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印度尼西亚初级保健中医疗服务提供者在非传染性疾病管理综合信息系统方面的跨专业协作经验:一项定性研究

Healthcare Providers' Interprofessional Collaboration Experience with Integrated Information System for Non-Communicable Disease Management at Primary Care in Indonesia: A Qualitative Study.

作者信息

Akbar M Agung, Sukemi Sukemi, Wabula La Rakhmat, Kurniawan Didi, Amir Haeril

机构信息

Faculty of Nursing, Universitas Indonesia, Depok, Indonesia.

School of Health Science Al-Ma'arif, Baturaja, Indonesia.

出版信息

Int J Community Based Nurs Midwifery. 2025 Jul 1;13(3):191-201. doi: 10.30476/ijcbnm.2025.106621.2773. eCollection 2025 Jul.

Abstract

BACKGROUND

Non-communicable diseases (NCDs) require holistic management, yet interprofessional collaboration (IPC) in primary care often faces challenges like fragmented services and inefficient information exchange. Integrated information systems have the potential to address these issues, but the system users' experiences regarding IPC in Indonesia remains understudied. This study aimed to explore healthcare providers' IPC experiences with the integrated information system for NCD management in primary care.

METHODS

A qualitative study with descriptive phenomenology approach was done at Ogan Komering Ulu Regency, South Sumatra Province, Indonesia from January-March 2025. Fifteen healthcare professionals consisting of 5 nurses, 4 medical doctors, 3 midwives, and 3 public health workers were purposively selected based on their experience using the integrated information system for NCD services. Data were collected until data saturation through two focus group discussions lasting 130-150 minutes. Data analysis was done manually using the Collaizzi's method. Field notes were taken to capture non-verbal cues and contextual observations.

RESULTS

Three themes emerged in this study, namely "enhanced IPC through information systems", "Optimized patient management via digital integration", and "Improved health workers' accessibility through adaptive technologies".

CONCLUSION

The integrated information system strengthened IPC and NCD management in primary care by streamlining workflows and improving data accessibility. The integrated information system could improve community-based care with enhancing collaborative patient care.

摘要

背景

非传染性疾病(NCDs)需要全面管理,但初级保健中的跨专业协作(IPC)往往面临服务碎片化和信息交换效率低下等挑战。综合信息系统有潜力解决这些问题,但印度尼西亚系统用户在IPC方面的经验仍未得到充分研究。本研究旨在探讨初级保健中使用综合信息系统进行非传染性疾病管理时医疗服务提供者的IPC经验。

方法

2025年1月至3月在印度尼西亚南苏门答腊省奥甘科梅林乌卢摄政区采用描述性现象学方法进行了一项定性研究。根据他们使用非传染性疾病服务综合信息系统的经验,有目的地挑选了15名医疗专业人员,包括5名护士、4名医生、3名助产士和3名公共卫生工作者。通过两次持续130 - 150分钟的焦点小组讨论收集数据,直至数据饱和。使用科拉齐方法手动进行数据分析。记录现场笔记以捕捉非语言线索和情境观察。

结果

本研究出现了三个主题,即“通过信息系统加强IPC”、“通过数字整合优化患者管理”以及“通过适应性技术提高卫生工作者的可及性”。

结论

综合信息系统通过简化工作流程和提高数据可及性,加强了初级保健中的IPC和非传染性疾病管理。综合信息系统可以通过加强协作性患者护理来改善基于社区的护理。

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