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伊朗基于医院的冠心病(CAD)注册中心的设计与开发。

Design and Development of a Hospital-Based Coronary Artery Disease (CAD) Registry in Iran.

机构信息

Department of Health Information Technology, School of Allied Medical Sciences, Lorestan University of Medical Sciences, Khorramabad, Iran.

Department of Health Information Technology and Management, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Biomed Res Int. 2023 Jan 25;2023:3075489. doi: 10.1155/2023/3075489. eCollection 2023.

Abstract

BACKGROUND

The incidence of coronary artery disease (CAD), the leading cause of mortality in most developed and developing countries, is increasing. The adoption of hospital registries can improve care delivery and facilitate the management of CAD through better planning, as well as help with outcome assessment through more effective data management.

OBJECTIVES

The present study is aimed at designing a hospital-based CAD registry for managing CAD data.

METHODS

This developmental study was conducted in three phases. Initially, sources related to CAD registries were reviewed, the results of which were published in two studies. In the next phase, the prerequisites and requisites of the software were determined through a qualitative study. In this phase, the registry dataset was determined by using a questionnaire. Finally, the developed conceptual model of the software was validated. The software was then developed based on the validated conceptual model.

RESULTS

The registry data elements were classified into 13 main categories, including identification data, medical history, and risk factors. The dataset included 171 data elements, including data related to surgical and nonsurgical procedures. The conceptual model was approved by field experts, and the software was developed accordingly.

CONCLUSION

The steps followed in the present study for developing the CAD registry can be used as an appropriate approach for designing similar hospital-based registries. Considering the pivotal role of the registry in the management of CAD, the routine and systemic use of the registry is suggested in all healthcare centers.

摘要

背景

在大多数发达国家和发展中国家,冠心病(CAD)是导致死亡的主要原因,其发病率正在上升。采用医院登记系统可以通过更好的规划来改善护理服务的提供,并便于 CAD 的管理,同时通过更有效的数据管理来帮助评估结果。

目的

本研究旨在设计一种基于医院的 CAD 登记系统来管理 CAD 数据。

方法

这项发展性研究分三个阶段进行。首先,回顾了与 CAD 登记系统相关的资料来源,其结果发表在两项研究中。其次,通过定性研究确定了软件的前提条件和要求。在这一阶段,通过问卷调查确定了登记数据集。最后,对软件的概念模型进行了验证。然后根据经过验证的概念模型开发了软件。

结果

登记数据元素被分为 13 个主要类别,包括识别数据、病史和危险因素。数据集包括 171 个数据元素,包括与手术和非手术程序相关的数据。该概念模型得到了现场专家的认可,随后根据该模型开发了软件。

结论

本研究中开发 CAD 登记系统所遵循的步骤可作为设计类似基于医院的登记系统的适当方法。鉴于登记系统在 CAD 管理中的关键作用,建议在所有医疗保健中心常规和系统地使用该登记系统。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c8c/9891832/9e0c233030cd/BMRI2023-3075489.001.jpg

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