马拉维卫生机构对卫生信息管理专业人员的需求。

Teddie Chima, Esmie Mkwinda, Stephen Kumwenda
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引用次数: 0

摘要

背景:卫生信息管理(HIM)是卫生机构的核心,提供重要的信息。在马拉维,能够妥善管理电子和纸质健康信息的合格人才,特别是健康信息管理人员严重短缺。马拉维没有高等教育机构提供 HIM 学术课程:调查马拉维政府医疗机构对 HIM 专业人员的需求,确定数据用户管理的数据种类、HIM 工作人员的能力以及与当前 HIM 系统相关的挑战:采用横向研究设计,使用两个重点访谈指南,从数据用户和关键信息提供者那里收集数据。研究人员从 6 家政府医疗机构的 13 名参与者处收集了数据,这些医疗机构分别代表了初级、中级和高级医疗服务水平。对数据进行了专题分析:结果:数据用户处理的数据种类繁多,其中大多数人具有中等水平的 HIM 技能。数据用户和主要信息提供者都表示在处理现有的 HIM 系统时遇到了挑战。调查结果还揭示了马拉维医疗机构缺乏训练有素的 HIM 专业人员或人员不足所带来的主要挑战:引入 HIM 培训计划将改善马拉维医疗机构的数据管理。管理良好的数据将改善医疗保健服务的提供。
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The need for health information management professionals in Malawi health facilities.

Background: Health information management (HIM) is at the core of health organisations, providing essential information. In Malawi, there is a substantial deficit of qualified personnel, specifically health information managers, who can properly manage health information in electronic and paper-based formats. The nation has no higher education institution offering an academic programme in HIM.

Objective: To investigate the need for HIM professionals in Malawi government health facilities, to determine the kinds of data managed by data users; competencies of HIM workers and challenges associated with the current HIM system.

Method: A cross-sectional research design was adopted, with a qualitative approach to gather data from data users and key informants, using two focused interview guides. Data were collected from 13 participants from 6 government health facilities representing the primary, secondary and tertiary healthcare delivery levels. Data were analysed thematically.

Results: Data users handled a diverse range of data, the majority having moderate skills in HIM. Both data users and key informants reported experiencing challenges in dealing with the existing HIM system. Findings also revealed key challenges associated with the absence, or inadequacy, of a well-trained HIM professional workforce in Malawi health facilities.

Conclusion: Introducing a training programme in HIM would improve data management in health facilities in Malawi. Well-managed data would improve the delivery of health care services.

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