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Using Touchscreen electronic medical record systems to support and monitor national scale-up of antiretroviral therapy in Malawi

Douglas, GP and Gadabu, OJ and Joukes, S and Mumba, S and McKay, MV and Ben-Smith, A and Jahn, A and Schouten, EJ and Lewis, ZL and van Oosterhout, JJ and Allain, TJ and Zachariah, R and Berger, SD and Harries, AD and Chimbwandira, F (2010) Using Touchscreen electronic medical record systems to support and monitor national scale-up of antiretroviral therapy in Malawi. PLoS Medicine, 7 (8). ISSN 1549-1277

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Abstract

Complete, accurate, and timely data are critical for providing high quality patient care, programmatic monitoring and evaluation of antiretroviral therapy scale-up, continuity of care for chronic illness, and rational drug forecasting. Manual paper-based aggregation of data and compilation of reports become unfeasible as patient cohorts on treatment and data increase. A point-of-care (POC) electronic medical record (EMR) system combines healthcare delivery and data collection processes into one activity, with the added bonus of providing enhanced decision support to clinicians during the patient encounter. Challenges associated with operating computers in a resource-constrained setting are many, but have been rigorously addressed during the scale-up of POC EMR to monitor and support ART scale-up in Malawi. The experience gained and infrastructure built through successful deployment of the ART EMR will facilitate its adaptation and use for other chronic diseases (e.g., tuberculosis, diabetes mellitus, and hypertension), preparing a foundation for a comprehensive electronic health record system. © 2010 Douglas et al.


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Details

Item Type: Article
Status: Published
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Douglas, GPgpd6@pitt.eduGPD6
Gadabu, OJ
Joukes, S
Mumba, S
McKay, MV
Ben-Smith, A
Jahn, A
Schouten, EJ
Lewis, ZL
van Oosterhout, JJ
Allain, TJ
Zachariah, R
Berger, SD
Harries, AD
Chimbwandira, F
Date: 1 August 2010
Date Type: Publication
Journal or Publication Title: PLoS Medicine
Volume: 7
Number: 8
DOI or Unique Handle: 10.1371/journal.pmed.1000319
Schools and Programs: School of Medicine > Biomedical Informatics
Refereed: Yes
ISSN: 1549-1277
MeSH Headings: Adolescent; Adult; Anti-Retroviral Agents--therapeutic use; Child; Child, Preschool; Electronic Health Records--statistics & numerical data; Female; Humans; Infant; Infant, Newborn; Malawi--epidemiology; Male; National Health Programs--statistics & numerical data; Touch; Young Adult
Other ID: NLM PMC2919419
PubMed Central ID: PMC2919419
PubMed ID: 20711476
Date Deposited: 15 Aug 2012 18:09
Last Modified: 05 Feb 2019 16:55
URI: http://d-scholarship.pitt.edu/id/eprint/13394

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