Installing and implementing a computer-based patient record system in sub-Saharan Africa: The mosoriot medical record system
Installing and implementing a computer-based patient record system in sub-Saharan Africa: The mosoriot medical record system
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DOI：
10.1197/jamia.m1301
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发表时间：
2003-07-01
影响因子：
6.4
通讯作者：
Tierney, WM
中科院分区：
文献类型：
--
作者：
Rotich, JK;Hannan, TJ;Tierney, WM
作者在肯尼亚一家农村卫生中心实施了一个电子病历系统。就诊数据记录在纸质相遇表格上，消除了多个诊所日志中的重复文档。数据输入冗余电源系统支持的MS-Access数据库。该系统于2001年2月启动，在6个月内为6,190名患者输入了10,000份访问记录。作者总结了所访问的诊所、作出的诊断、开出的药物和进行的测试。系统实施后，患者就诊时间缩短了22%。他们在供应商那里花费的时间减少了58%(p<；0.001)，等待时间减少了38%(p=0.06)。诊所人员与患者互动的时间减少了50%，相互交流的时间减少了三分之二，个人活动的时间更多。这个简单的电子病历系统已经弥合了“数字鸿沟”。肯尼亚人的财政和技术可持续性将是其未来使用和发展的关键。
The authors implemented an electronic medical record system in a rural Kenyan health center. Visit data are recorded on a paper encounter form, eliminating duplicate documentation in multiple clinic logbooks. Data are entered into an MS-Access database supported by redundant power systems. The system was initiated in February 2001, and 10,000 visit records were entered for 6,190 patients in six months. The authors present a summary of the clinics visited, diagnoses made, drugs prescribed, and tests performed. After system implementation, patient visits were 22% shorter. They spent 58% less time with providers (p < 0.001) and 38% less time waiting (p = 0.06). Clinic personnel spent 50% less time interacting with patients, two thirds less time interacting with each other, and more time in personal activities. This simple electronic medical record system has bridged the "digital divide." Financial and technical sustainability by Kenyans will be key to its future use and development.