Int J Med Inform - Kenya's health workforce information system: a model of impact on strategic human resources policy, planning and management.

Tópicos

{ health(3367) inform(1360) care(1135) }
{ record(1888) medic(1808) patient(1693) }
{ inform(2794) health(2639) internet(1427) }
{ care(1570) inform(1187) nurs(1089) }
{ data(2317) use(1299) case(1017) }
{ import(1318) role(1303) understand(862) }
{ imag(1057) registr(996) error(939) }
{ data(1714) softwar(1251) tool(1186) }
{ featur(1941) imag(1645) propos(1176) }
{ gene(2352) biolog(1181) express(1162) }
{ chang(1828) time(1643) increas(1301) }
{ search(2224) databas(1162) retriev(909) }
{ research(1085) discuss(1038) issu(1018) }
{ studi(1119) effect(1106) posit(819) }
{ age(1611) year(1155) adult(843) }
{ use(976) code(926) identifi(902) }
{ survey(1388) particip(1329) question(1065) }
{ activ(1452) weight(1219) physic(1104) }
{ system(1976) rule(880) can(841) }
{ network(2748) neural(1063) input(814) }
{ motion(1329) object(1292) video(1091) }
{ problem(2511) optim(1539) algorithm(950) }
{ clinic(1479) use(1117) guidelin(835) }
{ howev(809) still(633) remain(590) }
{ blood(1257) pressur(1144) flow(957) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ model(2656) set(1616) predict(1553) }
{ intervent(3218) particip(2042) group(1664) }
{ can(981) present(881) function(850) }
{ model(3404) distribut(989) bayesian(671) }
{ can(774) often(719) complex(702) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ measur(2081) correl(1212) valu(896) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ imag(2675) segment(2577) method(1081) }
{ patient(2315) diseas(1263) diabet(1191) }
{ take(945) account(800) differ(722) }
{ studi(2440) review(1878) systemat(933) }
{ assess(1506) score(1403) qualiti(1306) }
{ treatment(1704) effect(941) patient(846) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ framework(1458) process(801) describ(734) }
{ error(1145) method(1030) estim(1020) }
{ learn(2355) train(1041) set(1003) }
{ concept(1167) ontolog(924) domain(897) }
{ algorithm(1844) comput(1787) effici(935) }
{ extract(1171) text(1153) clinic(932) }
{ method(1557) propos(1049) approach(1037) }
{ design(1359) user(1324) use(1319) }
{ control(1307) perform(991) simul(935) }
{ model(2220) cell(1177) simul(1124) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ case(1353) use(1143) diagnosi(1136) }
{ data(3963) clinic(1234) research(1004) }
{ studi(1410) differ(1259) use(1210) }
{ risk(3053) factor(974) diseas(938) }
{ perform(999) metric(946) measur(919) }
{ system(1050) medic(1026) inform(1018) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ compound(1573) activ(1297) structur(1058) }
{ perform(1367) use(1326) method(1137) }
{ spatial(1525) area(1432) region(1030) }
{ ehr(2073) health(1662) electron(1139) }
{ state(1844) use(1261) util(961) }
{ research(1218) medic(880) student(794) }
{ patient(2837) hospit(1953) medic(668) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ data(3008) multipl(1320) sourc(1022) }
{ first(2504) two(1366) second(1323) }
{ activ(1138) subject(705) human(624) }
{ time(1939) patient(1703) rate(768) }
{ patient(1821) servic(1111) care(1106) }
{ use(2086) technolog(871) perceiv(783) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ use(1733) differ(960) four(931) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ implement(1333) system(1263) develop(1122) }
{ estim(2440) model(1874) function(577) }
{ decis(3086) make(1611) patient(1517) }
{ process(1125) use(805) approach(778) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

JECTIVE: Countries worldwide are challenged by health worker shortages, skill mix imbalances, and maldistribution. Human resources information systems (HRIS) are used to monitor and address these health workforce issues, but global understanding of such systems is minimal and baseline information regarding their scope and capability is practically non-existent. The Kenya Health Workforce Information System (KHWIS) has been identified as a promising example of a functioning HRIS. The objective of this paper is to document the impact of KHWIS data on human resources policy, planning and management.METHODS: Sources for this study included semi-structured interviews with senior officials at Kenya's Ministry of Medical Services (MOMS), Ministry of Public Health and Sanitation (MOPHS), the Department of Nursing within MOMS, the Nursing Council of Kenya, Kenya Medical Practitioners and Dentists Board, Kenya's Clinical Officers Council, and Kenya Medical Laboratory Technicians and Technologists Board. Additionally, quantitative data were extracted from KHWIS databases to supplement the interviews. Health sector policy documents were retrieved from MOMS and MOPHS websites, and reviewed to assess whether they documented any changes to policy and practice as having been impacted by KHWIS data.RESULTS: Interviews with Kenyan government and regulatory officials cited health workforce data provided by KHWIS influenced policy, regulation, and management. Policy changes include extension of Kenya's age of mandatory civil service retirement from 55 to 60 years. Data retrieved from KHWIS document increased relicensing of professional nurses, midwives, medical practitioners and dentists, and interviewees reported this improved compliance raised professional regulatory body revenues. The review of Government records revealed few references to KHWIS; however, documentation specifically cited the KHWIS as having improved the availability of human resources for health information regarding workforce planning, management, and development.CONCLUSION: KHWIS data have impacted a range of improvements in health worker regulation, human resources management, and workforce policy and planning at Kenya's ministries of health.

Resumo Limpo

jectiv countri worldwid challeng health worker shortag skill mix imbal maldistribut human resourc inform system hris use monitor address health workforc issu global understand system minim baselin inform regard scope capabl practic nonexist kenya health workforc inform system khwis identifi promis exampl function hris object paper document impact khwis data human resourc polici plan managementmethod sourc studi includ semistructur interview senior offici kenya ministri medic servic mom ministri public health sanit moph depart nurs within mom nurs council kenya kenya medic practition dentist board kenya clinic offic council kenya medic laboratori technician technologist board addit quantit data extract khwis databas supplement interview health sector polici document retriev mom moph websit review assess whether document chang polici practic impact khwis dataresult interview kenyan govern regulatori offici cite health workforc data provid khwis influenc polici regul manag polici chang includ extens kenya age mandatori civil servic retir year data retriev khwis document increas relicens profession nurs midwiv medic practition dentist interviewe report improv complianc rais profession regulatori bodi revenu review govern record reveal refer khwis howev document specif cite khwis improv avail human resourc health inform regard workforc plan manag developmentconclus khwis data impact rang improv health worker regul human resourc manag workforc polici plan kenya ministri health

Resumos Similares

J Med Syst - Cloud based emergency health care information service in India. ( 0,760987624773413 )
Inform Health Soc Care - Identifying health facilities outside the enterprise: challenges and strategies for supporting health reform and meaningful use. ( 0,760556267215992 )
AMIA Annu Symp Proc - Emergency medical services: the frontier in health information exchange. ( 0,758209507246482 )
BMC Med Inform Decis Mak - Architecture of a consent management suite and integration into IHE-based Regional Health Information Networks. ( 0,752105806036881 )
J Am Med Inform Assoc - VA OpenNotes: exploring the experiences of early patient adopters with access to clinical notes. ( 0,748752524332595 )
Telemed J E Health - Realist review to inform development of the electronic advance care plan for the personally controlled electronic health record in Australia. ( 0,74172564975596 )
J Am Med Inform Assoc - A personally controlled electronic health record for Australia. ( 0,723599891940923 )
Methods Inf Med - Survey on medical records and EHR in Asia-Pacific region: languages, purposes, IDs and regulations. ( 0,712091716288888 )
Int J Med Inform - Views on health information sharing and privacy from primary care practices using electronic medical records. ( 0,709767101872584 )
J Am Med Inform Assoc - Shifts in the architecture of the Nationwide Health Information Network. ( 0,707285506320018 )
Perspect Health Inf Manag - Health information exchange between jails and their communities: a bridge that is needed under healthcare reform. ( 0,693627006616963 )
Telemed J E Health - Transfer of information from personal health records: a survey of veterans using My HealtheVet. ( 0,6920582228673 )
J Am Med Inform Assoc - Estimating the information gap between emergency department records of community medication compared to on-line access to the community-based pharmacy records. ( 0,692005499818449 )
AMIA Annu Symp Proc - Toward a Virtual Lifetime Electronic Record: the Department of Veterans Affairs experience with the Nationwide Health Information Network. ( 0,685062447823172 )
Int J Med Inform - The electronic locum record for general practitioners: outcome of an evaluation study in the Netherlands. ( 0,684707771435043 )
Appl Clin Inform - Determining primary care physician information needs to inform ambulatory visit note display. ( 0,682206528624804 )
BMC Med Inform Decis Mak - Health communication in primary health care -a case study of ICT development for health promotion. ( 0,677021030030004 )
Int J Med Inform - Supporting medical communication for older patients with a shared touch-screen computer. ( 0,671586001865895 )
J Am Med Inform Assoc - Implementation of an innovative, integrated electronic medical record (EMR) and public health information exchange for HIV/AIDS. ( 0,668047526391189 )
J Am Med Inform Assoc - The future of health IT innovation and informatics: a report from AMIA's 2010 policy meeting. ( 0,666277149862003 )
J. Med. Internet Res. - Evaluating the process of online health information searching: a qualitative approach to exploring consumer perspectives. ( 0,664177964125593 )
Methods Inf Med - The lower saxony bank of health. rationale, principles, services, organization and architectural framework. ( 0,664035935398973 )
J Med Syst - Designing patient-centered personal health records (PHRs): health care professionals' perspective on patient-generated data. ( 0,662649689584974 )
Health Info Libr J - If you cannot beat them, join them! Using Health 2.0 and popular Internet applications to improve information literacy. ( 0,662164306014466 )
J. Med. Internet Res. - A multidimensional view of personal health systems for underserved populations. ( 0,662051595769728 )
J Am Med Inform Assoc - Modeling shared care plans using CONTsys and openEHR to support shared homecare of the elderly. ( 0,661310114559636 )
J Am Med Inform Assoc - Implementing health information exchange for public health reporting: a comparison of decision and risk management of three regional health information organizations in New York state. ( 0,660618127925079 )
J. Med. Internet Res. - Patients who share transparent visit notes with others: characteristics, risks, and benefits. ( 0,658503209416865 )
J. Med. Internet Res. - Home care technology through an ability expectation lens. ( 0,657538679050502 )
J Am Med Inform Assoc - A system dynamics evaluation model: implementation of health information exchange for public health reporting. ( 0,653088901182942 )
J. Med. Internet Res. - Use of an electronic patient portal among the chronically ill: an observational study. ( 0,652384558142776 )
Int J Med Inform - Tablet computers in support of rural and frontier clinical practice. ( 0,650071188984377 )
Int J Health Geogr - Geographical variation of unmet medical needs in Italy: a multivariate logistic regression analysis. ( 0,646849679510341 )
Health Info Libr J - Information behaviour of Canadian pharmaceutical policy makers. ( 0,646029314937022 )
AMIA Annu Symp Proc - The training and support needs of faculty and students using a health information technology system were significant: a case study in a dental school. ( 0,645847746358677 )
Appl Clin Inform - Use of more than one electronic medical record system within a single health care organization. ( 0,645776923836541 )
Int J Med Inform - Employing the FITT framework to explore HIV case managers' perceptions of two electronic clinical data (ECD) summary systems. ( 0,645273199046297 )
J. Med. Internet Res. - Health domains for sale: the need for global health Internet governance. ( 0,644956315739167 )
Perspect Health Inf Manag - Rural veteran access to healthcare services: investigating the role of information and communication technologies in overcoming spatial barriers. ( 0,644754519260073 )
Int J Med Inform - Introducing a nationally shared electronic patient record: case study comparison of Scotland, England, Wales and Northern Ireland. ( 0,644569054552233 )
J Am Med Inform Assoc - Computerized provider documentation: findings and implications of a multisite study of clinicians and administrators. ( 0,644001908140101 )
J Med Syst - Web information retrieval for health professionals. ( 0,643572794222458 )
BMC Med Inform Decis Mak - A comparison of electronic health records at two major Peking University Hospitals in China to United States meaningful use objectives. ( 0,643500347374167 )
J Med Syst - Design and implementation of a telecare information platform. ( 0,643140652584997 )
BMC Med Inform Decis Mak - Implementation of an integrated preoperative care pathway and regional electronic clinical portal for preoperative assessment. ( 0,641274702306874 )
J Am Med Inform Assoc - Challenges to nurses' efforts of retrieving, documenting, and communicating patient care information. ( 0,639320713997813 )
BMC Med Inform Decis Mak - Strengthening district-based health reporting through the district health management information software system: the Ugandan experience. ( 0,638885240025095 )
J. Med. Internet Res. - Online access to doctors' notes: patient concerns about privacy. ( 0,633464112644168 )
J Am Med Inform Assoc - Benchmarking health IT among OECD countries: better data for better policy. ( 0,632094525655656 )
J Am Med Inform Assoc - Impact of a web-based personally controlled health management system on influenza vaccination and health services utilization rates: a randomized controlled trial. ( 0,628671672278093 )
Appl Clin Inform - Health information technology knowledge and skills needed by HIT employers. ( 0,627326398450282 )
Perspect Health Inf Manag - Leader-member exchange relationships in health information management. ( 0,623462193936394 )
Perspect Health Inf Manag - Reasons for deficiencies in health information laws in Iran. ( 0,623125729807396 )
J Telemed Telecare - National telemental health responses to a major bushfire disaster. ( 0,622716442782644 )
J Am Med Inform Assoc - Query Health: standards-based, cross-platform population health surveillance. ( 0,622291988067106 )
J Med Syst - RBAC-Matrix-based EMR right management system to improve HIPAA compliance. ( 0,622250896418253 )
J. Med. Internet Res. - Mobile health (mHealth) approaches and lessons for increased performance and retention of community health workers in low- and middle-income countries: a review. ( 0,621066791767911 )
J Am Med Inform Assoc - Handling anticipated exceptions in clinical care: investigating clinician use of 'exit strategies' in an electronic health records system. ( 0,620556721382113 )
Artif Intell Med - Understanding the nature of information seeking behavior in critical care: implications for the design of health information technology. ( 0,620187768418053 )
J Am Med Inform Assoc - Challenges in ethics, safety, best practices, and oversight regarding HIT vendors, their customers, and patients: a report of an AMIA special task force. ( 0,618211845178368 )
J Am Med Inform Assoc - Use of electronic medical records differs by specialty and office settings. ( 0,618020500884743 )
Health Informatics J - Electronic patient information systems and care pathways: the organisational challenges of implementation and integration. ( 0,617453424327604 )
BMC Med Inform Decis Mak - SciReader enables reading of medical content with instantaneous definitions. ( 0,616442219647037 )
Health Info Libr J - Health information support provided by professional associations in Canada. ( 0,616062856015051 )
J Biomed Inform - Scenario-based design: a method for connecting information system design with public health operations and emergency management. ( 0,61591101471924 )
Int J Med Inform - Physician and patient willingness to pay for electronic cardiovascular disease management. ( 0,614203790916555 )
Int J Med Inform - The perception of medical professionals and medical students on the usefulness of an emergency medical card and a continuity of care report in enhancing continuity of care. ( 0,613093571219316 )
J Am Med Inform Assoc - Lessons from the Canadian national health information technology plan for the United States: opinions of key Canadian experts. ( 0,613012355806175 )
J Am Med Inform Assoc - Sociotechnical challenges to developing technologies for patient access to health information exchange data. ( 0,612975049791226 )
J Med Syst - A novel web-enabled healthcare solution on health vault system. ( 0,609207886620772 )
AMIA Annu Symp Proc - Development and use of a medication history service associated with a health information exchange: architecture and preliminary findings. ( 0,606223893807871 )
Int J Med Inform - Examining the evidence of the impact of health information technology in primary care: an argument for participatory research with health professionals and patients. ( 0,605753738711359 )
AMIA Annu Symp Proc - Clinical decision support for whole genome sequence information leveraging a service-oriented architecture: a prototype. ( 0,604897041275514 )
Healthc (Amst) - Re-designing primary care: Implementation of patient-aligned care teams. ( 0,604033478859995 )
J Biomed Inform - A classification of errors in lay comprehension of medical documents. ( 0,602558393148523 )
J Am Med Inform Assoc - Influenza surveillance using electronic health records in the American Indian and Alaska Native population. ( 0,601442120679565 )
Telemed J E Health - Heart failure patients' perceptions and use of technology to manage disease symptoms. ( 0,60115091911228 )
Int J Med Inform - Description and comparison of documentation of nursing assessment between paper-based and electronic systems in Australian aged care homes. ( 0,601105075520759 )
J. Med. Internet Res. - Patient experiences with full electronic access to health records and clinical notes through the My HealtheVet Personal Health Record Pilot: qualitative study. ( 0,599548543001449 )
BMC Med Inform Decis Mak - A national survey of health service infrastructure and policy impacts on access to computerised CBT in Scotland. ( 0,597908351693339 )
AMIA Annu Symp Proc - Continuity of Care Document (CCD) Enables Delivery of Medication Histories to the Primary Care Clinician. ( 0,597493081164138 )
Appl Clin Inform - Health information exchange and ambulatory quality of care. ( 0,59670505297878 )
Int J Med Inform - The essential role of reconfiguration capabilities in the implementation of HIV-related health information exchanges. ( 0,596334134104046 )
J. Med. Internet Res. - Managing the personal side of health: how patient expertise differs from the expertise of clinicians. ( 0,596177403325032 )
Perspect Health Inf Manag - Innovation in Indian healthcare: using health information technology to achieve health equity for American Indian and Alaska Native populations. ( 0,596072089024746 )
BMC Med Inform Decis Mak - A study of general practitioners' perspectives on electronic medical records systems in NHSScotland. ( 0,595493304479704 )
J. Med. Internet Res. - Open source, open standards, and health care information systems. ( 0,594770245688348 )
J. Med. Internet Res. - Predictors of eHealth usage: insights on the digital divide from the Health Information National Trends Survey 2012. ( 0,594480583291897 )
Health Info Libr J - Analysis of library associated information needs of staff in a specialist palliative and gerontological care centre in Mid-West Ireland. ( 0,593926803032012 )
Telemed J E Health - Soldiers' personal technologies on deployment and at home. ( 0,593901521963266 )
J Med Syst - Integration of footprints information systems in palliative care: the case of Medical Center of Central Georgia. ( 0,592150636300713 )
Int J Med Inform - eHealth usage patterns of European general practitioners: a five-year (2002-2007) comparative study. ( 0,591615009573797 )
Health Informatics J - Clinical Document Architecture integration system to support patient referral and reply letters. ( 0,590617992868717 )
J. Med. Internet Res. - Aligning medication reconciliation and secure messaging: qualitative study of primary care providers' perspectives. ( 0,59052640828509 )
J Biomed Inform - Steps towards a digital health ecosystem. ( 0,589511966664843 )
J Telemed Telecare - An electronic medication reminder, supported by a monitoring service, to improve medication compliance for elderly people living independently. ( 0,589495954557461 )
J. Med. Internet Res. - The impact of social media on medical professionalism: a systematic qualitative review of challenges and opportunities. ( 0,589475343693781 )
AMIA Annu Symp Proc - Lexical concept distribution reflects clinical practice. ( 0,589396343236343 )
BMC Med Inform Decis Mak - Impact of a computerized system for evidence-based diabetes care on completeness of records: a before-after study. ( 0,588262523068225 )
Healthc (Amst) - Doubling down: Lessons learned from building a new electronic health record as part of primary care practice redesign. ( 0,588065113578603 )