Challenges in the use of the mental health information system in a resource-limited setting: lessons from Ghana.
Challenges in the use of the mental health information system in a resource-limited setting: lessons from Ghana.
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DOI：
10.1186/s12913-018-2887-2
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发表时间：
2018-02-08
影响因子：
2.8
通讯作者：
Ofori-Atta AL
中科院分区：
文献类型：
--
作者：
Kpobi L;Swartz L;Ofori-Atta AL
最成功的记录保存和数据收集模式之一是使用健康管理信息系统，将患者信息和管理计划统一输入数据库，以简化信息并便于进一步的患者管理。在精神卫生保健方面，精神卫生信息系统(MHIS)被认为是最成功的，因为适当建立和运作的MHIS有助于发展公平和适当的精神卫生保健系统。直到2010年，加纳阿克拉精神病院保存患者记录和信息的系统都是陈旧过时的。鉴于这一因素和其他因素，2010年对加纳三家精神病院的精神健康信息系统进行了彻底改革。实施四年后，我们探索了新系统的用户体验，并在此报告了使用新MHIS时发现的挑战。对阿克拉精神病院的9名临床和管理人员进行了个人半结构化访谈，以检查他们使用新MHIS的经验。这项研究的参与者分为三类：临床工作人员、管理人员和病历办事员。采用解释性现象学方法，探讨了参与者对该系统及其使用的了解，以及他们在使用该系统时所遇到的挑战。这些数据表明，最佳利用目前的管理信息系统在若干领域面临重大的执行挑战。用户报告的主要挑战包括工作量增加、工作人员参与和培训不足以及缺乏维持系统运行的后勤支持。建立一个新的系统并不能保证它的成功。尽管拥有一个心理健康信息系统很重要，但它的有用性在很大程度上取决于适当的实施和维护。此外，只有当精神卫生在地区、区域和国家卫生话语中的地位得到改善时，该系统才能促进政策转型。
One of the most successful modes of record-keeping and data collection is the use of health management information systems, where patient information and management plans are uniformly entered into a database to streamline the information and for ease of further patient management. For mental healthcare, a Mental Health Information System (MHIS) has been found most successful since a properly established and operational MHIS is helpful for developing equitable and appropriate mental health care systems. Until 2010, the system of keeping patient records and information in the Accra Psychiatric Hospital of Ghana was old and outdated. In light of this and other factors, a complete reforming of the mental health information systems in three psychiatric hospitals in Ghana was undertaken in 2010. Four years after its implementation, we explored user experiences with the new system, and report here the challenges that were identified with use of the new MHIS. Individual semi-structured interviews were conducted with nine clinical and administrative staff of the Accra Psychiatric Hospital to examine their experiences with the new MHIS. Participants in the study were in three categories: clinical staff, administrator, and records clerk. Participants’ knowledge of the system and its use, as well as the challenges they had experienced in its use were explored using an interpretative phenomenological approach. The data suggest that optimal use of the current MHIS had faced significant implementation challenges in a number of areas. Central challenges reported by users included increased workload, poor staff involvement and training, and absence of logistic support to keep the system running. Setting up a new system does not guarantee its success. As important as it is to have a mental health information system, its usefulness is largely dependent on proper implementation and maintenance. Further, the system can facilitate policy transformation only when the place of mental health in district, regional and national health discourse improves.
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影响因子：
3.6
作者：
Upadhaya N;Jordans MJD;Abdulmalik J;Ahuja S;Alem A;Hanlon C;Kigozi F;Kizza D;Lund C;Semrau M;Shidhaye R;Thornicroft G;Komproe IH;Gureje O
通讯作者：
Gureje O
DOI：
10.1089/dis.2007.104706
发表时间：
2007-08-01
期刊：
DISEASE MANAGEMENT
影响因子：
--
作者：
Follen, Marilyn;Castaneda, Rachel;Higuchi, Keiko
通讯作者：
Higuchi, Keiko
影响因子：
1.4
作者：
Roth, Carol P.;Lim, Yee-Wei;McGlynn, Elizabeth A.
通讯作者：
McGlynn, Elizabeth A.
影响因子：
3.2
作者：
Gladwin, J;Dixon, RA;Wilson, TD
通讯作者：
Wilson, TD
影响因子：
3.7
作者：
Hanlon C;Luitel NP;Kathree T;Murhar V;Shrivasta S;Medhin G;Ssebunnya J;Fekadu A;Shidhaye R;Petersen I;Jordans M;Kigozi F;Thornicroft G;Patel V;Tomlinson M;Lund C;Breuer E;De Silva M;Prince M
通讯作者：
Prince M