A Patient-Held Smartcard With a Unique Identifier and an mHealth Platform to Improve the Availability of Prenatal Test Results in Rural Nigeria: Demonstration Study.
A Patient-Held Smartcard With a Unique Identifier and an mHealth Platform to Improve the Availability of Prenatal Test Results in Rural Nigeria: Demonstration Study.
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DOI：
10.2196/jmir.8716
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发表时间：
2018-01-15
影响因子：
7.4
通讯作者：
Ezeanolue EE
中科院分区：
文献类型：
--
作者：
Gbadamosi SO;Eze C;Olawepo JO;Iwelunmor J;Sarpong DF;Ogidi AG;Patel D;Oko JO;Onoka C;Ezeanolue EE
以社区为基础的艾滋病毒、B型肝炎病毒（HBV）和镰状细胞病（SCD）检测战略扩大了机会，增加了了解诊断结果的孕妇比例。为了利用这些信息实施循证干预措施，这些结果必须在交付时提供给熟练的保健提供者。大多数电子保健平台依赖可靠的互联网连接，因此在许多农村和资源有限的环境中使用有限。在这里，我们描述了我们在开发和部署一个集成的mHealth平台上的工作，该平台能够捕获医疗信息，包括测试结果，并将其加密到患者持有的数据库中，该数据库可以在交付时读取，而无需互联网连接。我们聘请了一个由实施科学家、公共卫生专家和信息技术专家组成的团队参与需求收集过程，为设计一个平台原型提供信息，该平台使用了物联网技术、数据库部署和移动的手机应用程序开发。关键的设计决策集中在可用性、可扩展性和安全性上。我们成功地设计了一个集成的移动医疗平台，并将其部署在尼日利亚贝努埃州的4个医疗机构中。我们开发了Vitira Health平台，将HIV、HBV和SCD的检测结果存储在数据库中，并将结果安全地加密在嵌入在数据库中的快速响应代码上。我们使用了一个移动的应用程序来阅读电子书上的内容，而不需要互联网连接。我们的研究结果表明，有可能开发一种患者手持的智能手机和一个移动健康平台，其中包含重要的健康信息，可以在交付时使用基于移动的手机应用程序读取，而无需互联网连接。ClinicalTrials.gov NCT 03027258; https://clinicaltrials.gov/ct2/show/NCT03027258（由WebCite存档，网址为http：//www.webcitation.org/6owR2D0kE）
Community-based strategies to test for HIV, hepatitis B virus (HBV), and sickle cell disease (SCD) have expanded opportunities to increase the proportion of pregnant women who are aware of their diagnosis. In order to use this information to implement evidence-based interventions, these results have to be available to skilled health providers at the point of delivery. Most electronic health platforms are dependent on the availability of reliable Internet connectivity and, thus, have limited use in many rural and resource-limited settings. Here we describe our work on the development and deployment of an integrated mHealth platform that is able to capture medical information, including test results, and encrypt it into a patient-held smartcard that can be read at the point of delivery without the need for an Internet connection. We engaged a team of implementation scientists, public health experts, and information technology specialists in a requirement-gathering process to inform the design of a prototype for a platform that uses smartcard technology, database deployment, and mobile phone app development. Key design decisions focused on usability, scalability, and security. We successfully designed an integrated mHealth platform and deployed it in 4 health facilities across Benue State, Nigeria. We developed the Vitira Health platform to store test results of HIV, HBV, and SCD in a database, and securely encrypt the results on a Quick Response code embedded on a smartcard. We used a mobile app to read the contents on the smartcard without the need for Internet connectivity. Our findings indicate that it is possible to develop a patient-held smartcard and an mHealth platform that contains vital health information that can be read at the point of delivery using a mobile phone-based app without an Internet connection. ClinicalTrials.gov NCT03027258; https://clinicaltrials.gov/ct2/show/NCT03027258 (Archived by WebCite at http://www.webcitation.org/6owR2D0kE)
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影响因子：
11.8
作者：
Giaquinto, C;Ruga, E;Horban, A
通讯作者：
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影响因子：
34.3
作者：
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影响因子：
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作者：
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影响因子：
1.7
作者：
Burnham-Marusich AR;Ezeanolue CO;Obiefune MC;Yang W;Osuji A;Ogidi AG;Hunt AT;Patel D;Ezeanolue EE
通讯作者：
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影响因子：
168.9
作者：
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通讯作者：
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