埃塞俄比亚初级卫生保健机构中卫生工作者使用智能手机收集的常规健康数据质量。

Quality of routine health data collected by health workers using smartphone at primary health care in Ethiopia.

作者信息

Medhanyie Araya Abrha, Spigt Mark, Yebyo Henock, Little Alex, Tadesse Kidane, Dinant Geert-Jan, Blanco Roman

机构信息

School of Public Health, College of Health Sciences, Mekelle University, P.O. Box 1871, Mekelle, Ethiopia.

School of Public Health, College of Health Sciences, Mekelle University, P.O. Box 1871, Mekelle, Ethiopia; CAPHRI, Department of Family Medicine, CAPHRI, School for Public Health and Primary Care, Maastricht University, PO Box 616, 6200 MD Maastricht, Netherlands; General Practice Research Unit, Department of Community Medicine, The Arctic University of Norway, Tromsø, Norway.

出版信息

Int J Med Inform. 2017 May;101:9-14. doi: 10.1016/j.ijmedinf.2017.01.016. Epub 2017 Jan 24.

DOI:10.1016/j.ijmedinf.2017.01.016

PMID:28347452

Abstract

BACKGROUND

Mobile phone based applications are considered by many as potentially useful for addressing challenges and improving the quality of data collection in developing countries. Yet very little evidence is available supporting or refuting the potential and widely perceived benefits on the use of electronic forms on smartphones for routine patient data collection by health workers at primary health care facilities.

METHODS

A facility based cross sectional study using a structured paper checklist was prepared to assess the completeness and accuracy of 408 electronic records completed and submitted to a central database server using electronic forms on smartphones by 25 health workers. The 408 electronic records were selected randomly out of a total of 1772 maternal health records submitted by the health workers to the central database over a period of six months. Descriptive frequencies and percentages of data completeness and error rates were calculated.

RESULTS

When compared to paper records, the use of electronic forms significantly improved data completeness by 209 (8%) entries. Of a total 2622 entries checked for completeness, 2602 (99.2%) electronic record entries were complete, while 2393 (91.3%) paper record entries were complete. A very small percentage of error rates, which was easily identifiable, occurred in both electronic and paper forms although the error rate in the electronic records was more than double that of paper records (2.8% vs. 1.1%). More than half of entry errors in the electronic records related to entering a text value.

CONCLUSIONS

With minimal training, supervision, and no incentives, health care workers were able to use electronic forms for patient assessment and routine data collection appropriately and accurately with a very small error rate. Minimising the number of questions requiring text responses in electronic forms would be helpful in minimizing data errors.

摘要

背景

许多人认为基于手机的应用程序可能有助于应对发展中国家的数据收集挑战并提高数据收集质量。然而，几乎没有证据支持或反驳在初级卫生保健机构中，卫生工作者使用智能手机上的电子表格进行常规患者数据收集所具有的潜在且被广泛认可的益处。

方法

开展一项基于机构的横断面研究，使用结构化纸质清单评估25名卫生工作者通过智能手机上的电子表格完成并提交到中央数据库服务器的408份电子记录的完整性和准确性。这408份电子记录是从卫生工作者在六个月内向中央数据库提交的总共1772份孕产妇健康记录中随机选取的。计算数据完整性和错误率的描述性频率及百分比。

结果

与纸质记录相比，使用电子表格使数据完整性显著提高了209条（8%）记录项。在总共检查的2622条记录项中，2602条（99.2%）电子记录项完整，而2393条（91.3%）纸质记录项完整。电子和纸质记录中均出现了非常小比例且易于识别的错误率，尽管电子记录中的错误率是纸质记录的两倍多（2.8%对1.1%）。电子记录中超过一半的输入错误与输入文本值有关。