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HIS & EHR in Developing Countries (Live Models)

The Upcoming Life Saving Health Care Resource.
by

Rehab Rayan

on 21 July 2013

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Transcript of HIS & EHR in Developing Countries (Live Models)

E-Health is solving Healthcare problem using new technologies.
E-Health is solving Health problems, improving care quality, patient safety using new technologies.
"
The new life saving Health resource"
.

Universally available technology ,usable by
developing countries
.

EHR
is a fundamental component of E-health.
Mobile
Population
.

Disasters
(epidemics, civil wars).

Energy
sustainability problem
(electricity).

Culture & Language.

Poor

Healthcare
systems (drugs, Patient ID)

Poverty or Limited financial
resources.

Better care
delivery.
"accurate medication lists, legible notes, prescriptions, timely available charts, lower costs and medical errors".

Planing and evaluating
population health
needs.
"HIV–AIDS, tuberculosis, malaria and civil
wars".
Improvements in
drug supply management
using medication data from EMR systems
(the most measurable cost benefits)
Decision making support.
Good planning.

Strong management.

Clinical leadership.

Supportive staff.
EMR implementation in in Haiti,Kenya,Rwanda and Cameroon.

"Using web-based systems with satellite internet connectivity and IBM compatible microcomputers powered by an uninterrupted power supply with solar battery back up".

Developed countries
support (
donor, aid agencies
).

collaborative partnerships
and expert networks.

OSS
as a free useful tools.

Mobile
technology, Hand held devices (
PDA
),
Internet
availability &wireless telecommunications (
WiFi
).

Alternative power generation
(wind and solar).

EMR implementation in in Haiti,Kenya,Rwanda and Cameroon.

"Using web-based systems with satellite internet connectivity and IBM compatible microcomputers powered by an uninterrupted power supply with solar battery back up".
EMR in Haiti,Kenya,Rwanda and Cameroon

"Using web-based systems with satellite internet connectivity and IBM compatible microcomputers powered by an uninterrupted power supply with solar battery back up".
EMR in Haiti,Kenya,Rwanda and Cameroon

"

web-based

systems with

satellite
internet

connectivity and IBM compatible microcomputers powered by an uninterrupted power supply with

solar battery

back up".

In South Africa
"a
Palm
-based system used to securely access to
HIV
results in remote clinics."

In rural India
"a
Pocket PC-
based system has been used to store
health records
for
community nurses
visiting
remote
villages".
In Uganda
"
Satellife
is using the
mobile
network to link
PDA
-based
medical records
to a central site.Local healthcare workers collect data on
Palm
Pilots then connect to a
local
battery-powered
server
that connects to a
central
database via a
mobile

phone modem
".
Afaq et al. DETERMINING THE USERS’ WILLINGNESS TO ADOPT ELECTRONIC HEALTH RECORDS (EHR) IN DEVELOPING COUNTRIES. Gomal University Journal of Research. December 2012; 28(2):pp.140-148.

Williams F, Boren S.A. The role of EMR in care delivery development in developing countries. Informatics in Primary Care, British Computer Society.2008; 16:pp.139-145.

Fraser HSF, Biondich P, Moodley et al D. Implementing electronic medical record systems in developing countries. Informatics in Primary Care, British Computer Society.2005; 13:pp.83-95.

Nicholas A. Kalogriopoulos, Jonathan Baran, Amit J. Nimunkar and John G. Webster. Electronic Medical Record Systems for Developing Countries: Review.Madison, USA. University of Wisconsin; 2008.

Needed for Developing Countries
Barriers for Adoption
Population:
small...stand-alone systems.
large...networked systems.

Location & Resources:
remote areas...
phone
,
internet.

Philippe Boucher. Electronic Medical Record systems in developing countries.London, UK. World Health Organization, eHealth unit; 2008.

RM Kamadjeu, EM Tapang and RN Moluh. Designing and implementing an electronic health record system in primary care practice in sub-Saharan Africa: a case study from Cameroon. Informatics in Primary Care,British Computer Society.2005;13:179–86.

Sanjay P. Sood, Stacie N. Nwabueze, Victor W.A. Mbarika, Nupur Prakash, Samir Chatterjee, Pradeep Ray, Saroj Mishra. Electronic Medical Records: A Review Comparing the Challenges in Developed and Developing Countries. Proceedings of the 41st Hawaii International Conference on System Sciences.2008;1-10.

2008–2011... Saudi Arabia government allocated committed funding for the development of eHealth.
2010...A survey measuring the level and usability of EHRs in government hospitals...15.8 %.
High HC accessibility:

Availability of medical care staff from nearby Arab countries and the Far East.
Small private health care centers.
limits in the public GPs (lack X-Rays and advanced laboratory facilities).

Many Saudis have their health care in
different privet health care centers during life.... patient health record become fragmented in many different clinics and hospitals.
Unified EHR for patient may be challenging.
Large public sector spending (>16B USD) vs. Relatively low HC spending.
project Objectives
Evaluate EHR as a tool to improve providers’ performance, quality and continuity of care, and the availability of data in PHC practice in Cameroon.
Methodology
Locally designed EHR (MEDCAP) based on (ICPC).
Results (Positive Points )
Users

:involvement &Acceptance.

System
:Good medical practice &Consultation data availability.

Case Study from Cameroon
Lack
ICT
infrastructure .

Healthcare
Workforce
.

Training
Facilities.


Resistance
by Physicians (new technologies difficult to be learned+PC literacy).

Interoperability, access, security and privacy issues.

No continuity of care.

Questions
Case Study from Cameroon

local population
acceptance as technology controllers &committed owners of projects.

•"
Silos Systems
" for specific diseases (HIV)...isolated systems...incompatible data & work duplications.

•IT systems
cost
supporting EHR functions is lower than that of the care programs (medications).
Full transcript