Harmonizing health information systems with information systems in other social and economic sectors.

Harmonizing health information systems with information systems in other social and economic sectors.
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协调卫生信息系统与其他社会和经济部门的信息系统。

DOI:
10.1590/s0042-96862005000800012
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发表时间:
2005
影响因子:
11.1
通讯作者:
S. Macfarlane
S. Macfarlane
中科院分区:
医学2区
文献类型:
--
作者:
S. Macfarlane

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加强中低收入国家卫生信息系统的努力应包括与其他社会和经济部门的系统建立联系。各国政府正在寻求全面的社会经济数据,以便在此基础上执行减贫战略和监测千年发展目标的实现情况。卫生部门正在寻求就决定健康结果的社会因素采取行动。但是,在收集、报告、储存和分析社会经济数据方面,各部门之间存在重复和不一致的情况。国家统计局对经济统计数据的收集和分析比对社会统计数据的收集和分析更为重视。非洲委员会的报告估计,每年还需要6 000万美元来改善非洲的统计数据收集和分析系统。一些捐助者认识到,国际上对指标的大量要求削弱了这些系统,并承诺支持加强统计系统以及卫生和教育等部门信息系统的国家倡议。许多国家政府正在努力协调信息系统,以监测和评价减贫战略。因此,卫生部门有机会与其他部门合作,利用国际资源合理界定和衡量若干部门的共同指标;精简住户调查的内容、频率和时间安排;统一储存社会经济数据的国家和国家以下各级数据库。如果不长期致力于改进培训,为在卫生和其他部门工作的统计人员和信息技术人员建立职业结构,信息和统计系统的改进就无法持续。
Efforts to strengthen health information systems in low- and middle-income countries should include forging links with systems in other social and economic sectors. Governments are seeking comprehensive socioeconomic data on the basis of which to implement strategies for poverty reduction and to monitor achievement of the Millennium Development Goals. The health sector is looking to take action on the social factors that determine health outcomes. But there are duplications and inconsistencies between sectors in the collection, reporting, storage and analysis of socioeconomic data. National offices of statistics give higher priority to collection and analysis of economic than to social statistics. The Report of the Commission for Africa has estimated that an additional US$ 60 million a year is needed to improve systems to collect and analyse statistics in Africa. Some donors recognize that such systems have been weakened by numerous international demands for indicators, and have pledged support for national initiatives to strengthen statistical systems, as well as sectoral information systems such as those in health and education. Many governments are working to coordinate information systems to monitor and evaluate poverty reduction strategies. There is therefore an opportunity for the health sector to collaborate with other sectors to lever international resources to rationalize definition and measurement of indicators common to several sectors; streamline the content, frequency and timing of household surveys; and harmonize national and subnational databases that store socioeconomic data. Without long-term commitment to improve training and build career structures for statisticians and information technicians working in the health and other sectors, improvements in information and statistical systems cannot be sustained.
DOI: 10.1590/s0042-96862005000300009
发表时间: 2005-03
影响因子: 11.1
作者:
C. Mathers;Doris Ma Fat;Mie Inoue;C. Rao;Alan D. Lopez
通讯作者: C. Mathers;Doris Ma Fat;Mie Inoue;C. Rao;Alan D. Lopez