A Al-Rubeaan,Khalid A %A Youssef,A卡塔尔世界杯8强波胆分析mira M %A Subhani,Shazia N %A Ahmad,Najlaa A %A Al-Sharqawi,Ahmad H %A Ibrahim,Heba M %+糖尿病研究战略中心,沙特国王大学,邮编18397,利雅得,11415,沙特阿拉伯,966 11 282 5402,krubean@ksu.edu.sa %K糖尿病%K注册%K地理信息系统%K医疗记录系统,计算机化%K健康规划%K研究报告%K数据库,事实%K流行病学%D 2013 %7 11.09.2013 %9观点%J J医学互联网Res %G英文%X背景:在世界范围内,电子健康是一项快速发展的技术。它以更低的成本和更高的可获得性提供优质的保健服务。糖尿病在沙特阿拉伯已达到流行阶段,并在全国范围内产生了医疗和经济影响。为了更好地理解和计划预防和管理这一医疗问题,非常需要数据。目的:沙特国家糖尿病登记处(SNDR)是一个由临床、研究和管理数据支持的电子医疗文件。它是初级和二级预防方案的医疗、社会和文化基础的监测工具。直接或间接成本形式的经济影响是登记处范围的一部分。该登记处的地理信息系统(GIS)为糖尿病和相关疾病绘制了各种地图。除了沙特王国卫生设施的可用性和分布情况外,地理信息系统数据还为卫生规划人员提供必要的信息,以作出明智的决定。 The electronic data bank serves as a research tool to help researchers for both prospective and retrospective studies. Methods: A Web-based interactive GIS system was designed to serve as an electronic medical file for diabetic patients retrieving data from medical files by trained registrars. Data was audited and cleaned before it was archived in the electronic filing system. It was then used to produce epidemiologic, economic, and geographic reports. A total of 84,942 patients were registered from 2000 to 2012, growing by 10% annually. Results: The SNDR reporting system for epidemiology data gives better understanding of the disease pattern, types, and gender characteristics. Part of the reporting system is to assess quality of health care using different parameters, such as HbA1c, that gives an impression of good diabetes control for each institute. Economic reports give accurate cost estimation of different services given to diabetic patients, such as the annual insulin cost per patient for type 1, type 2, and gestational diabetes, which are 1155 SR (US $308), 1406 SR (US $375), and 1002 SR (US $267), respectively. Of this, 72.02% of the total insulin cost is spent on type 2 patients and 55.39% is in the form of premixed insulin. The SNDR can provide an accurate assessment of the services provided for research purposes. For example, only 27.00% of registered patients had an ophthalmic examination and only 71.10% of patients with proliferative retinopathy had laser therapy. Conclusions: The SNDR is an effective electronic medical file that can provide epidemiologic, economic, and geographic reports that can be used for disease management and health care planning. It is a useful tool for research and disease health care quality monitoring. %M 24025198 %R 10.2196/jmir.2722 %U //www.mybigtv.com/2013/9/e202/ %U https://doi.org/10.2196/jmir.2722 %U http://www.ncbi.nlm.nih.gov/pubmed/24025198
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