The Nigerian health care system: Need for integrating adequate medical intelligence and surveillance systems
The Nigerian health care system: Need for integrating adequate medical intelligence and surveillance systems
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DOI：
10.4103/0975-7406.90100
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发表时间：
2011-10-01
影响因子：
0.8
通讯作者：
Welcome, Menizibeya Osain
中科院分区：
文献类型：
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作者：
Welcome, Menizibeya Osain
目的：作为国家安全的重要组成部分，公共卫生不仅具有提供充分和及时的医疗服务的功能，而且具有跟踪、监测和控制疾病暴发的功能。尼日利亚的卫生保健年复一年地爆发了几次传染病。因此，有必要解决这个问题。本研究旨在审查尼日利亚卫生保健系统的状况，并为该国日益恶化的卫生保健状况提供可能的建议。为了给尼日利亚卫生保健系统提供最新的建议，本研究还旨在回顾美国、英国和欧洲在医疗情报/监测方法方面的卫生保健动态。材料与方法：以尼日利亚卫生保健、尼日利亚卫生保健体系、尼日利亚初级卫生保健体系为关键词，检索数据库中相关文献。搜索中使用的其他关键词如下：美国（或欧洲）卫生保健动态、医疗情报、医疗情报系统、公共卫生监测系统、尼日利亚医疗情报、尼日利亚监测系统和尼日利亚卫生信息系统。在科学数据库Pubmed和African Journals OnLine中检索文献。互联网搜索是基于谷歌和搜索尼日利亚。结果：医学情报与监测是卫生保健系统的重要组成部分，是控制疾病暴发、生化攻击等的重要手段。在诸如西方和欧洲国家的先进医疗环境中，除了传统的手动文件检索模式之外，基于自动化的医疗情报和监视系统的作用越来越大。结论：尼日利亚的卫生保健系统欠发达。没有发展适当和有效的监测系统。在这个现代时代，要在卫生保健方面取得成功，除了适当的管理和强有力的领导原则外，还需要一个以常规监测和医学情报为基础的系统，作为卫生部门的支柱。
Objectives : As an important element of national security, public health not only functions to provide adequate and timely medical care but also track, monitor, and control disease outbreak. The Nigerian health care had suffered several infectious disease outbreaks year after year. Hence, there is need to tackle the problem. This study aims to review the state of the Nigerian health care system and to provide possible recommendations to the worsening state of health care in the country. To give up-to-date recommendations for the Nigerian health care system, this study also aims at reviewing the dynamics of health care in the United States, Britain, and Europe with regards to methods of medical intelligence/surveillance. Materials and Methods : Databases were searched for relevant literatures using the following keywords: Nigerian health care, Nigerian health care system, and Nigerian primary health care system. Additional keywords used in the search were as follows: United States (OR Europe) health care dynamics, Medical Intelligence, Medical Intelligence systems, Public health surveillance systems, Nigerian medical intelligence, Nigerian surveillance systems, and Nigerian health information system. Literatures were searched in scientific databases Pubmed and African Journals OnLine. Internet searches were based on Google and Search Nigeria. Results : Medical intelligence and surveillance represent a very useful component in the health care system and control diseases outbreak, bioattack, etc. There is increasing role of automated-based medical intelligence and surveillance systems, in addition to the traditional manual pattern of document retrieval in advanced medical setting such as those in western and European countries. Conclusion : The Nigerian health care system is poorly developed. No adequate and functional surveillance systems are developed. To achieve success in health care in this modern era, a system well grounded in routine surveillance and medical intelligence as the backbone of the health sector is necessary, besides adequate management couple with strong leadership principles.