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为国际疾病分类第11版(ICD-11)转换做准备:来自阿根廷和墨西哥案例研究的经验教训。

Preparing for ICD-11 transition: lessons from case studies in Argentina and Mexico.

作者信息

Ballester-Otero Carmen L, Tavakkoli Maryam, Kontio Katri, Thelen Jenna, Joos Olga Helena, Guevel Carlos Gustavo, Yáñez Manuel, Becedas Rebeca Revenga, Fruchtman Carmen Sant, Gerger Andrea, Denny Keith, Munoz Daniel Cobos

机构信息

Swiss Tropical and Public Health Institute Allschwil Switzerland Swiss Tropical and Public Health Institute, Allschwil, Switzerland.

Pan American Health Organization Washington, DC United states of America Pan American Health Organization, Washington, DC, United states of America.

出版信息

Rev Panam Salud Publica. 2025 Sep 11;49:e95. doi: 10.26633/RPSP.2025.95. eCollection 2025.

Abstract

OBJECTIVES

To explore the early stages of the International Classification of Diseases 11th Revision (ICD-11) implementation in Argentina and Mexico, focusing on mortality coding, to identify essential elements and key considerations for successful adoption.

METHODS

Qualitative analysis was conducted using case studies from Argentina and Mexico. Data were collected through interviews, workshops, and document analysis to uncover opportunities, challenges, and strategic decisions in ICD-11 implementation.

RESULTS

Key findings highlight the critical role of comprehensive system assessments, strategic partnerships, financial planning, technological readiness, targeted training initiatives, and structured evaluation mechanisms. Both countries emphasized the importance of tailored strategies aligned with their unique contexts and highlighted the need for collaboration across sectors and the establishment of national task forces. Challenges included navigating the complexities of integrating ICD-11 within existing systems and enhancing interoperability through accelerated development of tools and establishment of expert networks.

CONCLUSIONS

Tailored strategies are essential for integrating ICD-11 into national health information systems. Greater collaboration, establishment of national task forces, and clear monitoring frameworks are crucial for successful implementation. Guided by digital health and health informatics expertise, countries can overcome challenges and align with broader health care objectives, thereby ultimately enhancing global health outcomes through effective ICD-11 adoption. By learning from early adopters such as Argentina and Mexico, other countries can better prepare for their own transitions to ICD-11.

摘要

目标

探讨阿根廷和墨西哥实施《国际疾病分类》第11次修订本(ICD - 11)的早期阶段,重点关注死亡率编码,以确定成功采用的基本要素和关键考量因素。

方法

采用来自阿根廷和墨西哥的案例研究进行定性分析。通过访谈、研讨会和文件分析收集数据,以揭示ICD - 11实施中的机遇、挑战和战略决策。

结果

主要发现凸显了全面系统评估、战略伙伴关系、财务规划、技术准备、针对性培训举措和结构化评估机制的关键作用。两国都强调了与各自独特背景相适应的定制战略的重要性,并强调了跨部门合作和建立国家特别工作组的必要性。挑战包括应对将ICD - 11整合到现有系统中的复杂性,以及通过加速工具开发和建立专家网络来增强互操作性。

结论

定制战略对于将ICD - 11整合到国家卫生信息系统中至关重要。加强合作、建立国家特别工作组和明确的监测框架对于成功实施至关重要。在数字健康和健康信息学专业知识的指导下,各国可以克服挑战并与更广泛的医疗保健目标保持一致,从而最终通过有效采用ICD - 11来改善全球健康状况。通过借鉴阿根廷和墨西哥等早期采用者的经验,其他国家可以更好地为自身向ICD - 11的过渡做好准备。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e65/12424260/f1410c24a998/rpsp-49-e95-Figure1.jpg

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