An e-health driven laboratory information system to support HIV treatment in Peru: E-quity for laboratory personnel, health providers and people living with HIV
An e-health driven laboratory information system to support HIV treatment in Peru: E-quity for laboratory personnel, health providers and people living with HIV
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DOI：
10.1186/1472-6947-9-50
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发表时间：
2009-12-10
影响因子：
3.5
通讯作者：
Bayer, Angela M.
中科院分区：
文献类型：
--
作者：
Garcia, Patricia J.;Vargas, Javier H.;Bayer, Angela M.
背景：秘鲁是艾滋病毒流行集中的国家，估计有76，000人感染艾滋病毒（PLHIV）。在2004-2006年期间，扩大了高效抗逆转录病毒疗法的普及范围，卫生部指定秘鲁国家卫生研究所为负责进行检测以监测高效抗逆转录病毒疗法有效性的机构。但是，还没有建立国家公共卫生实验室信息系统。我们描述了一个电子健康驱动的、基于网络的实验室信息系统- NETLAB -的设计和实现，该系统用于将监测HAART的实验室结果传达给实验室工作人员、医疗服务提供者和艾滋病毒感染者。我们对现有的公共卫生实验室系统进行了需求评估，其中包括生成和随后审查实验室检测流程图，更有效地精简程序，改进程序并消除重复。接下来，我们将NETLAB设计为一个模块化系统，集成了关键的安全功能。该系统已实施并进行评估。结果：NETLAB系统的三个主要组成部分（注册、报告和教育）于2007年初开始运行。有记录的CD 4细胞计数和病毒载量的艾滋病毒感染者人数增加了1.5倍，达到18 907人。使用NETLAB发布测试结果平均需要1天，而使用NETLAB之前平均需要60天。在第一年半的时间里，NETLAB接触了2 037名用户，包括944名艾滋病毒感染者和1 093名保健提供者。总体艾滋病毒感染者和保健提供者的百分比谁知道NETLAB和有一个NETLAB密码也大幅增加。结论：NETLAB是一个有效的实验室管理工具，因为它是直接纳入国家实验室系统和精简现有的程序在地方，区域和国家各级。该系统也是卫生服务提供者和艾滋病毒感染者及时获得实验室信息的最佳来源，使患者能够获得自己的结果和其他有关其健康的有用信息，将艾滋病毒治疗的范围扩大到卫生设施之外，并为其他国家提供了一个可供效仿的模式。网络实验室系统现在包括100种对公共卫生有重要意义的疾病，秘鲁国家卫生研究所和公共卫生实验室网络对这些疾病进行检测并提供结果。
Background: Peru has a concentrated HIV epidemic with an estimated 76,000 people living with HIV (PLHIV). Access to highly active antiretroviral therapy (HAART) expanded between 2004-2006 and the Peruvian National Institute of Health was named by the Ministry of Health as the institution responsible for carrying out testing to monitor the effectiveness of HAART. However, a national public health laboratory information system did not exist. We describe the design and implementation of an e-health driven, web-based laboratory information system - NETLAB - to communicate laboratory results for monitoring HAART to laboratory personnel, health providers and PLHIV.Methods: We carried out a needs assessment of the existing public health laboratory system, which included the generation and subsequent review of flowcharts of laboratory testing processes to generate better, more efficient streamlined processes, improving them and eliminating duplications. Next, we designed NETLAB as a modular system, integrating key security functions. The system was implemented and evaluated.Results: The three main components of the NETLAB system, registration, reporting and education, began operating in early 2007. The number of PLHIV with recorded CD4 counts and viral loads increased by 1.5 times, to reach 18,907. Publication of test results with NETLAB took an average of 1 day, compared to a pre-NETLAB average of 60 days. NETLAB reached 2,037 users, including 944 PLHIV and 1,093 health providers, during its first year and a half. The percentage of overall PLHIV and health providers who were aware of NETLAB and had a NETLAB password has also increased substantially.Conclusion: NETLAB is an effective laboratory management tool since it is directly integrated into the national laboratory system and streamlined existing processes at the local, regional and national levels. The system also represents the best possible source of timely laboratory information for health providers and PLHIV, allowing patients to access their own results and other helpful information about their health, extending the scope of HIV treatment beyond the health facility and providing a model for other countries to follow. The NETLAB system now includes 100 diseases of public health importance for which the Peruvian National Institute of Health and the network of public health laboratories provide testing and results.