，这反过来又便于数据管理人员进行报告工作。
