PDF(Pubmed)
Abstract：
BACKGROUND: Early childhood caries (ECC) is a major global health issue affecting millions of children. Mitigating this problem requires up-to-date information from reliable surveillance systems. This enables evidence-based decision-making to devise oral health policies. The World Health Organization (WHO) advocates the adoption of mobile technologies in oral disease surveillance because of their efficiency and ease of application. The study describes developing an electronic, oral health surveillance system (EOHSS) for preschoolers in Egypt, using the District Health Information System (DHIS2) open-source platform along with its Android App, and assesses its feasibility in data acquisition.
METHODS: The DHIS2 Server was configured for the DHIS2 Tracker Android Capture App to allow individual-level data entry. The EOHSS indicators were selected in line with the WHO Action Plan 2030. Two modalities for the EOHSS were developed based on clinical data capture: face-to-face and tele/asynchronous. Eight dentists in the pilot team collected 214 events using modality-specific electronic devices. The pilot\'s team\'s feedback was obtained regarding the EOHSS\'s feasibility in collecting data, and a time-motion study was conducted to assess workflow over two weeks. Independent t-test and Statistical Process Control techniques were used for data analysis.
RESULTS: The pilot team reported positive feedback on the structure of the EOHSS. Workflow adaptations were made to prioritize surveillance tasks by collecting data from caregivers before acquiring clinical data from children to improve work efficiency. A shorter data capture time was required during face-to-face modality (4.2 ± 0.7 min) compared to telemodality (5.1 ± 0.9 min), p < 0.001). The acquisition of clinical data accounted for 16.9% and 21.1% of the time needed for both modalities, respectively. The time required by the face-to-face modality showed random variation, and the tele-modality tasks showed a reduced time trend to perform tasks.
CONCLUSIONS: The DHIS2 provides a feasible solution for developing electronic, oral health surveillance systems. The one-minute difference in data capture time in telemodality compared to face-to-face indicates that despite being slightly more time-consuming, telemodality still shows promise for remote oral health assessments that is particularly valuable in areas with limited access to dental professionals, potentially expanding the reach of oral health screening programs.
METHODS: The DHIS2 Server was configured for the DHIS2 Tracker Android Capture App to allow individual-level data entry. The EOHSS indicators were selected in line with the WHO Action Plan 2030. Two modalities for the EOHSS were developed based on clinical data capture: face-to-face and tele/asynchronous. Eight dentists in the pilot team collected 214 events using modality-specific electronic devices. The pilot\'s team\'s feedback was obtained regarding the EOHSS\'s feasibility in collecting data, and a time-motion study was conducted to assess workflow over two weeks. Independent t-test and Statistical Process Control techniques were used for data analysis.
RESULTS: The pilot team reported positive feedback on the structure of the EOHSS. Workflow adaptations were made to prioritize surveillance tasks by collecting data from caregivers before acquiring clinical data from children to improve work efficiency. A shorter data capture time was required during face-to-face modality (4.2 ± 0.7 min) compared to telemodality (5.1 ± 0.9 min), p < 0.001). The acquisition of clinical data accounted for 16.9% and 21.1% of the time needed for both modalities, respectively. The time required by the face-to-face modality showed random variation, and the tele-modality tasks showed a reduced time trend to perform tasks.
CONCLUSIONS: The DHIS2 provides a feasible solution for developing electronic, oral health surveillance systems. The one-minute difference in data capture time in telemodality compared to face-to-face indicates that despite being slightly more time-consuming, telemodality still shows promise for remote oral health assessments that is particularly valuable in areas with limited access to dental professionals, potentially expanding the reach of oral health screening programs.
摘要：
背景：幼儿龋齿（ECC）是影响数百万儿童的重大全球健康问题。缓解这一问题需要来自可靠的监视系统的最新信息。这使基于证据的决策能够制定口腔健康政策。世界卫生组织（WHO）提倡在口腔疾病监测中采用移动技术，因为它们的效率和易于应用。该研究描述了开发一种电子，埃及学龄前儿童口腔健康监测系统（EOHSS），使用地区卫生信息系统(DHIS2)开源平台及其Android应用程序，并评估其在数据采集中的可行性。
方法：为DHIS2TrackerAndroidCapture应用程序配置了DHIS2服务器，以允许个人级别的数据输入。根据世卫组织2030年行动计划选择了EOHSS指标。基于临床数据捕获开发了两种用于EOHSS的模式:面对面和远程/异步。试点团队中的八名牙医使用特定于模态的电子设备收集了214个事件。飞行员团队的反馈是关于EOHSS在收集数据方面的可行性，我们进行了时间-运动研究,以评估两周内的工作流程.采用独立t检验和统计过程控制技术进行数据分析。
结果：试验小组报告了对EOHSS结构的积极反馈。在从儿童获取临床数据之前，通过收集护理人员的数据来调整工作流程以确定监测任务的优先级，以提高工作效率。与远程模拟（5.1±0.9分钟）相比，面对面模式（4.2±0.7分钟）需要更短的数据捕获时间。p<0.001)。临床数据的采集占两种模式所需时间的16.9%和21.1%，分别。面对面模态所需的时间表现出随机变化，远程模态任务显示出执行任务的时间减少的趋势。
结论：DHIS2为开发电子，口腔健康监测系统。与面对面相比，远程数据的数据捕获时间相差一分钟，这表明尽管耗时略多，远程医疗仍然显示出远程口腔健康评估的希望，这在牙科专业人员有限的地区特别有价值。有可能扩大口腔健康筛查计划的范围。
方法：为DHIS2TrackerAndroidCapture应用程序配置了DHIS2服务器，以允许个人级别的数据输入。根据世卫组织2030年行动计划选择了EOHSS指标。基于临床数据捕获开发了两种用于EOHSS的模式:面对面和远程/异步。试点团队中的八名牙医使用特定于模态的电子设备收集了214个事件。飞行员团队的反馈是关于EOHSS在收集数据方面的可行性，我们进行了时间-运动研究,以评估两周内的工作流程.采用独立t检验和统计过程控制技术进行数据分析。
结果：试验小组报告了对EOHSS结构的积极反馈。在从儿童获取临床数据之前，通过收集护理人员的数据来调整工作流程以确定监测任务的优先级，以提高工作效率。与远程模拟（5.1±0.9分钟）相比，面对面模式（4.2±0.7分钟）需要更短的数据捕获时间。p<0.001)。临床数据的采集占两种模式所需时间的16.9%和21.1%，分别。面对面模态所需的时间表现出随机变化，远程模态任务显示出执行任务的时间减少的趋势。
结论：DHIS2为开发电子，口腔健康监测系统。与面对面相比，远程数据的数据捕获时间相差一分钟，这表明尽管耗时略多，远程医疗仍然显示出远程口腔健康评估的希望，这在牙科专业人员有限的地区特别有价值。有可能扩大口腔健康筛查计划的范围。
