Electronic medical records and same day patient tracing improves clinic efficiency and adherence to appointments in a community based HIV/AIDS care program, in Uganda.
Electronic medical records and same day patient tracing improves clinic efficiency and adherence to appointments in a community based HIV/AIDS care program, in Uganda.
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DOI：
10.1007/s10461-011-9996-9
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发表时间：
2012-02
影响因子：
4.4
通讯作者：
Wabwire-Mangen, Fred
中科院分区：
文献类型：
--
作者：
Alamo, Stella T.;Wagner, Glenn J.;Sunday, Pamela;Wanyenze, Rhoda K.;Ouma, Joseph;Kamya, Moses;Colebunders, Robert;Wabwire-Mangen, Fred
关键词：
错过门诊预约的患者会进行计划外的访问，这会影响计划和提供优质护理的能力。我们在坎帕拉的一家社区艾滋病毒诊所实施了电子病历和当天病人追踪，以尽量减少错过预约的情况。在实施EMR和患者追踪（EMR后）之前（EMR前）和6个月后，对错过的，早期的，按计划的预约和等待时间进行了评估。在EMR前后记录错过预约的原因。平均每天错过预约的次数从EMR前的21次显著减少到EMR后的8次。错过预约的主要原因是忘记（37%），但在EMR后显着减少了30%。失访率（LTFU）也从10.9%显著下降到4.8%。总的中位等待时间从291分钟显著下降到94分钟。我们的研究结果表明，EMR和当天患者追踪可以显着减少错过的预约，LTFU和提高诊所效率。
Patients who miss clinic appointments make unscheduled visits which compromise the ability to plan for and deliver quality care. We implemented Electronic Medical Records (EMR) and same day patient tracing to minimize missed appointments in a community-based HIV clinic in Kampala. Missed, early, on-schedule appointments and waiting times were evaluated before (pre-EMR) and 6 months after implementation of EMR and patient tracing (post-EMR). Reasons for missed appointments were documented pre and post-EMR. The mean daily number of missed appointments significantly reduced from 21 pre-EMR to 8 post-EMR. The main reason for missed appointments was forgetting (37%) but reduced significantly by 30% post-EMR. Loss to follow-up (LTFU) also significantly decreased from 10.9 to 4.8% The total median waiting time to see providers significantly decreased from 291 to 94 min. Our findings suggest that EMR and same day patient tracing can significantly reduce missed appointments, and LTFU and improve clinic efficiency.
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DOI：
10.1080/0954012031000068371
发表时间：
2003-04-01
影响因子：
1.7
作者：
Rastegar, DA;Fingerhood, MI;Jasinski, DR
通讯作者：
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影响因子：
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作者：
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DOI：
10.1080/09540120500101658
发表时间：
2005-10-01
影响因子：
1.7
作者：
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通讯作者：
Mayer, KH
影响因子：
4.9
作者：
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通讯作者：
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影响因子：
120.7
作者：
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