Improving care - improving access: the use of electronic decision support with AIDS patients in South Africa
Improving care - improving access: the use of electronic decision support with AIDS patients in South Africa
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DOI：
10.1504/ijhtm.2009.025819
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发表时间：
2009-01-01
影响因子：
1
通讯作者：
Wolf, Kate
中科院分区：
文献类型：
--
作者：
Mitchell, Marc;Lesh, Neal;Wolf, Kate
医生短缺严重限制了艾滋病治疗计划在非洲的扩展。本文提出了一种扩大治疗规模的新方法，利用咨询师在手持计算机上使用专门开发的临床算法来筛选患者并在医生有限的情况下维护患者记录。我们在南非的两家诊所对艾滋病患者进行了筛查，以确定他们是否可以安全地继续目前的治疗方案，或者是否需要咨询医生。在这些验证试验之后，我们将扩大该计划的规模，并将这些算法与存储在设备上的患者记录联系起来。
The shortage of physicians has severely limited the expansion of AIDS treatment programs in Africa. This paper presents a novel approach to scaling up treatment utilising counsellors with specially developed clinical algorithms on a hand-held computer to screen patients and maintain patient records in settings where doctors are limited. We screened AIDS patients in two clinics in South Africa to determine whether they could safely continue their current treatment regimen or required consultation with a physician. Following these validation trials, we will scale up this program and include linkage of these algorithms with patient records stored on the device.