Introduction: A great number of software are currently used to digitalize the patient records in order to optimize the quality of services offered to patients. The objective of this study was to evaluate the effects o...Introduction: A great number of software are currently used to digitalize the patient records in order to optimize the quality of services offered to patients. The objective of this study was to evaluate the effects of Electronic Health Records use in Burundi’s hospitals, taking into account the COVID-19 pandemic context. Methods: This was a quasi-experimental study based on difference in difference method. Ten district hospitals were included in the study, five of them had the Electronic Health Records and five of which did not yet have the Electronic Health Records. The hospital’s control group were chosen using the propensity score matching method. The period before the project’s implementation was 2014 and the period after were 2019 and 2020. Results: After 5 years of the Electronic Health Record’s implementation, the results showed an increase in outpatient consultation (70%), deliveries (more than 100%), caesarean sections (56%) and major surgeries (43%) indicators. The overall quality score of hospitals’ care had a regressive effect of 37% and the income from performance-based funding had an increase by 31%. The indicators which were affected by the context of the COVID-19 pandemic were especially outpatient consultation, caesarian section, income from performance-based funding decreased by 3%, 5% and 20% respectively. Conclusion: The effects of Electronic Health Records use are effective. As the COVID-19 pandemic impacted the hospital’s indicators negatively, the resilient strategies alongside the potential shocks are recommended.展开更多
目的:设计儿童早期预警评分(Pediatric Early Warning Score,PEWS)电子病历系统信息化平台,形成PEWS评估-提醒-处置流程,并分析其应用效果。方法:依托医院信息化平台,设计PEWS电子病历系统内容与架构。选取符合纳入标准的住院患儿300例...目的:设计儿童早期预警评分(Pediatric Early Warning Score,PEWS)电子病历系统信息化平台,形成PEWS评估-提醒-处置流程,并分析其应用效果。方法:依托医院信息化平台,设计PEWS电子病历系统内容与架构。选取符合纳入标准的住院患儿300例,将患儿随机分配至人工评估组(n=150)和电子病历系统评估组(n=150),比较两组评估耗时和准确率以及护士对两种评估方法的满意度。结果:采用电子病历系统耗时短于人工评估方法[(31.18±3.76)s vs(55.64±5.01)s];电子病历系统评估正确率高于人工评估组(100.0%vs 82.7%);护士使用电子病历系统评估满意度高于使用人工评估(97.8%vs 80.0%)。结论:PEWS电子病历系统评估的应用可提高护士的工作效率、病情评估的准确率以及护士的满意度。展开更多
文摘Introduction: A great number of software are currently used to digitalize the patient records in order to optimize the quality of services offered to patients. The objective of this study was to evaluate the effects of Electronic Health Records use in Burundi’s hospitals, taking into account the COVID-19 pandemic context. Methods: This was a quasi-experimental study based on difference in difference method. Ten district hospitals were included in the study, five of them had the Electronic Health Records and five of which did not yet have the Electronic Health Records. The hospital’s control group were chosen using the propensity score matching method. The period before the project’s implementation was 2014 and the period after were 2019 and 2020. Results: After 5 years of the Electronic Health Record’s implementation, the results showed an increase in outpatient consultation (70%), deliveries (more than 100%), caesarean sections (56%) and major surgeries (43%) indicators. The overall quality score of hospitals’ care had a regressive effect of 37% and the income from performance-based funding had an increase by 31%. The indicators which were affected by the context of the COVID-19 pandemic were especially outpatient consultation, caesarian section, income from performance-based funding decreased by 3%, 5% and 20% respectively. Conclusion: The effects of Electronic Health Records use are effective. As the COVID-19 pandemic impacted the hospital’s indicators negatively, the resilient strategies alongside the potential shocks are recommended.
