Health Information Management Research Center (HIMRC), Kashan University of Medical Sciences, Kashan, Iran.
Department of Health Information Management and Technology, School of Allied Medical Sciences, Kashan University of Medical Sciences, Kashan, Iran.
Methods Inf Med. 2022 Dec;61(S 02):e64-e72. doi: 10.1055/a-1860-8618. Epub 2022 May 24.
Management of child health care can be negatively affected by incomplete recording, low data quality, and lack of data integration of health management information systems to support decision making and public health program needs. Given the importance of identifying key determinants of child health via capturing and integrating accurate and high-quality information, we aim to address this gap through the development and testing requirements for an integrated child health information system.
A five-phase design thinking approach including empathizing, defining, ideation, prototyping, and testing was applied. We employed observations and interviews with the health workers at the primary health care network to identify end-users' challenges and needs using tools in human-centered design and focus group discussion. Then, a potential solution to the identified problems was developed as an integrated maternal and child health information system (IMCHIS) prototype and tested using Software Quality Requirements and Evaluation Model (SQuaRE) ISO/IEC 25000.
IMCHIS was developed as a web-based system with 74 data elements and seven maternal and child health care requirements. The requirements of "child disease" with weight (0.26), "child nutrition" with weight (0.20), and "prenatal care" with weight (0.16) acquired the maximum weight coefficient. In the testing phase, the highest score with the weight coefficient of 0.48 and 0.73 was attributed to efficiency and functionality characteristics, focusing on software capability to fulfill the tasks that meet users' needs.
Implementing a successful child health care system integrates both maternal and child health care information systems to track the effect of maternal conditions on child health and support managing performance and optimizing service delivery. The highest quality score of IMCHIS in efficiency and functionality characteristics confirms that it owns the capability to identify key determinants of child health.
儿童保健管理可能会受到以下因素的负面影响，包括健康管理信息系统记录不完整、数据质量低以及缺乏数据集成，从而无法支持决策制定和公共卫生计划需求。鉴于通过捕捉和整合准确、高质量的信息来确定儿童健康关键决定因素的重要性，我们旨在通过开发和测试综合儿童健康信息系统的需求来解决这一差距。
采用包括同理心、定义、构思、原型设计和测试五个阶段的设计思维方法。我们通过观察和访谈初级保健网络中的卫生工作者，利用以人为本的设计工具和焦点小组讨论，确定了最终用户的挑战和需求。然后，我们开发了一个综合母婴健康信息系统 (IMCHIS) 的原型，作为确定问题的潜在解决方案，并使用软件质量要求和评估模型 (SQuaRE) ISO/IEC 25000 对其进行测试。
IMCHIS 被开发为一个基于网络的系统，包含 74 个数据元素和七个母婴保健要求。“儿童疾病”的要求（权重 0.26）、“儿童营养”的要求（权重 0.20）和“产前保健”的要求（权重 0.16）获得了最大的权重系数。在测试阶段，效率和功能特征的权重系数为 0.48 和 0.73，得分最高，重点是软件满足用户需求的能力。
成功实施儿童保健系统需要整合母婴保健信息系统，以跟踪母婴状况对儿童健康的影响，并支持管理绩效和优化服务提供。IMCHIS 在效率和功能特征方面的最高质量评分证实了它具备识别儿童健康关键决定因素的能力。
