ABSTRACT
While mobile clinic services have been tremendously helpful to patients in the under-developed areas, they often suffer from poor quality of patient management due to lack of capability for continuity of care. Collaborating with VillageMED, a US-based nonprofit that provides periodic medical services to Haiti communities, we investigated implications for the design of an EMR to support mobile clinics. Key design considerations we found include: (1) simplicity and ease of use, (2) seamless support of the existing clinical workflow through feature segmentation, and (3) flexibility to accommodate organizational and operational variability. Using the findings, we designed and implemented, through an iterative process, an EMR suitable for use in mobile clinics. We conclude by discussing design implications to improve quality of care in mobile clinics.
- Anokwa, Yaw, Nyoman Ribeka, Tapan Parikh, Gaetano Borriello, and Martin C. Were. "Design of a phone-based clinical decision support system for resource-limited settings." In Proceedings of the Fifth International Conference on Information and Communication Technologies and Development, pp. 13--24. ACM, 2012. Google ScholarDigital Library
- Blaya, Joaquin A., Hamish SF Fraser, and Brian Holt. "E-health technologies show promise in developing countries." Health Affairs 29, no. 2 (2010): 244-251.Google ScholarCross Ref
- Callaghan, Mike, Nathan Ford, and Helen Schneider. "A systematic review of task-shifting for HIV treatment and care in Africa." Human resources for health 8, no. 1 (2010): 8.Google Scholar
- Cohen, Jason F., Emma Coleman, and Lucienne Abrahams. "Use and Impacts of E-health Within Community Health Facilities in Developing Countries: A Systematic Literature Review." In ECIS. 2015.Google Scholar
- Dainton, Christopher, and Charlene H. Chu. "A review of electronic medical record keeping on mobile medical service trips in austere settings." International journal of medical informatics 98 (2017): 33-40.Google Scholar
- Fraser, Hamish, Paul Biondich, Deshen Moodley, Sharon Choi, Burke Mamlin, and Peter Szolovits. "Implementing electronic medical record systems in developing countries." Journal of Innovation in Health Informatics 13, no. 2 (2005): 83-95.Google ScholarCross Ref
- Fraser, Hamish SF, Joaquin Blaya, Sharon S. Choi, Cesar Bonilla, and Darius Jazayeri. "Evaluating the impact and costs of deploying an electronic medical record system to support TB treatment in Peru." In AMIA Annual Symposium Proceedings, vol. 2006, p. 264. American Medical Informatics Association, 2006.Google Scholar
- Gray, Alice, Christe Henshaw, Julie Wright, Jessica Leah, David Caloia, Rachel F. Spitzer, Elkanah Omenge, Benjamin Chemwolo, and William M. Tierney. "Effect of EMR implementation on clinic time, patient and staff satisfaction, and chart completeness in a resource-limited antenatal clinic in Kenya." Studies in health technology and informatics 192 (2013): 1222-1222. Haley, Janice M., and Pamela H. Cone. "Mobile clinics in Haiti, part 2: Lessons learned through service." Nurse education in practice 21 (2016): 66-74.Google Scholar
- Lober, William B., Stephen Wagner, and Christina Quiles. "Development and implementation of a loosely coupled, multi-site, networked and replicated electronic medical record in Haiti." ACM SIGOPS Operating Systems Review 43, no. 4 (2010): 79-83. Google ScholarDigital Library
- Millard, Peter S., Juan Bru, and Christopher A. Berger. "Open-source point-of-care electronic medical records for use in resource-limited settings: systematic review and questionnaire surveys." BMJ open 2, no. 4 (2012): e000690.Google Scholar
- Nwosu, Kingsley C., and Okey Igbonagwam. "BEPOC: A biometrics-enabled point-of-care patients and electronic medical records management system for medical missions." In Healthcare Innovation Conference (HIC), 2014 IEEE, pp. 223--226. IEEE, 2014.Google Scholar
- Omary, Zanifa, Dennis Lupiana, Fredrick Mtenzi, and Bing Wu. "Challenges to E-healthcare adoption in developing countries: A case study of Tanzania." In Networked Digital Technologies, 2009. NDT'09. First International Conference on, pp. 201--209. IEEE, 2009.Google Scholar
- Sood, Sanjay P., Stacie N. Nwabueze, Victor WA Mbarika, Nupur Prakash, Samir Chatterjee, Pradeep Ray, and Saroj Mishra. "Electronic medical records: A review comparing the challenges in developed and developing countries." In Hawaii International Conference on System Sciences, Proceedings of the 41st Annual, pp. 248--248. IEEE, 2008. Google ScholarDigital Library
- Strauss, Anselm, and Juliet M. Corbin. Grounded theory in practice. Sage, 1997.Google Scholar
- Thomas, Manoj A., Yan Li, and Tiago Oliveira. "Nuances of development contexts for ICT4D research in least developed countries: An empirical investigation in Haiti." Telematics and Informatics 34, no. 7 (2017): 1093-1112. Google ScholarDigital Library
- United Nations Development Program. http://hdr.undp.org/en/statistics/ Accessed 6/30/2018Google Scholar
- Were, Martin C., Nneka Emenyonu, Marion Achieng, Changyu Shen, John Ssali, John PM Masaba, and William M. Tierney. "Evaluating a scalable model for implementing electronic health records in resource-limited settings." Journal of the American Medical Informatics Association 17, no. 3 (2010): 237-244.Google ScholarCross Ref
- Williams, Faustine, and Suzanne Boren. "The role of the electronic medical record (EMR) in care delivery development in developing countries: a systematic review." Journal of Innovation in Health Informatics 16, no. 2 (2008): 139-145.Google ScholarCross Ref
- Yadav, Nikhil, Mehrdad Aliasgari, and Christian Poellabauer. "Mobile Healthcare in an Increasingly Connected Developing World." International Journal of Privacy and Health Information Management (IJPHIM) 4, no. 2 (2016): 76-97.Google ScholarCross Ref
Index Terms
- Creating an EMR system to support mobile clinics in Haiti
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