ULOGA ZDRAVSTVENOG INFORMACIONOG SISTEMA U TRANSFORMACIJI I EFIKASNOSTI ZDRAVSTVENOG SISTEMA ANGOLE: IZAZOVI I MOGUĆNOSTI
Sažetak
Zdravstveni informacioni sistemi (ZIS) su sistemi koji prikupljaju, čuvaju, obrađuju i obezbeđuju informacije o zdravlju korisnika, kao i o upravljanju, organizaciji, strukturi i funkcionisanju zdravstvenog sistema, a u vezi sa donošenjem odluka za dostizanjem zdravstvenih ciljeva zemlje. Ciljevi istraživanja su da se opiše delotvornost zdravstvenog informacionog sistema Angole (ZIS Angola ) - i utvrde izazovi za implementaciju i korišćenje ZIS-a od strane korisnika. U istraživanju, korišćena je bibliografska metoda i analiza dokumenata, koje kombinuju pregled relevantne literature o ulozi ZIS-a u Angoli i preporučene strategije za njegovu transformaciju i efikasnost uz uporednu analizu indikatora. U istorijskom metodu akcenat je bio na razumevanju porekla, razvoja i evolucije ZIS-a. U deduktivno-induktivnoj metodi ispitana je hipoteza o delotvornosti ZIS-a Angole. Za deskriptivnu kvalitativnu i kvantitativnu analizu, korišćeni su SZO standardni indikatori u zdravstvenim informacionim sistemima, kao što su indikatori zdravstvene politike (npr. strateški planovi i implementacija zdravstvenih informacionih sistema), pružanja zdravstvenih usluga (npr. pristup i korišćenje) i performansi zdravstvenog sistema (vreme odziva i kvalitet usluge), kao i indikatori koji opisuju obrazovne (npr. IT obuka za zdravstvene radnike) i finansijske (ulaganja u zdravstvenu zaštitu i u zdravstvene informacione i komunikacione tehnologije) aspekte. Rezultati pokazuju da je ZIS Angola unapređen prelaskom na platformu DHIS2, što je poboljšalo dostupnost podataka i upravljanje zdravstvenim uslugama, ali postoje izazovi kao što su ograničeni resursi, nedostatak infrastrukture, neravnomerna raspodela osoblja i nedovoljna IT obuka. Indikatori pristupa i korišćenja zdravstvenih usluga, vreme odziva i kvalitet usluge ukazuju na skroman napredak, dok finansijska ulaganja ostaju nedovoljna za dalji razvoj sistema.
Zaključak: ZIS Angola ima potencijal za značajno unapređenje upravljanja zdravstvenim sistemom i kvaliteta usluga, ali je neophodno kontinuirano ulaganje u ljudske resurse, infrastrukturu i obuku, kao i ravnomernija distribucija stručnjaka, kako bi se postigla veća delotvornost i poboljšala zdravstvena pokrivenost i efikasnost sektora u Angoli.
Reference
Varandas CAL. Análise integrada dos sistemas de informação em saúde. Covilhã (Portugal): Universidade da Beira Interior, Ciências Sociais e Humanas; 2014.
Vaganova E, Ishchuk T, Zemtsov A, Zhdanov D. Health information systems: background and trends of development worldwide and in Russia. In: Proceedings of the 10th International Joint Conference on Biomedical Engineering Systems and Technologies (BIOSTEC 2017); 2017 Feb; Porto, Portugal. SCITEPRESS; 2017. p. 424-8. doi: 10.5220/0006244504240428.
Sandi AAA. A importância dos sistemas de informação em saúde: estudo de caso na USF CelaSaúde [dissertação]. Coimbra: Universidade de Coimbra; 2015.
Winter A, Ammenwerth E, Haux R, Marschollek M, Steiner B, Jahn F. Health information systems: technological and management perspectives. 3rd ed. Cham (Switzerland): Springer Nature Switzerland AG; 2023.
Muhanga MI, Mapoma CC. An analysis of drivers of health care seeking sources preferences in selected wards in Eastern Tanzania. Lusaka (Zambia): School of Humanities and Social Sciences, The University of Zambia; 2019.
World Health Organization. Framework and standards for country health information systems. 2nd ed. Geneva: WHO; 2008.
World Health Organization. Health information systems: toolkit on monitoring health systems strengthening. Geneva: WHO; 2008.
Ayabakan S, Zheng IB, Kirksey K. The impact of health information sharing on duplicate testing. MIS Q. 2017;41(4):1083-103. doi: 10.25300/MISQ/2017/41.4.04.
Holmes ES, Santos SR, Almeida AF, Oliveira JHD, Carvalho GDA, Fonseca LCT, et al. Health information systems in the decision-making process in primary care. Int Arch Med. 2016;9(2):1-7. doi: 10.3823/1873.
Japan International Cooperation Agency. Data collection survey on the health system in Angola. Tokyo: Japan International Cooperation Agency TA Networking Corporation Samauma Consulting LLC; 2020. Available from: https://openjicareport.jica.go.jp/pdf/1000045911.pdf
Instituto Nacional de Estatística (INE), Ministério da Saúde (Minsa). Inquérito de Indicadores Múltiplos e de Saúde (IIMS) 2015-2016: relatório final. Luanda: INE; 2017. Available from: https://dhsprogram.com/pubs/pdf/fr327/fr327.pdf
Ministério da Saúde de Angola. Plano Estratégico Nacional das Doenças Tropicais Negligenciadas (PEN-DTNs) 2021–2025. Luanda: Ministério da Saúde; 2022.
Instituto Nacional de Estatística de Angola. Anuário de estatísticas de saúde 2021. Luanda: INE; 2021. Available from: https://ine.gov.ao/ArquivosCarregados//Carregados/Publicacao_638375138220811576.pdf
Connor C, Averbug D, Miralles M. Angola health system assessment 2010. Bethesda (MD): Health Systems 20/20, Abt Associates Inc.; 2010. [accessed 2024 October 2]. Available from: https://www.hfgproject.org/wp-content/uploads/2015/02/Angola-Health-System-Assessment-2010.pdf.
United States Agency for International Development Angola. Strengthening Angolan systems for health (SASH): final report, October 1, 2011 to April 30, 2017. Luanda: USAID Angola; 2017.
World Health Organization. Supporting the improvement of the health information system in Angola. Geneva: WHO; 2023. [accessed 2024 September 20]. Available from: https://reliefweb.int/report/angola/supporting-improvement-health-information-system-angola.
World Health Organization. Angola develops health information system strategic plan. WHO Africa; 2024. [accessed 2024 September 23]. Available from: https://www.afro.who.int/countries/angola/news/angola-develops-health-information-system-strategic-plan.
World Health Organization. WHO toolkit for routine health information systems data. Geneva: WHO; 2024.
Caneca AMJ, Chaximbe OCM, Sarreta FO. Sistema de saúde em Angola: contextualização, princípios e desafios. Rev Angol Ciênc. 2021;3(2):350-70. doi: 10.54580/R0302.05.
Abouzahr C, Boerma T. Health information systems: the foundations of public health. Bull World Health Organ. 2005;83(8):578-83.
Sanjuluca THP. Sistema de informação hospitalar: o processo de inovação tecnológica no Hospital Maternidade do Lubango - Angola [dissertação]. Covilhã: Universidade Beira Interior; 2023.
Organização Mundial da Saúde. Saúde para todos: órgão informativo da representação da OMS em Angola – abril 2023 – edição trimestral. Luanda: OMS Angola; 2023. Available from: https://www.afro.who.int/pt/countries/angola/publication/newsletter-orgao-informativo-da-representacao-da-oms-em-angola-abril-2023-edicao-trimestral
UNICEF Angola. Uma análise do Orçamento Geral do Estado: saúde e nutrição. Luanda: UNICEF Angola; 2024.
Queza AJ. Sistema de saúde em Angola: uma proposta à luz da reforma do Serviço Nacional de Saúde de Portugal [dissertação]. Porto: Universidade do Porto; 2010.
Organização Mundial da Saúde. Manual de políticas e estratégias para a qualidade dos cuidados de saúde: uma abordagem prática para formular políticas e estratégias destinadas a melhorar a qualidade dos cuidados de saúde. Genebra: Organização Mundial da Saúde; 2020.
Sanjuluca TH, Correia RC, Almeida AA. Assessing the use of hospital information systems (HIS) to support decision-making: a cross-sectional study in public hospitals in Huila, sanitary region of southern Angola. Covilhã: Universidade da Beira Interior; 2022.
Stansfield SK, Walsh J, Prata N, Evans T. Information to improve decision making for health. In: Jamison DT, Breman JG, Measham AR, Alleyne G, Claeson M, Evans DB, et al., editors. Disease control priorities in developing countries. 2nd ed. Washington (DC): The International Bank for Reconstruction and Development/The World Bank Group; 2006. Chapter 54. Available from: https://www.ncbi.nlm.nih.gov/books/NBK11728/
Schreurs B, Guenter H, Jawahar IM, Schumacher D, Emmerik HV, Notelaers G. Pay-level satisfaction and employee outcomes: the moderating effect of employee-involvement climate. Hum Resour Manage. 2013;52(3):399-421. doi: 10.1002/hrm.21533.
Kennedy S. The healthcare data cycle: generation, collection, and processing. TechTarget; 2023.
Kwok CS, Muntean EA, Mallen CD, Borovac JA. Data collection theory in healthcare research: the minimum dataset in quantitative studies. Clin Pract. 2022;12(6):832-44. doi: 10.3390/clinpract12060088.
Ehrenstein V, Kharrazi H, Lehmann H, Taylor CO. Obtaining data from electronic health records. In: Gliklich RE, Leavy MB, Dreyer NA, editors. Tools and technologies for registry interoperability, registries for evaluating patient outcomes: a user’s guide. 3rd ed, Addendum 2. Rockville (MD): Agency for Healthcare Research and Quality (US); 2019. Available from: https://www.ncbi.nlm.nih.gov/books/NBK551879/
Jolly R. Statisticians of the world unite: the human development challenge awaits. J Hum Dev Capab. 2002;3(2):263-72. doi: 10.1080/14649880220147347.
Epizitone A, Moyane SP, Agbehadji IE. Health information system and health care applications performance in the healthcare arena: a bibliometric analysis. Healthcare. 2022;10(11):2273. doi: 10.3390/healthcare10112273.
Mulvaney T. The importance of data-driven decision making in community health practice. UHC Solutions; 2023.
Mutale W, Chintu N, Amoroso C, Williams KA, Phillips J, Baynes C, et al. Improving health information systems for decision making across five sub-Saharan African countries: implementation strategies from the African Health Initiative. BMC Health Serv Res. 2013;13(Suppl 2):S9. doi: 10.1186/1472-6963-13-S2-S9.
Tilahun B, Teklu A, Mancuso A, Endehabtu BF, Gashu KD, Mekonnen AZ. Using health data for decision-making at each level of the health system to achieve universal health coverage in Ethiopia: the case of an immunization programme in a low-resource setting. Health Res Policy Syst. 2021 Aug 11;19(Suppl 2):48. doi: 10.1186/s12961-021-00694-1.
O'Neill TA, Hancock SE, Zivkov K, Larson NL, Law SJ. Team decision making in virtual and face-to-face environments. Group Decis Negot. 2015;25(5):995-1020. doi: 10.1007/s10726-015-9465-3.
Kihuba E, Gathara D, Mwinga S, Mulaku M, Kosgei R, Mogoa W, et al. Assessing the ability of health information systems in hospitals to support evidence-informed decisions in Kenya. Glob Health Action. 2014 Jul 31;7:24859. doi: 10.3402/gha.v7.24859.
Pahlke J, Strasser S, Vieider FM. Responsibility effects in decision making under risk. J Risk Uncertain. 2015;51(2):125-46. doi: 10.1007/s11166-015-9223-6.
Alduais F, Raoush A, Samara A, Sartawi K. The impact of information sharing on the quality of decision-making: from the point of view of employees in Jordanian private hospitals. Cogent Bus Manag. 2023;10(1). doi: 10.1080/23311975.2023.2195028.
Brook C. What is a health information system? Fortra, Digital Guardian; 2018.
