Department of Information Science and Media Studies, University of Bergen, Norway.
Institute of Biomedical informatics, Moi University, Kenya.
Stud Health Technol Inform. 2022 May 25;294:234-238. doi: 10.3233/SHTI220444.
Electronic Medical Records Systems (EMRs) improve the quality of patient care and reduce medical errors. Nevertheless, their role in health data indicator reporting performance is unclear. We assessed reporting completeness and timeliness of HIV indicator data to the national aggregate reporting system, District Health Information Software 2 (DHIS2) in Kenya. We compared the reporting performance of facilities with and without EMRs implementation for the year 2013 as EMRs uptake was in progress. The comparative analysis involved 104 facilities implemented with and 152 without KenyaEMR system on three HIV programmatic areas. There were no statistically significant differences in performance regarding reporting completeness and timeliness by facilities with or without EMRs (p-values > 0.05 on all the three areas). The KenyaEMR system assessed in this study, therefore, cannot be associated with the transformed performance in reporting health indicators. This was probably due to the fact that the EMRs do not report electronically to DHIS2. Additional analysis can be conducted to compare reporting performance once data exchange functionality is fully established between KenyaEMR and DHIS2 systems.
电子病历系统 (EMR) 可提高患者护理质量并减少医疗差错。然而,其在卫生数据指标报告表现方面的作用尚不清楚。我们评估了肯尼亚向国家综合报告系统(District Health Information Software 2,DHIS2)报告艾滋病毒指标数据的完整性和及时性。我们比较了 2013 年实施电子病历系统的设施和未实施电子病历系统的设施的报告绩效,当时电子病历系统的采用正在进行中。在三个艾滋病毒规划领域,比较分析涉及 104 个实施肯尼亚电子病历系统的设施和 152 个未实施肯尼亚电子病历系统的设施。在报告完整性和及时性方面,有无电子病历系统的设施之间的绩效没有统计学上的显著差异(所有三个领域的 p 值均大于 0.05)。因此,在本研究中评估的肯尼亚电子病历系统不能与报告卫生指标的改进绩效相关联。这可能是因为电子病历系统不会向 DHIS2 电子报告。一旦肯尼亚电子病历系统和 DHIS2 系统之间完全建立数据交换功能,可以进行额外的分析以比较报告绩效。