确定开发伊朗传统医学信息管理系统所需的数据元素。

IF 3.3 2区 医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE BMC Complementary Medicine and Therapies Pub Date : 2025-01-17 DOI:10.1186/s12906-025-04744-x
Razieh Mirzaeian, Abdolghader Bahraini, Hadi Kazemi-Arpanahi
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引用次数: 0

摘要

背景:目前,从信息管理的角度来看,没有统一的数据收集工具来全面结构化地记录伊朗传统医学(ITM)。由于ITM实践在诊断和治疗方法上与当前医学有很大不同,因此不适合使用为当前医学开发的数据平台或信息系统。因此,收集的数据是不可比较的,降低了判决的普遍性。因此,本研究旨在为ITM疾病和干预措施的统一报告创建最小数据集(MDS)。方法:研究时间为2022年12月30日至2023年3月20日。第一阶段涉及文献综述,第二阶段利用德尔菲技术,第三阶段侧重于验证MDS-ITM。在检索科学数据库、灰色文献以及审查与ITM相关的现有信息系统、表格和网站之后,准备了一份潜在数据项的列表。然后采用了一种改进的德尔菲技术,包括两轮调查。一个由34名具有ITM临床和研究经验的个人组成的小组,通过有目的的抽样选择,使用5点李克特量表对候选数据项的重要性进行评分,以纳入ITM- mds。协议水平达到80%或更高的项目被认为可以纳入最终的ITM-MDS。最后,采用内容效度比(CVR)和内容效度指数(CVI)标准对开发的MDS进行内容效度评价。结果:ITM-MDS共包含291个项目,分为7类:患者入院情况、既往病史、6项保健原则、客观体征、主观症状、身体系统检查和护理计划。结论:该MDS的开发将使ITM护理机构更容易交换信息和共享资源。它还提供了一个包容性的数据集和医疗记录的结构化文档。这种MDS有助于提供高质量的护理和改善临床决策。
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Determining the required data elements to develop the information management system for Iranian traditional medicine.

Background: Currently, there is no agreed-upon data collection tool for comprehensively structured documentation of Iranian traditional medicine (ITM) from the information management perspective. As ITM practice varies significantly from current medicine in diagnosis and treatment approaches, it is not appropriate to use data platforms or information systems developed for current medicine. Consequently, the collected data are non-comparable, reducing the verdicts' generalization. Therefore, this research aims to create a minimum data set (MDS) for unified reporting of ITM diseases and interventions.

Methods: This multi-phased method study was performed from December 30, 2022 to March 20, 2023. The first phase involved a literature review, the second phase utilized the Delphi technique, and the third phase focused on validating the MDS-ITM. A list of potential data items was prepared after searching scientific databases, and grey literature, as well as reviewing existing information systems, forms, and websites related to ITM. A modified Delphi technique, including a two-round survey, was then employed. A panel of 34 individuals with clinical and research experience in ITM, was selected via purposeful sampling to rate the importance of candidate data items for inclusion in the ITM-MDS using a 5-point Likert scale. Items with an agreement level of 80% or more were deemed acceptable for inclusion in the final ITM-MDS. Finally, the content validity of the developed MDS was assessed using the content validity ratio (CVR) and content validity index (CVI) criteria.

Results: Consensus was reached on an ITM-MDS containing 291 items grouped into seven categories: Patient admission, past medical history, six principles of health preservation, objective signs, subjective symptoms, examination of body systems, and care plans.

Conclusions: The development of this MDS will enable ITM care settings  to exchange information and share resources more easily. It also provides an inclusive dataset and structured documentation of medical records. This MDS can contribute to delivering high-quality care and improving clinical decision-making.

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来源期刊
BMC Complementary Medicine and Therapies
BMC Complementary Medicine and Therapies INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
6.10
自引率
2.60%
发文量
300
审稿时长
19 weeks
期刊介绍:
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