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埃塞俄比亚奥罗米亚地区伊卢阿巴博尔地区卫生保健专业人员的健康信息使用情况及相关因素:一项基于机构的横断面研究。

Health information use and associated factors among healthcare professionals in Ilu Aba Bor zone, Oromia region, Ethiopia: an institution-based cross-sectional study.

机构信息

Ilu Aba Bor Zone Health Department, Mattu, Oromia Region, Ethiopia.

Department of Public Health, Mattu University, Mattu, Oromia Region, Ethiopia

出版信息

BMJ Open. 2023 Mar 13;13(3):e067540. doi: 10.1136/bmjopen-2022-067540.

Abstract

BACKGROUND

Health information systems are essential for collecting data for planning, monitoring and evaluating health services. Using reliable information over time is an important aid in improving health outcomes, tackling disparities, enhancing efficiency and encouraging innovation. Studies on the level of health information use among health workers at the health facility level in Ethiopia are limited.

OBJECTIVES

This study was designed to assess the level of health information use and associated factors among healthcare professionals.

METHODS

An institution-based cross-sectional study was conducted among 397 health workers in health centres in the Iluababor zone of Oromia region in southwest Ethiopia, who were chosen using a simple random sampling technique. Data were collected using a pretested, self-administered questionnaire and an observation checklist. The Strengthening the Reporting of Observational Studies in Epidemiology reporting checklist was used to report the summary of the manuscript. Bivariable and multivariable binary logistic regression analysis was used to identify the determinant factors. Variables with a p value <0.05 at 95% CIs were declared significant.

RESULTS

It was found that 65.8% of the healthcare professionals had good health information usage. Use of Health Management Information System (HMIS) standard materials (adjusted OR (AOR)=8.10; 95% CI 3.51 to 16.58), training on health information (AOR=8.31; 95% CI 4.34 to 14.90), completeness of report formats (AOR=10.24; 95% CI 5.0 to 15.14) and age (AOR=0.4; 95% CI 0.2 to 0.77) were found to be significantly associated with health information use.

CONCLUSION

More than three-fifths of healthcare professionals had good health information usage. Completeness of report format, training, use of standard HMIS materials and age were significantly associated with health information usage. Ensuring the availability of standard HMIS materials and report completeness and providing training, particularly for newly recruited health workers are highly recommended to enhance health information usage.

摘要

背景

健康信息系统对于收集规划、监测和评估卫生服务的数据至关重要。随着时间的推移,使用可靠的信息是改善健康结果、解决差异、提高效率和鼓励创新的重要辅助手段。在埃塞俄比亚,关于卫生设施一级卫生工作者健康信息使用水平的研究有限。

目的

本研究旨在评估卫生专业人员的健康信息使用水平及其相关因素。

方法

在埃塞俄比亚西南部奥罗米亚地区伊卢阿巴博尔地区的卫生中心进行了一项基于机构的横断面研究,采用简单随机抽样技术选择了 397 名卫生工作者。使用经过预测试的自我管理问卷和观察清单收集数据。使用加强观察性研究报告流行病学报告清单来报告手稿摘要。使用双变量和多变量二元逻辑回归分析来确定决定因素。在 95%置信区间内,p 值<0.05 的变量被宣布为显著。

结果

研究发现,65.8%的卫生保健专业人员具有良好的健康信息使用习惯。使用健康管理信息系统(HMIS)标准材料(调整后的比值比(AOR)=8.10;95%置信区间 3.51 至 16.58)、健康信息培训(AOR=8.31;95%置信区间 4.34 至 14.90)、报告格式的完整性(AOR=10.24;95%置信区间 5.0 至 15.14)和年龄(AOR=0.4;95%置信区间 0.2 至 0.77)与健康信息使用显著相关。

结论

超过五分之三的卫生保健专业人员具有良好的健康信息使用习惯。报告格式的完整性、培训、标准 HMIS 材料的使用和年龄与健康信息使用显著相关。建议确保标准 HMIS 材料和报告完整性的可用性,并提供培训,特别是针对新招聘的卫生工作者,以提高健康信息的使用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4f3/10016269/be60145bf809/bmjopen-2022-067540f01.jpg

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