基本公共卫生服务项目2型糖尿病患者健康管理数据质量评价指标体系构建

Development of an index system for quality evaluation on data of type 2 diabetes management program covered by Essential Public Health Services in China

目的构建基本公共卫生服务项目2型糖尿病患者健康管理数据质量评价指标体系,为促进2型糖尿病患者健康管理服务提供科学适宜工具。方法通过文献回顾国内外电子健康档案的数据质量评价维度及指标,结合2型糖尿病患者健康管理的工作需要和数据特点,构建具有针对性的数据质量评价指标体系;并利用2012年1月—2017年12月湖南湘潭某区和四川成都某区2型糖尿病患者健康管理项目数据对该指标体系进行应用可行性评价。结果构建的基本公共卫生服务项目2型糖尿病患者健康管理数据质量评价指标体系包含数据的合理性、完整性和一致性3个维度共7个指标,通过实际应用发现该指标体系具有良好的应用可行性;2012年1月—2017年12月湖南湘潭某区和四川成都某区的2型糖尿病患者健康管理数据质量总体上较好,且近年来改善明显,但两地区数据仍存在数据格式不一致、重复录入和数据匹配率低等现实问题。结论本研究构建的基本公共卫生服务项目2型糖尿病患者健康管理数据质量评价指标体系在实际应用中具有良好的适宜性和可操作性,建议将数据质量评价纳入常规工作中以发现患者管理过程中存在的问题。

Objective To construct a quality index system for evaluating the data on type 2 diabetes mellitus(T2DM)management program covered by Essential Public Health Services(EPHS)for promoting T2DM management in China.Methods A targeted data quality evaluation indicator system was constructed based on literature study for international and domestic researches of dimension and indexes in the evaluation on electronic health records and the data characteristics/practical needs in management of T2DM patients.The data on the health management project for T2DM patients in one district of Xiangtan city,Hunan province and one district of Chengdu city,Sichuan province from 2012 through 2017 were used to evaluate application feasibility of the index system developed.Results The constructed data quality evaluation index system contains 7 indicators on three dimensions of data quality:rationality,completeness and consistency.The results of empirical application showed that the constructed indicator system is of reasonable application feasibility.According to the evaluation with the constructed index system,the quality of data for the two regions is generally good and has been improved significantly in recent years,but inconsistent data format,duplicate entry and low data matching rate still exist for the data.Conclusion The constructed index system for evaluating the quality of data on health management of T2DM covered by EPHS is of good suitability and operability in empirical application.The data quality evaluation ought to be integrated into routine work to improve the standardization of patient management.