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BACKGROUND: Proper implementation of the logistics management information system (LMIS) would facilitate access to essential pharmaceutical products. It also prevents wastage at health posts. The aim of this study was to assess the implementation of the LMIS and the availability of tracer drugs at health posts in rural Ethiopia. METHODS: We employed a cross-sectional descriptive design with a mixed-method approach. The data used for this paper was collected from March to May 2019 as part of the National HEP assessment. The study involved 343 health posts randomly selected from nine regions of Ethiopia. Women's Development Army members and household heads participated in the qualitative study (i.e. in FGD and KII). The quantitative data were exported from Open Data Kit (ODK) to Stata 15.1 for statistical analysis, and the qualitative data were entered into NVivo 12 and analyzed using thematic content analysis. RESULTS: Of the health posts, 59.4% had a space for storing drugs; less than half (41.9%; 95% confidence interval (CI) [36%, 48%]) had a functioning refrigerator. The mean percentage of the availability of selected tracer drugs at health posts was 59.6%, with a 95% CI (58.9%, 60.3%). Bin cards were available at 43% (95% CI [40%, 46%]) of health posts, and among these, only 27.5% of the health posts adequately used the bin cards. CONCLUSION: The absence and poor use of LMIS tools was observed at health posts. Proper implementation of the LMIS has the potential to improve the availability of essential drugs that, in turn, improve health post level delivery of health services.
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Humans , Pharmaceutical Preparations , Health Services Accessibility , Health Centers , Drugs for Primary Health CareABSTRACT
High-energy radiation derived from X-ray, γ-ray, neutrons, and other radioisotopes has been widely used for disease diagnosis and treatmentin clinical practice. Notably, high-energy radiation has been proven to increase the cure rate, prolong the survival time, and improve the quality of life among patients with malignant tumors. However, radiation poses huge threats to human health and life. Establishment of effective emergency management information systems for medical radiation is therefore of great significance to evaluate the radiation safety, predict the leakage of radioactive materials, and propose effective responses. This review summarizes the development and application of currently main emergency management information systems for medical radiation, so as to provide a reference for the establishment of sensitive and effective hospital-based radiation emergency management information systems.
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AIM: To explore the information management of the whole process of clinical trials based on the laws and guidelines. METHODS: Taking the clinical trial management of our hospital as an example, we designed the clinical trial management information systems separately for researcher and sponsor to realize the whole process management of clinical trial in our hospital. RESULTS:The application of the clinical trial information management systems realized the real-time monitoring and information management of the whole process of project initiation, contract signing, ethical review, start-up, project selection/enrollment, subject management and conclusion. CONCLUSION: The separate design can ensure the information security of subjects, make effective statistics on the data generated, which can greatly improve the work efficiency of clinical trial management.
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Focusing on the diversified training environment of the Chinese navy and the peculiar injuries of the soldiers, we created a navy military medical geography information system based on ArcGIS two-dimensional development platform by using the large sample survey data of a certain naval medical support unit. This established system can link the naval injury data, civilian and military health resources and spatial geographic data, contributing to the monitoring and early warning of the navy injury, information management of medical resources, and decision-making in medical support.
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Background: In 2005, the Government of India implemented the National Rural Health Mission for reduction of maternal mortality. One of the major impediments in improving maternal health since then has been a poor management of the Health Management Information System (HMIS) at grass-roots level which could integrate data collection, processing, reporting, and use of information for necessary improvement of health services. Objective: The paper identifies the challenges in generating information for HMIS and its utilization for improvement of maternal health program in the tribal-dominated Jaleswar block in Odisha, India. It also aims to understand the nature and orientation of the HMIS data generated by the government for the year 2013–2014. Methods: The study is a cross-sectional type which used observation and interview methods. Primary data were gathered from health professionals to understand the challenges in generating information for HMIS and its utilization. Next, to understand the nature and orientation of HMIS, data pertaining to tribal block were analyzed. Results: The findings show that there are challenges in generation of quality data, capacity building of workforce, and monitoring of vulnerable tribal population. The discrepancies between HMIS data and field reality display the gap in formulation of policy and its implementation. Conclusion: The study unearths the existing politics of knowledge generation. This shows highly standardized procedures and information gathering by use of dominant biomedical concepts of maternal health with limited inclusion of local birthing conceptions and needs of vulnerable tribal pregnant women.
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Objective Discussing the approach to design and implementation of ethical review information management system in clinical research involving human subject.Methods Systematic design and implementation based on ICH GCP,Chinese GCP,Ethical review of biomedical research involving human subjects,Standard Operating Procedure compliant with Asia Pacific SIDCER certification standards,as well as the working experiences of author group.Results According to the specific working procedures in Beijing e-plugger Support Technology Co.Lyd,We implement ethical management system with real-time online interactive work model among investigators,ethical committee secretariat and ethical reviewers,which is prepared for further system optimization and upgrade.Conclusions The application of ethical review information management system make the ethical management work more reliable,efficient,and also improve the quality of ethical review,which helps a lot in safeguarding the development of medical science.
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The paper introduces the current status of chroic disease management,builds chronic disease management information system of medical association,analyzes the system framework,elaborates system function and effect.The chronic disease managment system of medical association operates in a reasonble and orderly hierarchical medical mode,realizing the effective connention between disease managment and health management.
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Objective@#To analyze the epidemic characteristics of acute occupational poisoning events in order to state the regularity of outbreak and provide scientific evidences of prevention and control measure in China.@*Methods@#According to the report information from the Management Information System of Public Health Emergency, we analyzed acute occupational poisoning events time distribution, regional distribution, toxicant variety, route of exposure and events detection from 2006 to 2016.@*Results@#The total number of acute occupational poisoning events reported in 26 provinces of China from 2006 to 2016 was 337, causing 2 399 people poisoned, and the fatality rate was 18.09%. Majority of them were higher grade events and the top three provinces of acute occupational poisoning events were Shanghai, Anhui, Shandong. Inhalation is the main cause of poisoning. The acute occupational poisoning events for carrying out poison dectection were accounted for 56.68%.@*Conclusion@#Acute occupational poisoning events in China is reducing year by year, But fatality rate is not decrease. So the country should increase the supervision and management of safety in production, strengthen the safety education of employees and coordination mechanism among different departments.
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Background: Effective monitoring and supervision of health care programs depend on complete, accurate, and timely flow of data. Mother and Child Tracking System (MCTS) is a centralized information technology (IT)-based application launched in 2009 for improving the delivery of maternal and child health care services through name-based tracking. There is minimal evidence in the literature evaluating the operational aspects of such a name-based tracking system even after 5 years of its implementation. Objective: The present study was thus conducted to understand the opportunities and challenges in the operationalization of MCTS strategy in a district in Haryana and to understand the stakeholder's perspectives. Materials and Methods: Performance of Routine Information System Management (PRISM) framework was used. This cross-sectional study was conducted in Shahzadpur block of Ambala district, Haryana, India involving in-depth interviews of health care providers and clients in 12 subcenters (SCs) and two primary health centers (PHCs). Results: Lack of appropriate training, overburdened data entry operator (DEO) and auxiliary nurse midwife (ANM), poor Internet connectivity, slow server speed, and frequent power failures were revealed as major limitations for the effective implementation of MCTS. Nearly 18% of the clients reported receiving short message service (SMS) and only 6% could understand the SMS. Conclusion: MCTS has led to accountability and improved supervision of health workers, apart from empowering the community.
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The paper analyzes problems existed in health certificate issuing management among employees in the service industries in Xi'an and points out the necessity of using informatization means to assist health certificate data management.It proposes the scheme of u-sing the management system based on two-dimensional code technology to manage health certificate information and makes detailed de-scription of design and realization of the system.
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OBJECTIVES: In this research, the hospital information system of Gachon University Gil hospital is introduced and a future strategy for hospital information systems is proposed. METHODS: This research introduces the development conditions of hospital information system at Gachon University Gil hospital, information about the development of the enterprise resource planning (ERP), a medical service process improvement system, and the personal health record (PHR) system. RESULTS: The medical service process and work efficiency were improved through the medical service process improvement system, which is the most common hospital information system at Gachon University Gil hospital and which includes an emergency medical service system, an online evaluation system and a round support system. CONCLUSIONS: Gachon University Gil hospital developed medical service improvement systems to increase work efficiency of medical team and optimized the systems to prove the availability of high-quality medical services for patients and their families. The PHR-based personalized health care solution is under development and will provide higher quality medical service for more patients in the future.
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Humans , Delivery of Health Care , Electronic Health Records , Emergency Medical Services , Health Records, Personal , Hospital Information Systems , Information Systems , Management Information Systems , Quality of Health CareABSTRACT
For systematic scientific management,based on information and,it is the trend to develop a information system that is based on internet technology and dynamic management concept.The system is project-centered,integrating the procedures of application,review,approval,mid-term review,summarization,and assessment.According to the preliminary operation of the system,it is proved effective with anthropic factors much lowered,and the coherence and continuity of the projects and ther reproducibility of data are much guaranteed.
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OBJECTIVES: Adoption of hospital information systems offers distinctive advantages in healthcare delivery. First, implementation of consolidated hospital information system in Seoul National University Hospital led to significant improvements in quality of healthcare and efficiency of hospital management. METHODS: The hospital information system in Seoul National University Hospital consists of component applications: clinical information systems, clinical research support systems, administrative information systems, management information systems, education support systems, and referral systems that operate to generate utmost performance when delivering healthcare services. RESULTS: Clinical information systems, which consist of such applications as electronic medical records, picture archiving and communication systems, primarily support clinical activities. Clinical research support system provides valuable resources supporting various aspects of clinical activities, ranging from management of clinical laboratory tests to establishing care-giving procedures. CONCLUSIONS: Seoul National University Hospital strives to move its hospital information system to a whole new level, which enables customized healthcare service and fulfills individual requirements. The current information strategy is being formulated as an initial step of development, promoting the establishment of next-generation hospital information system.
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Adoption , Confidentiality , Delivery of Health Care , Electronic Health Records , Hospital Information Systems , Information Systems , Management Information Systems , Quality of Health Care , Radiology Information Systems , Referral and ConsultationABSTRACT
This study developed a management information system for rural basic publication health. The system, which is convenient for management of public health information and can improve the efficiency, is suitable for management of rural basic public health at various health administration sections.
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To adapt the modern management of hospital and office automation based on network and overcome the deficiency of the traditional equipment management,a hospital equipment management information system introducing the method of all flow management of equipment based on network was designed and developed.It comprises applying system of equipment management and network contest quoting of equipment based on structure of browser and server,and management of equipment property based on structure of client and server.It firstly realized the OA based on network and had a distinct effect during more than one year application.It also provided the client with a high-quality and satisfaction server of equipment management.It can improve the administration on applying and purchasing of equipment,and perfect the equipment property criterion management.
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OBJECTIVE: The purpose of this study was to evaluate the effectiveness of a web-based intervention program for depressive symptoms management among Korean adults. METHODS: After the first author developed a user-centered design website intended to manage the depressive symptoms of the general public, two hundred and seventy two participants were screened and randomly assigned into experimental and control groups. These subjects underwent a 12-week nonequivalent pretest and post.test evaluation program to determine changes in their depression scores, which were measured using the Korean Depression Scale. Subjects' unique IP addresses were used for monitoring their access periods on the website. RESULTS: There were no significant differences in the baseline and outcome characteristics of both experimental and control groups. Moreover, findings revealed that the total depression score of the experimental group (who accessed the developed web-site three times a week with at least an hour per session) showed to have decreased immensely with a mean of 5.57. On the contrary, only a 0.09 point difference resulted between the pre and post tests of the control group (who accessed other depression management websites generally available). CONCLUSIONS: Web-based interventions could be an effective and inexpensive means of managing depressive symptoms of Koreans. Findings from this effectiveness study of an internet-based program could also be used by a variety of audiences including government agencies, educators, and health care professionals concerned with mental health promotion and prevention.
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Adult , Humans , Delivery of Health Care , Depression , Government Agencies , Information Systems , Internet , Management Information Systems , Mental HealthABSTRACT
OBJECTIVE: Using the integrated database in hospital information systems, this study tried to analyze inpatient hospital fees for stroke patients and evaluate the impact of patients' demographic and clinical characteristics on the fees. METHODS: Inpatient charge data from patient management information system were merged to each patient's clinical data from electronic medical record. Demographic, clinical, health service utilization, and hospital fee data of 540 stroke patients were collected in the years 2000 and 2001. Inpatient charges were compared according to patient characteristics; in addition, the impact of those characteristics on hospital charges was analyzed using a multiple regression model. RESULTS: The average length of stay (LOS) was 19.6 days and the total inpatient charge was USD 4 418. Inpatient charges were significantly higher in patients with previous stroke history, diabetes, hemorrhagic type, and severity, respectively. Simultaneously, LOS, ICU use, surgical operations, stroke type, hopeless discharge, lesion location, echocardiography and hypertension were significant factors influencing patient hospital charges (R(2)=0.847). LOS was the most significant factor explaining 81% of variance accounted for the charges. The strategies of reducing LOS need to be developed. CONCLUSION: Hospital information systems and their databases play an important role in a broad spectrum of research in clinical medicine, and can be useful to support retrospective studies and prospective clinical trials. Active utilization of the integrated database in hospital information systems is suggested for knowledge extraction.
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Humans , Clinical Medicine , Echocardiography , Electronic Health Records , Fees and Charges , Health Services , Hospital Charges , Hospital Information Systems , Hypertension , Inpatients , Length of Stay , Management Information Systems , StrokeABSTRACT
Objective To design and develop a Network Management Information System (NMIS) for military medical service and training in military academies and combat troops. Methods In order to perform network management and application of Web system in management of training equipment,materials,teaching textbooks,training budget and training assessment,optimum design of the system was achieved using Visual Studio. Net 2005,C# Language and SQL Server 2005 data base,combined with component and AKAX technologies. Results The system turned out to be effective in the detailed management and process control of equipment,materials and budget in military medical service training. Conclusion The system can effectively change the management modules in military medical service training and logistics support and it has achieved the goal of scientific,standardized and computerized management,thus providing an effective system for the modernization of management of the military medical service training.
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The basic principles and methods of information classification and encoding, as well as the present situation of classification of medical consumable materials, are introduced. By adopting multi-stage classification and encoding structure to information of medical consumable materials, the classification and encoding become more scientific, flexible and practical, which avails the informational management of medical consumable materials.
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This work was done to study employees' recognition about various factors to influence the operation efficiency of materialmanagement-information-system(MMIS). The results were as follows : First, it was investigated in a technical point of view that factors to influence tangible effectiveness include the improvement of data and information quality, efficiency of inventory management and formality of the reschedule management system. In a point of management view, the role of a top manager was the most important factor. Secondly, various factors such as simplicity of the management system, the resistance of change, and the encouragement of user's participation were estimated to influence intangible effectiveness in a organization view. Consequently, it was shown in the present study that the improvement of the operation efficiency of the MMIS requires the development of a model which can interconnect various information systems effectively.