ODK Scan: Digitizing Data Collection and Impacting Data Management Processes in Pakistan's Tuberculosis Control Program

ODK Scan: Digitizing Data Collection and Impacting Data Management Processes in Pakistan's Tuberculosis Control Program
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DOI:
10.3390/fi8040051
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发表时间:
2016-12-01
期刊:
影响因子:
3.4
通讯作者:
Anderson, Richard
Anderson, Richard
中科院分区:
其他
文献类型:
--
作者:
Ali, Syed Mustafa;Powers, Rachel;Anderson, Richard

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有效的病例管理和及时的后续评估可以改善目前严重的结核病状况。随着数字技术的出现,这可以通过快速总结以患者为中心的数据来实现。我们研究的目的是在三个月的测试期内评估ODK扫描纸到数字系统的有效性。一个连续的,解释性的混合方法的研究方法来阐明技术的使用。向四名现场工作人员提供了培训、智能手机、应用程序和支持3G的西姆斯。开始时,记录数据管理方面的基线测量,并与基线测量进行比较,以确定ODK扫描的影响。此外,在研究结束时,还收集了有关应用程序可用性、用户界面设计和工作流程变更的用户反馈。从服务器上共检索了122份患者记录,并进行了质量分析。ODK Scan对多项选择填空的正确识别率为99.2%,对数字的正确识别率为79.4%。然而,与手工输入的数据相比,数字数据的总体质量有所下降。使用ODK扫描,在数据汇总和数据传输活动中观察到显著的时间减少,但是数据验证和表格填写活动需要更多的时间。访谈显示,现场工作人员看到了使用ODK扫描的价值,但他们更关心使用ODK扫描的耗时方面。因此,得出的结论是,尽量减少对现有工作流程的干扰,不断反馈和增值是实施组织确保采用技术和改进工作流程的重要考虑因素。
The present grievous tuberculosis situation can be improved by efficient case management and timely follow-up evaluations. With the advent of digital technology, this can be achieved through quick summarization of the patient-centric data. The aim of our study was to assess the effectiveness of the ODK Scan paper-to-digital system during a testing period of three months. A sequential, explanatory mixed-method research approach was employed to elucidate technology use. Training, smartphones, the application and 3G-enabled SIMs were provided to the four field workers. At the beginning, baseline measures of the data management aspects were recorded and compared with endline measures to determine the impact of ODK Scan. Additionally, at the end of the study, users' feedback was collected regarding app usability, user interface design and workflow changes. A total of 122 patients' records were retrieved from the server and analysed in terms of quality. It was found that ODK Scan recognized 99.2% of multiple choice fill-in bubble responses and 79.4% of numerical digit responses correctly. However, the overall quality of the digital data was decreased in comparison to manually entered data. Using ODK Scan, a significant time reduction is observed in data aggregation and data transfer activities, but data verification and form-filling activities took more time. Interviews revealed that field workers saw value in using ODK Scan, but they were more concerned about the time-consuming aspects of the use of ODK Scan. Therefore, it is concluded that minimal disturbance in the existing workflow, continuous feedback and value additions are the important considerations for the implementing organization to ensure technology adoption and workflow improvements.