Name
Title | ||
|---|---|---|
Evaluating a scalable model for implementing electronic health records in resource-limited settings. |
Abstract | ||
|---|---|---|
Current models for implementing electronic health records (EHRs) in resource-limited settings may not be scalable because they fail to address human-resource and cost constraints. This paper describes an implementation model which relies on shared responsibility between local sites and an external three-pronged support infrastructure consisting of: (1) a national technical expertise center, (2) an implementer's community, and (3) a developer's community. This model was used to implement an open-source EHR in three Ugandan HIV-clinics. Pre-post time motion study at one site revealed that Primary Care Providers spent a third less time in direct and indirect care of patients (p<0.001) and 40% more time on personal activities (p=0.09) after EHRs implementation. Time spent by previously enrolled patients with non-clinician staff fell by half (p=0.004) and with pharmacy by 63% (p<0.001). Surveyed providers were highly satisfied with the EHRs and its support infrastructure. This model offers a viable approach for broadly implementing EHRs in resource-limited settings. |
Year | DOI | Venue |
|---|---|---|
2010 | 10.1136/jamia.2009.002303 | JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION |
Keywords | Field | DocType |
human resource,satisfiability | Knowledge management,Pharmacy,Primary care,Medicine,Scalability | Journal |
Volume | Issue | ISSN |
17 | 3 | 1067-5027 |
Citations | PageRank | References |
13 | 1.03 | 8 |
Authors | ||
7 | ||
Name | Order | Citations | PageRank |
|---|---|---|---|
| Martin Were | 1 | 90 | 10.47 |
| Nneka Emenyonu | 2 | 23 | 1.77 |
| Marion Achieng | 3 | 13 | 1.03 |
| Changyu Shen | 4 | 125 | 12.98 |
| John Ssali | 5 | 13 | 1.03 |
| John P. M. Masaba | 6 | 13 | 1.03 |
| William M. Tierney | 7 | 283 | 61.50 |