Interoperability opportunities and challenges in linking mhealth applications and eRecord systems: Botswana as an exemplar.
Interoperability opportunities and challenges in linking mhealth applications and eRecord systems: Botswana as an exemplar.
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DOI：
10.1186/s12911-021-01606-7
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发表时间：
2021-08-21
影响因子：
3.5
通讯作者：
Mars M
中科院分区：
文献类型：
--
作者：
Ndlovu K;Scott RE;Mars M
为在全球实施移动保健应用程序和电子记录系统进行了大量投资。然而，这些技术的分散仍然是一个巨大的挑战，在发展中国家往往得不到解决。特别是，有证据表明，很少考虑将移动医疗应用程序与电子记录系统联系起来。博茨瓦纳是撒哈拉以南非洲地区一个典型的发展中国家，已经探索了移动医疗应用，但解决方案无法与现有的电子记录系统互操作。本文介绍了博茨瓦纳的电子记录系统的互操作性景观，并提供了指导，将移动医疗应用程序连接到电子记录系统，无论是为博茨瓦纳和发展中国家使用博茨瓦纳作为一个范例。 完成了对保健信息和通信技术工作者的调查和访谈，以及对博茨瓦纳国家电子保健战略的审查。对所认识到的互操作性好处、机遇和挑战进行了图表分析，并得出了今后的指导意见。调查和访谈答复显示，博茨瓦纳卫生部门和国家电子卫生战略范围内需要可互操作的移动卫生应用程序和电子记录系统。然而，目前的战略并没有涉及将移动保健应用程序与电子记录系统联系起来的问题。在博茨瓦纳的卫生部门，全球互操作性标准和应用程序编程接口得到广泛使用，在公共和私营设施内部有一定程度的互操作性，但公共和私营设施之间没有。此外，还支持使用关系数据库系统和类似数据格式的开放源码和商业电子记录系统的混合。在博茨瓦纳，将移动保健应用程序与电子记录系统联系起来的挑战得到了确定，并被归类为主题，从而制定了加强国家电子保健战略的指导方针。移动健康应用程序和电子记录系统之间的互操作性是必要的，也是可行的。确定了将移动保健应用程序与电子记录系统联系起来的机会和挑战，并提出了基于这一见解的未来指导。调查结果将帮助博茨瓦纳和其他发展中国家解决移动医疗应用程序和电子记录系统之间普遍存在的脱节问题。
Significant investments have been made towards the implementation of mHealth applications and eRecord systems globally. However, fragmentation of these technologies remains a big challenge, often unresolved in developing countries. In particular, evidence shows little consideration for linking mHealth applications and eRecord systems. Botswana is a typical developing country in sub-Saharan Africa that has explored mHealth applications, but the solutions are not interoperable with existing eRecord systems. This paper describes Botswana’s eRecord systems interoperability landscape and provides guidance for linking mHealth applications to eRecord systems, both for Botswana and for developing countries using Botswana as an exemplar. A survey and interviews of health ICT workers and a review of the Botswana National eHealth Strategy were completed. Perceived interoperability benefits, opportunities and challenges were charted and analysed, and future guidance derived. Survey and interview responses showed the need for interoperable mHealth applications and eRecord systems within the health sector of Botswana and within the context of the National eHealth Strategy. However, the current Strategy does not address linking mHealth applications to eRecord systems. Across Botswana’s health sectors, global interoperability standards and Application Programming Interfaces are widely used, with some level of interoperability within, but not between, public and private facilities. Further, a mix of open source and commercial eRecord systems utilising relational database systems and similar data formats are supported. Challenges for linking mHealth applications and eRecord systems in Botswana were identified and categorised into themes which led to development of guidance to enhance the National eHealth Strategy. Interoperability between mHealth applications and eRecord systems is needed and is feasible. Opportunities and challenges for linking mHealth applications to eRecord systems were identified, and future guidance stemming from this insight presented. Findings will aid Botswana, and other developing countries, in resolving the pervasive disconnect between mHealth applications and eRecord systems.
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影响因子：
6.9
作者：
Hampshire K;Mwase-Vuma T;Alemu K;Abane A;Munthali A;Awoke T;Mariwah S;Chamdimba E;Owusu SA;Robson E;Castelli M;Shkedy Z;Shawa N;Abel J;Kasim A
通讯作者：
Kasim A
影响因子：
2.6
作者：
Barkman, Catharina;Weinehall, Lars
通讯作者：
Weinehall, Lars
影响因子：
6
作者：
Kierkegaard, Patrick
通讯作者：
Kierkegaard, Patrick
影响因子：
3.5
作者：
El-Sappagh, Shaker;Ali, Farman;Kwak, Kyung-Sup
通讯作者：
Kwak, Kyung-Sup