Refining the Performance of Routine Information System Management (PRISM) framework for data use at the local level: An integrative review.

Refining the Performance of Routine Information System Management (PRISM) framework for data use at the local level: An integrative review.
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DOI:
10.1371/journal.pone.0287635
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发表时间:
2023
期刊:
影响因子:
3.7
通讯作者:
--
中科院分区:
综合性期刊3区
文献类型:
--
作者:

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一个运作良好的卫生系统的基础是一个强大的例行卫生信息系统,为卫生系统各级的决定和行动提供信息。在低收入和中等收入国家权力下放的背景下,RHIS有望支持国家以下一级的卫生工作人员采取数据知情行动,以改善卫生系统的绩效。然而,在文献中如何定义和衡量“RHIS数据使用”存在很大差异,阻碍了有效促进RHIS数据使用的干预措施的开发和评价。综合审查方法用于:(1)综合关于如何概念化和衡量中低收入国家RHIS数据使用的文献状况;(2)提出一个完善的RHIS数据使用框架,并为RHIS数据使用制定一个共同定义;(3)提出衡量RHIS数据使用的改进方法。检索了四个电子数据库,以查找2009年至2021年期间发表的研究RHIS数据使用的同行评审文章。共有45篇文章,包括24篇测量RHIS数据使用的文章,符合纳入标准。不到一半的纳入文献(42%)明确定义了RHIS数据的使用。RHIS数据任务(如数据分析)是否先于RHIS数据使用或是否是RHIS数据使用的一部分,在文献中存在差异;广泛的共识是,数据知情的决策和行动是RHIS数据使用过程中的重要步骤。在此基础上,改进了常规信息系统管理(PRISM)框架,以指定RHIS数据使用过程的步骤。将RHIS数据使用概念化为一个包括数据知情行动的过程,强调了行动在改善卫生系统绩效方面的重要性。未来的研究和实施策略的设计应考虑到RHIS数据使用过程中每个步骤的不同支持需求。
Foundational to a well-functioning health system is a strong routine health information system (RHIS) that informs decisions and actions at all levels of the health system. In the context of decentralization across low- and middle-income countries, RHIS has the promise of supporting sub-national health staff to take data-informed actions to improve health system performance. However, there is wide variation in how “RHIS data use” is defined and measured in the literature, impeding the development and evaluation of interventions that effectively promote RHIS data use. An integrative review methodology was used to: (1) synthesize the state of the literature on how RHIS data use in low- and middle-income countries is conceptualized and measured; (2) propose a refined RHIS data use framework and develop a common definition for RHIS data use; and (3) propose improved approaches to measure RHIS data use. Four electronic databases were searched for peer-reviewed articles published between 2009 and 2021 investigating RHIS data use. A total of 45 articles, including 24 articles measuring RHIS data use, met the inclusion criteria. Less than half of included articles (42%) explicitly defined RHIS data use. There were differences across the literature whether RHIS data tasks such as data analysis preceded or were a part of RHIS data use; there was broad consensus that data-informed decisions and actions were essential steps within the RHIS data use process. Based on the synthesis, the Performance of Routine Information System Management (PRISM) framework was refined to specify the steps of the RHIS data use process. Conceptualizing RHIS data use as a process that includes data-informed actions emphasizes the importance of actions in improving health system performance. Future studies and implementation strategies should be designed with consideration for the different support needs for each step of the RHIS data use process.
DOI: 10.2471/blt.11.99580
发表时间: 2012-05-01
期刊: Bulletin of the World Health Organization: International Journal of Public Health
影响因子: --
作者:
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