Implementing electronic medical record systems in developing countries.

Implementing electronic medical record systems in developing countries.
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DOI:
10.14236/jhi.v13i2.585
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发表时间:
2005
影响因子:
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通讯作者:
H. Fraser;P. Biondich;Deshendran Moodley;Sharon S. Choi;B. Mamlin;Peter Szolovits
H. Fraser;P. Biondich;Deshendran Moodley;Sharon S. Choi;B. Mamlin;Peter Szolovits
中科院分区:
--
文献类型:
--
作者:
H. Fraser;P. Biondich;Deshendran Moodley;Sharon S. Choi;B. Mamlin;Peter Szolovits

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发展中世界面临着一系列健康危机,包括威胁数百万人生命的艾滋病毒/艾滋病和结核病。缺乏基础设施和训练有素、经验丰富的工作人员被认为是扩大这些疾病治疗的重要障碍。在本文中,我们解释了为什么信息系统在发展中国家的许多医疗保健项目中很重要。我们讨论的试点项目表明,这样的系统是可能的,可以扩展到管理数十万名患者。我们还将从我们的工作经验中传授设计和实施方面最重要的实践经验。最后,我们讨论了电子病历系统的开发项目之间的合作,而不是孤立地重新发明系统的重要性,以及开放标准和开源软件的使用。
The developing world faces a series of health crises including HIV/AIDS and tuberculosis that threaten the lives of millions of people. Lack of infrastructure and trained, experienced staff are considered important barriers to scaling up treatment for these diseases. In this paper we explain why information systems are important in many healthcare projects in the developing world. We discuss pilot projects demonstrating that such systems are possible and can expand to manage hundreds of thousands of patients. We also pass on the most important practical lessons in design and implementation from our experience in doing this work. Finally, we discuss the importance of collaboration between projects in the development of electronic medical record systems rather than reinventing systems in isolation, and the use of open standards and open source software.