背景:随着免疫记录量的增加,出现了碎片记录的问题,特别是因为大多数记录在发展中国家,包括印度尼西亚,保持纸基。实施免疫信息系统(IIS)为解决此问题提供了解决方案。
目的:在本研究中,我们使用设计科学研究(DSR)方法在印度尼西亚设计了一个集成的IIS原型。
方法:本研究遵循的DSR方法的各个阶段包括确定问题,激励和确定解决方案的目标,设计和开发,示范,评估,通信,并得出结论和建议。具体来说,本研究从问题表述和文献综述开始。然后,我们采用定量(对305名公众进行问卷调查)和定性(对包括护士在内的15名卫生工作者进行访谈,助产士,和医生)数据收集方法。
结果:由此产生的高保真原型遵循8条黄金法则。有2个IIS设计,一个是公众作为免疫接种接受者,另一个是卫生工作者。功能包括免疫史,时间表,recommendations,验证,证书,提醒和回忆,覆盖范围,监测,新闻,和不良事件报告。通过访谈和根据系统可用性量表(SUS)和研究后系统可用性问卷(PSSUQ)设计的问卷对原型进行评估。SUS值为72.5或“良好(可接受),“虽然系统有用,信息质量,接口质量,PSSUQ的总价值分别为2.65、2.94、2.48和2.71,这表明它有一个有效的设计。
结论:这为医疗机构提供了指南,卫生监管机构,和健康应用程序开发人员了解如何在印度尼西亚实现集成IIS。
BACKGROUND: As the volume of immunization records increases, problems with fragmented records arise, especially since the majority of records in developing countries, including Indonesia, remain paper based. Implementing an immunization information system (IIS) offers a solution to this problem.
OBJECTIVE: In this study, we designed an integrated IIS prototype in Indonesia using the design science research (DSR) methodology.
METHODS: The stages of the DSR methodology followed in this study included identifying problems and motivating and defining objectives for a solution, design and development, demonstration, evaluation, communication, and drawing conclusions and suggestions. Specifically, this study began with problem formulation and a literature review. We then applied quantitative (questionnaire with 305 members of the public) and qualitative (interviews with 15 health workers including nurses, midwives, and doctors) data collection approaches.
RESULTS: The resulting high-fidelity prototype follows the 8 golden rules. There are 2 IIS designs, one for the public as immunization recipients and another for health workers. The functionalities include immunization history, schedule, recommendations, verification, certificates, reminders and recalls, coverage, monitoring, news, and reports of adverse events. Evaluation of the prototype was carried out through interviews and a questionnaire designed according to the System Usability Scale (SUS) and Post-Study System Usability Questionnaire (PSSUQ). The SUS value was 72.5 or \"Good (Acceptable),\" while the system usefulness, information quality, interface quality, and overall value on the PSSUQ were 2.65, 2.94, 2.48, and 2.71, respectively, which indicate it has an effective design.
CONCLUSIONS: This provides a guide for health facilities, health regulators, and health application developers on how to implement an integrated IIS in Indonesia.